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Home My WebLink AboutBLDE-19-002651 a Commonwealth of Official Use Only itE , Massachusetts Permit No. BLDE-19-002651 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:11/2/2018 _ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 176 ROUTE 6A Owner or Tenant WRIGHT WILLIAM R JR Telephone No. Owner's Address WRIGHT STEFANIE E, 176 MAIN ST,YARMOUTH PORT, MA 02675-1712 Is this permit in conjunction with a building permit? Yes ❑ 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: Replacement boiler and add CO detector. 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 Arnd. Rind. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 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 1 Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water Kµ, 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 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: SCOTT D MORRIS Licensee: Scott D Morris Signature LIC.NO.: 18338 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 1264, HARWICH MA 026456264 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.)am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 Commonwealth of Massachusetts Official Use OnIriri . � 9 r�,, 1 • 'g a io6 ct Permit No. ,y ,:,,is 5 Department of Fire Services �'44 Occupancy and Fee Checked r' i=,� 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/29/18 City or Town of: Yarmouth Port 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) 176 Route 6A Owner or Tenant Wright Telephone No Owner's Address Is this permit in conjunction with a building permit? Yes El No ® (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Wiring for boiler and CO alarm. Completion of the following table may be waived by the Inspector of Wires No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting gmd. 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 AlertingDevices 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 0 Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent KW Heaters 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 additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 10/26/18 Inspections to be requested in accordance with MEC Rule 10, and upon comple- tion. 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 ..er,tion"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited .roo of same to the per. it issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER ❑ (Sp city: I certify, under the pains and penalties of perjury, that the informa ton . thi ..plicati./is true and complete. FIRM NAME: SDM Electric,Inc. ..�p / LIC.NO.: 18338A Licensee: Scott D.Morris Si_•. , ��terSir f� LIC.NO.: (If applicable, enter "exempt"in the license number line.) �l�� ,Bus.Tel.No.: 508 430 4014 Address: PO Box 1264 East Harwich MA 02645 Alt.Tel.No.: 774 353 6902 *Per M.G.L.c.147,s.57-61,security work requires 1 epartmen,of Public Safety"S"License: Email:scottmorris@sdmetectric.com OWNER'S INSURANCE WAIVER: I am aware th.t the Lir nsee does not have the liability insurance coverage normally re- quired by law. By my signature below, I hereby waiv: hi equirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent PERMIT FEE: $ Signature -. - Telephone No. -