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Home My WebLink AboutBLDE-19-002166 V22Commonwealth ofOfficial Use Only /E 1` Massachusetts Permit No. BLDE-19-002166 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 PR/NT/MINK OR TYPE ALL INFORMATION) Date:10/11/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomi the electrical work described below. Location(Street&Number) 27 BLACK DUCK LN Owner or Tenant BIAGETTI RICHARD 0 Telephone No. Owner's Address BIAGETTI SUSAN E,34 MADDEN AVE,MILFORD, MA 01757 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service due to water damage&wire NC system. 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- ❑ 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 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 INo.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: BRYAN J FOLEY Licensee: Bryan J Foley Signature LIC.NO.: 51663 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:537 PLYMOUTH ST,WHITMAN MA 023821632 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 q «lfi(f 6 n //�Ja{IIyy��l�omnwnweaC h o`/rladdachradettd Official Use OnPt No. — dk•Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev.1/07] Heave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Alt work to be performed in accordance with the Massachusetts Electrical Code(ME 527 MR 12.00 (PLEASE PRINT INI.NKOR TYPE ALL INFORMATION) Date: /0 // /V City or Town of: Yt^(/ti c I, - 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) a7 73/,c/C � A1wl< /Are Owner or Tenant 5t.k,Ctl ;•-•. g 2.`E-'lhe Telephone No.Sas'— 935— 7So 6 Owner's Address /r et • Is this permit in conjunction with a building permit? Yes 0 No O` (Check Appropriate Box) , Purpose of Building /�rn fL Utility Authorization No. Existing Service /coo Amps 120 1290 Volts Overhead a. Undgrd 0 No.of Meters New Service (°0 Amps /20 /2/0 Volts Overhead®' Undgrd ❑ No.of Meters _ Number of Feeders and Ampaclty Locationpand Nature of Proposed ElectricalpWork: re p/AcroL /estcrrtp $etv'c2 �. z $0 CUa•-t IN .. Ol+rha5 e_ - tU ti 7 o'i- a. 1 i..1 o.rpct0 e1 a/C. SYS-}-e tit Completion of the followingtable may be waived by the Inspector of Wires. tn Ur No.of Recessed Luminaires No.of Ceit:Sas . Paddle FansNa.of Total P (Paddle) Transformers KVA pNo.of Luminaire Outlets No.of Hot Tubs Generators KVA 1 -t • No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting and. grnd. Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.Initiof DetectioninD and Initiating Devices . I if No.of Ranges No.of Air Cond. / Tonsl No.of Alerting Devices No.of Waste Dis users Heat Pump Number Tons KW No.of Self-Contained P Totals: - '-'•I _ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local L-1 Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Sectems:* urity y of Devicessor Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.II dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Equivalent _ OTHER: , Attach additional derail if desired,oras required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 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 12- BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,Matof the information on thtt application is true and complete. FIRM NAME: dr-yeti Y //..y /icera %c4fic^•r7 t.IC.NO.:s"/663 licensee: /}('yen >aley Signature / -1 - LIC.NO.:S/6(� ' (If applicable.,enter 'exempt"inreliceei1+��''e matqcher lint) ,t Bus.Tel.No.•72[ -'40-SS f6 Address: 5-3> elym.., Sr 4...111 ,..1- cn /,1// o2I 9 Alt Tel.No.:7Y/-700-9)S-6 *Per M.G.L.c. 147,s.57-61,security work requires Department 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. 1 am the(check one)0 owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.