The URL can be used to link to this page

Home My WebLink AboutBLDE-19-002844 Commonwealth of Official Use Only LTWil Massachusetts Permit No. BLDE-19-002844 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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 INFORMATION) Date:11/8/2018 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) 68 ELDRIDGE RD Owner or Tenant RILEY LAWRENCE D TRS Telephone No. Owner's Address RILEY EVIE D,68 ELDRIDGE RD,BASS RIVER, MA 02664-5729 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: Septic pump&alarm. Completion of the following table maybe 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. 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 Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 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 Watery No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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: Steven J Paine Licensee: Steven J Paine Signature LIC.NO.: 12743 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 108 CONSTANCE AVE,W YARMOUTH MA 026731509 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:$50.00 �C40 it(,/,, �� Commonwealth.el t!/aeaa.: eLL Official Use Only �� Q4--- -____- , z c� Permit No. El CI' "2-� 2eOartmant of Jird Strike - BOARD OF FIRE PREVENTION REGULATIONS (Rev, 1//07)y and Fee Checked (leave blank) APPLICATION F ORormedtn PeERMIT cordance with TOazPERFOe MsachusettseReM al ELEECT,RICALoWORK All work to be,1 (PLEASE PRINT IN INK OR TYPE ALLINFOR1MTIOT9 Date: // !O,-<`, 4 0 City or Town of: yU To the Inspector of Wires: By this application the undersigned°iv5s notice of his or her intention to perform the electrical work described below. Location(Street&Number) t/d tic4 e' RG 6Y Owner orTenant. LOAN/ Riley Telephone No.,..caP7692*? Owner's Address 4'7 cc-1tJdq r. Rb 5D, YaRimo /1h moss Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service /00 Amps /off /&40 Volts Overhead Tf---Undgrd❑ No.of Meters 1 ElNew Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters lcNumber of Feeders and Ampacity . / Location and Nature of Proposed Electrical Work: tAnIt a S4tM, t t/ttit ' 044o1, W V —z Com.letion o the allowing table may be waived by the Ins.ecior o Wires. 0 N o ecessed Luminaires • .No.of Ceil.Susp.(Paddle)Fans o.of Tota Transformers •KVA ce —� Ngo uminaire Outlets. No.of Hot Tubs- . .._ _.. _..... Generators - . .. KVA a O Nl'o uminaires Swimming Pool Above In- No.of Emergency Lighting " III Z vrnd. ❑ end. ❑ Battery Units V La Z N.of eceptade Outlets No.of Oil Burner FIRE ALARMS No.of Zones • 'f witches No.of Gas Burners • No.of Detection and (� ra m Initiating.Devices Nice anges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.-of Waste Disposers 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 Devices or Equivalent No.of Water No.of No.of • Data Wiring: Beaten KW Signs Ballasts - No.of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP N TelecommunicationsWiring: No.of Devices or Equivalent _ OTHER: Attach additional detail Vdesired or as required by the Inspector of Wires. Estimated Value of F,(ectri al Work: 6¢ .430 (When required by municipal policy.) Work to Start: /1/0 7 /P Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSUR4NCE 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 Err–BOND BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 'I � a t e,to efer}4ee/e /I LIC.NO.: 07YS S • Licensee: S'I"PUP/I a,,w Signature fti LIC.NO.: /02793 8 (Ifapp/icnble,enter"tempt"in the license number line) //�� Bus.Tel.No.'77S/995/,'a(41.#Address: /oRewchtnee n-rsv 4tteSr irltvn4 MAoaC73 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Dep.rtment of Public Safety"S"License: Lic.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. Own . t p PERIIIITFEE: $ 5D t , Telephone Na.