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Home My WebLink AboutBLD-18-006607 til Commonwealth of OffcialUseOnly a , atS Massachusetts Permit No. BLDE-16-006607 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.)/07j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code-(MEC),527 CMR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORM4TION) Date:5/23/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. n/ ^ ,� Location(Street&Number) 184 SOUTH SEA AVE UNIT O (JJ `/ Pia-.400,-N94- -r^ a' Owner or Tenant j9A141, JMIPI'r' Telephone No. Owner's Address ukeflifailSErwhieCc6SNIZPPAIrlrlerASHPE , Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Receptacles, lights,&switches.(GARAGE #30) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers y KVA No.of Luminaire Outlets 7 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 1:INo.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: DetectinnlAlertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail fdesired,or as required by the Inspector of Wins. Estimated Value of Electrical Work: _ (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: William H Nelson Licensee: William H Nelson Signature LIC.NO.: 26513 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:871 BUMPS RIVER RD, CENTERVILLE MA 026323321 Alt.Tel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety'S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 � 2/1f//r )2- A_ q(f 9fjs ,4H ak 9' Si • _ C/� /�.�'/ /J/)// rmm-0nrue^/rL o1 rl¢55ea1..4eSe J L oigltlse 0 y � "F cc77 [� PetadtNo. !�?•11�((��1� Q - tri o{.Tire-..J ervrcea .• BOARD OF FIRE PREVENTION REGULATIONS , ev�07]aaerd Fee lank)Checked a nerve blear) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be rre,tai wed in accordance with the Massachusetts Electrical Cod:(MEC),527 '.I LOU (PLEASE PRINT IN INK OR 1]iEALL LVFOPSTIOW Date: /g City or Town of: YARMOUTH To the Inspector o'Wires: By this application the pndersigned gives notice of his or intention to perform the ale t ical work described below. • el Location (Street&Number) lg y sou cP - l7 111., 7o Owner or Tenant ��4 /fjy, 71W'4Fail• Telephone No. T Owner's Address --� Is this permit in conjunction with a bufdiag permit? Yes ❑ No 2 (CheckAppropr>te Boz) Purpose of Enduing G1 ttt C, 0 r / Utility Authorization No. Ensting Service/0'O Amps V.4 /V-11 Volts Overhead Undgrd❑ No.of Meters L w m { c":13 { New Service _ Amps / Volts Overhead❑ Und-d ❑ No.of Meters 0Number of Feeders and Ampacity •w U Q A Location and��re of Proposed Elect-ieal Wort: ' , '7 t / /� r Sooi LtD W .. .- --- —'- _._ ..__._. _... . . .... .. . Comps of the fallow?nz table may be waived by the Inspector of WrrL Ce m No.of Recessed Lataiaass INo.of No. of Cerl.�sp.(Paddle)Fars Taut Tt2asfot-mers KVA No. of Latminain Ogees 7 No.of Hct Tabs 'Generators KVA ' No.of Luminaires Pool Above In- iv o.ox nmergenry L fl g Swinmm�ng ?rad. �rnd. 0 Eaten,Urns No. of Receptacle OntL-f / No. of Oil Bathers tx '/� Ir'"�,4LARhLS INo.of Lot= No.of Switches /.1 / No. of Gas Earners No.of Detecpon and No.of Ranges Total Initiative••Devices Na of Air Cond. Tons No.of Alerfmg Devices • Heat Pump I Number 'Tons IKW Na.of Self-Contained Totals: I IDe',_o ton/Alertdnp Devi No.of Waste Disposersces No. of Dishwashers Space/Area Heating KW' Local 0 l stnupaltio Coaneca 0 Otla- No. of Dryers Heating Appliances KW Security Systems:t No.of Water No.of Devices or Equivalent Heaters KW No. of No.of Data Wiring Si as Ballast No.of Devices or Equ valent n No. Hydromassage Bathtubs No. of Motors Total HP Teleaommani atioas Wiring; No.of Devices or Equivalent O 11:1ER: • • Attach additional derail f desired or a required by the lntpector of Wires. Estimated Value of Electrical Work.: Work to Start: (When7e9'�by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue tmless the licensee provides proof of liability insurance including"completed operation"coverage or it substantial equivalent The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing once. CHECK ONE: INSURANCE.k BOND ❑ OTHER 0 (Speci y° I certify, ander the pains and penritres of per faun that the information on this application is true and complete. F'CRM NAME: �!/� LIG NO.: Licensee: lw=��/ c n Ti- Signature/J/' �— af a applicable, enter �-� LIC NO:'�/ r P➢ r"in the licenrfj`�f'bur fine Bus.TeL No.- , "" Address /2 .,, e2er �f� in/ Ar' ' o2Cc�.� Alt TeL No 7 j Per NLG.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am awn that the Licensee does nor have the liability insurance coveragenormally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's a enc Owner/Agent Sign afore Telephone No. PERhIIT FEE:$ 7