The URL can be used to link to this page

Home My WebLink AboutE-18-3663 oCommonwealth of Official Use Only Massachusetts Permit No. BLDE-18-003663 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,[Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Mavwrhusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/21/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 40 COCHESET PATH Owner or Tenant GENT DANIEL E Telephone No. Owner's Address GENT KATHRYN M,40 COCHESET PATH,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps 120/24( Volts Overhead ❑ 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: wire garage&room above(508-221-7763) 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 0 In- El ,,No.of Emergency Lighting grnd. grn . - 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 Tons _ 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: Heater _Signs Ballasts No.of Devices or Equivalent No.Ifydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTIIER: 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:) 7 certify,under the pains and penalties of perjury,that the information on this application Is true and complete FIRM NAME: Lawrence R Brown Licensee: Lawrence R Brown Signature LIC.NO.: 30708 (Ifapplicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:30 LIMERICK CT,CENTERVILLE MA 026322713 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�lNo. PERMIT FEE:$75.00 (tpacL4 k Let vfni 4 9 s q, c, ,of,(te — l.ommanwea�� o` /r/anac�ujattJ Official Use Only 8 0 e - /51-00 3663 I = 5 Permit No. 6 -39111-S=-- \\ fit- 5 .1Je/Jartinont o�.-lira ..JarvicaJ e ''Irr= BOARD OF FIRE PREVENTION REGULATIONS0,\ Occupancy and Fee Checked •�" [Rev. 11071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU 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: `De G 7.1 - z 017 City or Town of:›64eeNalnt, To the Inspector of Wires: By this application the undersigned gives notice of his o her intention to perform the electrical work described below. Location(Street&Number) -/�0 co c`SCT T7 Owner or Tenant dry cceA'T Telephone No. Owner's Address 5/Mir Is this permit in conjunctiona with a building permit? Yes RX- No 0 (Check Appropriate Box) io� Purpose of Building C i4t r Utility Authorization No. Existing Service ,200 Amps /2-0 /2YCIVolts Overhead 0 Undgrd m-****Cio.of Meters / New Service Amps /_Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity 3 & O Location and Nature of Proposed Electrical Work: £0//eE act—ye/9r 0 fele' Ale. ve. 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 fr. Swimming Pool gmodv.e ❑ In-d.0 Nott.eorvf EUmneirgency Lighting No.of Receptacle Outlets 80 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches In No.of Gas Burners No. Detectionnd Initiating Devices No.of Ranges No.of Air Cond. Toni No.of Alerting Devices No. of Waste Disposers Heat Pump_-iVutrl¢er- --Tong- -.-IOW-- 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:* Not of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications-Wi gr__�- No.of Device o� cuivlilenE I is.: E I-1 OTHER: 14709 Attach additional detail if desired,or as required th 'tt r f Yfifit'l Estimated Value of Electrical Work: 30e? (When required by municipal policy.) LI Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon c Ill left/h V DEPARTMENT INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical ork maysssue1tltless ----- 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: INSURANCEjet BOND 0 OTHER 0 (Specify:) I cert,under the •ains and•e • s of•erjury,the t the in ormation on this applicatio is true and complete. FIRM N• r • i/ 4 4 a' - / /� C/ �i c...3 LIC.NO.: c O)DCfC Licensee: irelai n Signature to.ri .cru - LIC.NO.: (If applicable enter"e •mpt"in the license //f/E7etet< C7- Zig, y�R gee- •4 Alt.Tel.No.:� *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. bO�od d f"/��3 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/Agent Signature Telephone No. PERMIT FEE: $