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Home My WebLink AboutE-19-1911 1' Commonwealth of Official Use Only Ash" Massachusetts Permit No. BLDE-19-001911 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/07) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:10/2/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform th ork descriTelow. Location(Street&Number) 75 SISTERS CIR Ni '�Alr Owner or Tenant RS Telephone No. ^ Owner's Address RYE- • -W:(t':='••=•" •r' .7 ,• r•••••- '65 N Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Bo y.. V�"'..ro�,Mn,� Purpose of Building Utility Authorization No. 2298358Grr"—vice•--.- Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service 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 KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ ln- ❑ No.of Emergency Lighting >;rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Too I No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection i No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs 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 if desired,or as required by the Inspector of Wires. 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 0 BOND 0 OTHER 0 (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Joseph E Peltier Licensee: Joseph E Peltier Signature LIC.NO.: 14912 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:86 Polaris Dr, Mashpee MA 026493451 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 &e44 lo(7-bi3 ' scs, l �a� I lac mmonwea ole7Massasc ff! cunt Use Only ' ll '.0 JJeparfinent o�Juv Seared Permit No. (6l — 1, ( I ,_ r fr_ ' BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07) (l FeeChecked ev. 1/07] Cleave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 1200 -' SE PRINT IN INK OR TYPE ALLINFORMA77ONJ Date: ela2G 1f oC-... w City or Town of: YARMOUTH To the Inspector of Wires: uiL m. g • s application the tindersigned gives noticecof his'or her intention to perform the electrical work described below. • cAs- `,? .N i1-c' 'on (Street&Number) • 7� J .k ) C rdz — co O 'nrorTenant 'Tont 5yllr � TelephoneNo.V C Ogv 's Address U� I t permit in conjunction with a building permit? Yes �-y No/ �t ... 0 (Cheek Appropriate Box) t ) cn urp.se of Building Aii•4 t.✓ KQ✓tt."-_ Utility Authorization No.gag ..r fr.: me g Service Amps / Volts Overhead in Undgrd❑ No.of Meters New Service /66 Amps a-'rv/ 110 Volts Overhead❑ Undgrd Sr 0---- No.of Meters Number of Feeders and AmpacityZ A Location and Nature of Proposed Electrical Work: Te or 1 5 C ro ze Completion of the followin&table may be waived tby the Inspector of Wires. No.of Recessed Luminaires No.of Cer7 Snsp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Aboveernd. ertrd. 0❑ In- NBo.ofattery UEmergency Lighting - nits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKWMunicipal Local 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:" No,of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent OTHER: _ Attach addaional detail fderired or as required by the Inspector of Wires. Estimated Value 9f El�trical World (When required by municipal policy.) Work to Start 7 201 /f 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 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 0 BOND 0 OTHER 0 (Specify:) I certify,ander the parns and penalties of gory,,,that the inform• '.non this applieatio is true and complete /,/ FIRM NAME: / 11" / �' `� L(it /G LIC.NO.: �77 Licensee: t--h y--t_ id>� Signature i1 I �!r�, LIC.NO.:f/lY� (If applicable enter- pt.in the lidn�a number!in . i / Address: 6 cv/3 rC / y f Bus.Tel.No: j Per M.G.L.c. 147,s.57-61,security work requires Dept of Public Safety"S"License: Alt.Lic.No. �% LIs - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent r Owner/Agent ( PERMIT FEE: $ 1 Signature Telephone No. c�r J