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Home My WebLink AboutBLDE-19-002524 Commonwealth of Official Use Only 'k. Massachusetts Permit No. 13LDE-19-002524 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.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:10/29/2018 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) 6 SACHEM PATH Owner or Tenant JOHNSON KALLIN Telephone No. Owner's Address JOHNSON LINDA,26 GERMAIN ST,WORCESTER, MA 01600 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 0 No.of Meters New Service 100 Amps Volts Overhead 0 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 Total TransformersKVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. Rind. 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: 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Russell J Davey Licensee: Russell J Davey Signature LIC.NO.: 16823 (If applicable.enter"exempt'in the license number line.) Bus.Tel.No.: Address: 12 CEDAR OAKS DR, PLYMOUTH MA 023607804 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 • f \ .. ` n/ r� . 1 l.O'mmonai al of///aesaekmrlf! ,0jpt6ci�juse orn�7ly��..�J _`�fi 1JeParlmeraE o`vire.,,) Permit No. 0 I \ GcJC�L'{' I Occupancy and Fee Checked 2 BOARD OF FIRE PREVENTION REGULATIONS Rev, 1/0 APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 "re (PLEASE PRINT ININK ORTYPE ALL INFORMATION) Date: `o;2-9—/r City or Town of: YARMOUTH To the Inspector of Wires: By this application the pnde;signed gives notice of his or her intention to perform the electrical work described below. �:.w Location(Street&Number) 4' C 4&A eni pith t,' /� r me cL 6' j ep73 Owner or Tenant /r,der5.4,ger, ` � Telephone No. a. Owner's Address 8.6" errsrG,a7 _I W o roc Sr 1ell Q. G//ice `t Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) _ tt" Purpose of Building (7te."G//itr- Utility Authorization No. h� Existing Service /0e:2Amps f,Z ce 12` olts Overheads Undgrd❑ No.of Meters / m New Service k•e+,_ Amps 11G/pi OVoltt Overhead 0 Undgrd 0 No,of Meters —/ Number of Feeders and Ampacity T Location and Nature of Proposed Electricaalll Work: TC�ri Ce sty/cc,� pccC6nnr�i ph frC'Cr4ncr Ane/ fie/o(�trr TO 'fir , 7� epos-25;c...... v+7� $evl//G� Completion of the foil vtabte may be waived by the Inspector of Wires. No.of Recessed Luminaires Na.of Cerl-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 1-1 Pool Above In. No, ltmergenbung ry trg - Swig crud.❑ erttd. ❑ o Battery Units 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 Total - No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number ITons IKW No.of Self-Contained - Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Leal❑ Manninec'tiaoln ❑ er t No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent KN No,of No.of Signs Ballasts Data Wiring Heaters SiQ No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail Vdesired or ar required by the Inspector of Wirer S Estimated Value of Electrical Wore (When required by municipal policy.) Work to Start: h'—u—/ r Inspections to be requested in accordance with MEC Rule 10,and upon completion. I 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. sa CHECK ONE: INSURANCE a BOND 0 OTHER 0 (Specify".) f cern)", under rhe ains and penalties of perjury,that the information on this application is true and complete. t FIRM NAME: e ec r, cc(iB G Licensee: // S f rte.- LIC.NO.:4/6Q-23 Signature irS_ to afappticab e,enter"eae�+pt"in the license mber ling. � �% �L.ALs' LIC.NO.:� 7 Address. -/2- P c?rt ,fc / rte" /{�/ymc'yJZ "her F Bas.Tel.No.:C�i yaYy/�/1G J Per M.G.L.c. 147,s.57-61,security work req res Department of Public SafetyAlt.Tel.No.:_ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not havethe liabbility insurance coverage n .e required by law. By my signature below,I hereb waive this Owner/Agent, Y requirement I am the(check one)El owner El owner's agent, t� Signature• Telephone No. I PERMIT FEE: $ 1 C ),„ - .r