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Home My WebLink AboutE-18-6034 • Commonwealth of OfftcialUse Only I a Massachusetts Permit No. BIDE-18-006034 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.l/071 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:4/27/2018 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) 53 SOUTH ST Owner or Tenant BASILE JOHN Telephone No. Owner's Address BASILE KATHRYN 8,53 SOUTH ST,SOUTH YARMOUTH, MA 02664-6043 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 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: Remodel kitchen,master bed room,&dining room. 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- ❑ No.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 Air Cond. Total No.of Alerting Devices Toni 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 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 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) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JONATHAN R HALL Licensee: Jonathan R Hall Signature LIC.NO.: 11925 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:263 CAMMETT RD,MARSTONS MLS MA 026481585 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 owners agent. Owner/Agent Signature Telephone No. PERMIT FEE:$7100 12_000e( S/21/B rd nlViat �o�I 011ei t . /J //� y/jyy7) . {.. Commonwealth o/tt/Gldachudettd Official Usa 7. �,�, ry ��tt ��JJ Permit No. 63— 2 ry;t. • 1Jepartmsni of-}ire Serviced Ct Occupancy and Fee Checked V c r• BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( 1 C)„527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t{I 7 I I c? i. City or Town of: 5. J a.f MQu.a k 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)s” S R go t tan S T Owner or Tenant .,, C..1\111 R6.S;IC Telephone No. 5rc,P- SRS.-- "(0901 Owner's Address 6-3 clvli-t c--r- Is this permit in conjunction with a building permit? Yes Ea- No ❑ (Check Appropriate Box) , Purpose of Building Pe-5Utility Authorization No. Existing Service_ Amps / Volts Overhead D Undgrd❑ No.of Meters New Service __ Amps I Volts Overhead❑ Undgrd❑ No.of Meters _,__ • Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: , A.I, , ' (Y )t - ^, 14 i ,i a _, •. 17- rr'i (21t, nCompletion of the followin• table may be warred by the Inspector of Wires. No. iii No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA It -'- No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units `i No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Z. Initiating Devices Ili No.of Ranges No.of Air Cond. Tot 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 0 Municipalonnection ❑ Other C No.of DryersHeating AppliancesNo.of iCW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWData DatN Wiring: Signs No.of Devices or Equivalent ,� No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent I OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Q w z 44'stimatedValueof lecicalwork: U ,oc, (When required by municipal policy.) La • ork to Start: 27 18 Inspections to be requesied in accordance with MEC Rule 10,and upon completion. F SURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless ',..> N CQ i e licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The ± , detsigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. W t1i 3 iHECK ONE: INSURANCE al BOND ❑ OTHER 0 (Specify:) U Fic:—? I certify,under the pains and penalties of perjury,that the information on this application is trite and complete. 1,1 .¢O:: ?DM NAME: J Cmc 1-1‘e:, Nn,l'1 \3\.po It:6 LIC.NO.: I l Qa 5' . R j i -._; , Licensee: .7- rtc,}tiny }.{<q11 Signature �lG LIC.NO.: 1 ` (If applicable,enter"exempt"in the license member line.) Bus.Tel.No..SdR•ta7So, f I t 3 "—Address: ?(,3 (nnw r)d RON (I(I6\r1'd. e t '\1 f•Alt Tel.No.: *Per M.G.L c. 147,s.57-61,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 ent Signature Owner/Agent Telephone No. PERMIT FEE:$