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Home My WebLink AboutBLDE-19-002323 �,': � Commonwealth of Official Use Only — Massachusetts Permit No. 1311)E-19-002323�_�_L_`, ''`'''��, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07) 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:10/18/2018 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. Location(Street&Number) 322 ROUTE 6A Owner or Tenant HICKEY MAIREAD L Telephone No. Owner's Address VIOLETTA ROBERT,90 PARK ST,BROOKLINE, MA 02446 Is this permit in conjunction with a building permit? Yes ❑ 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install surge suppressors 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 ❑ In- 1:1No.of Emergency Lighting grnd. 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 Mr Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump L Number Tons KW _ No.of Self-Contained Totals: r Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: 3 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. • FIRM NAME: John R Hassay Licensee: John R Hassay Signature LIC.NO.: 38186 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:28 THAYER ST,SOUTH DENNIS MA 026603717 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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:$50.00 (b(l4( ( Yom. g^� , • Commonwealth o fer7r(amachiwaf r eta U✓Only,+ �� -n•�: 3eparfnunf of Jin�srvicse Permit No. 9 L`/S } ( tr Occupancy and Fee Checked V _ AO* BOARD OF FIRE PREVENTiON REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK rc. All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR D'PEALL INFORM4TION) Date:( c t-- l' `.-D ( Z. City or Town of: et7..u®LA-14---1/4 To the Inspector of(ires: By this application the undersigned gives notice of his or her' tention to perform the electrical work described below. Location(Street&• Number) ZZ + Owner or TenantEob Vlo be ,I M l-e ft tG ice y Telephone No.A 32o --f J Z, Owner's Address 't.ivr,.� / • Is this permit in conjunction with a building permit? Yes ❑ No, (Check Appropriate Box) Purpose of Building3,t t...49.1 I� t vt 5 Utility Authorization No. Existing Service? Amps: y / Volts Overhead❑ Undgr No.of Meters New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity L ation and Nature of Proposed Electrical Work. y , r ad - ` AP. nip e I f>r e 4 1_4_44e_ r'R� �Y�.4,o K ilia f Completion of the followinktable may be waived by the Inspector of Wires. Iii No.of Recessed Luminaires No.of Cert:Sas .(Paddle)Fans No.of Total P Transformers KVA S Cl No.of Luminaire Outlets Na.of Hot Tubs Generators KVA -:C No.of Luminaires SwimmingPool Above Elgroin"' ElNo.Batt Emergency Lighting grnd. grnd. flattery Units bNo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones t� No.of SwitchesNo.of Detection and No.of Gas Burners Initiating Devices "J Total I1+ No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Disposers Na.of Waste Drs Heat Pump Number,1Tons KW No.of Self-Contained p Totals: Detection/AlertingDevices I a 44 Municipal F.. No.of Dishwashers Space/Area Heating ICN Local❑ Connection ❑ Other �w SecuritySystems:* W . o.of Dryers Heating Appliances KW y not, � � �' No.of Devices or Equivalent i •t o ••5 i o.of Water No.of No.of Data Wiring: q l� N q Heaters KW Signs Ballasts No.of Devices or Equivalent _(.,� a o.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: IQ,ti ,oNo.of Devices or Equivalent i CIN. v ?L TITER: t+ � :.tU l V ? Attach additional detail ifdesired,or as required by the Inspector of Wires. s1/4 4, '.___._--i L: E timated Value of Electrical Work: ' (When required by municipal policy.) _�_, _r Work to Start 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER Q (Specify:) I certify,under the pains and penalties of perjuly,that the information on this application is true and complete. ' FIRM NAME: • /' LIC.NO.: Licensee:0O ennui Signature at•) ia.iL.r LIC.N0.:3$(Erb e (If applicable enter"r pt"in the license r line.) ,� 'Bus.Tel.No: 27 I —dei 4%' Address: �$ J�- ( t1e[J4�� . S 4- .t t S• Alt.TeL No.: Ta *Per M.G.L.c. 147,s.57-6g security work requires Department of Public Safety"S"License: Lie.No. 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 Owner/AgentPERMIT FEE:$ no — - SignatureTelephone No.