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Home My WebLink AboutE-19-630 Commonwealth of Official Use Only •.7'bA Massachusetts Permit No. BLDE-19-000630 � BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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 INFORMATIOM Date:7/31/2018 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-Wow.cation(Street&Number) 9 COMMONWEALTH AVE 9 S� os coL.. • Owner or Tenant NUNHEIMER WARREN C TRS Telephone No. Owner's Address 9 DARBY POINT,MASHPEE, MA 02649 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 ❑ Undgrd ❑ No.of Meters New Service Amps Volts Overhead El Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of hallway. 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. 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 ❑ 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: HeatersSigns 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: Dante R Fini Licensee: Dante R Fini Signature LIC.NO.: 40233 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 WYBEN RD,SOUTHAMPTON MA 010739512 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 No. PERMIT FEE:$100.00 '1 ell/ 'e -{Cmck tilos (ccw ys-aM 7??) (413) k83 -qb,?o Lie g z33 ;, pp'' m Official Use ly commonwealth a�rr/aseacaffa I �O 1 t c7 �a Permit No. €. ail e c� =';F�� 1JePartmanl oiJiro Serviced iF BOARD OF FIRE PREVENTION REGULATIONS ( eOccupancy7and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ,527£MR 1 2.0 0 (PLEASE PRINT IN INK OR TYPEAf f INFORMATION Date: 7a OI ' City or Town of: p o ff york,0 D To the Ins ector o Wires: By this application the undersigned gives notic of his or her intentio//n to perfo�r]m thep ,e�lectrical work described below. Location(Street&Number) (�fri-tnd h It/'eL,l AvV Owner or Tenant 7 .1 ( £ a ,., A. / Telephone No C J '— 5/7a 7 Owner's Address I < Is this permit in conjunction with a building permit? Yes E No ❑. (Check Appropriate Box) Purpose of Building 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: (,curb, d 1 seal /iJa 1if,uaJ Completion of the followirt table maybe waived by the Inspector of wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans To.of Total Transformers KVA No;of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating 11W Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances - KW Secu oSystems:* es or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Ilydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No. f or Equivalent OTHER: . a Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Valueffo�fElectrical Work: il0 ''r (When required by municipal policy.) Work to Start: n9;P 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 liabiliinsurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licenseertx? h4 ,/7 ) Signature ,,w✓ LIC.NO.:fynZ_,3C3 (If applicable,eller"exe in the license numb r line. Bus.Tel.No.: Address: /� w�tto) 77O p m 01V73 Alt.Tel.No.W i) 1Y' I)SO *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 agent. Owner/AgentPERMIT FEE: $ SignatureTelephone No.