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Home My WebLink AboutE-19-2922 Official Use Only rr � Commonwealth of Massachusetts Permit No. BLDE-19-002922 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 INFORMATION) Date:11/13/2018 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) 25 CAPT PERCIVAL RD Owner or Tenant NARDONE JOSEPH Telephone No. Owner's Address 25 CAPT PERCIVAL RD,SOUTH YARMOUTH, MA 02664 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: Check service for turn on&replace two exterior fixtures. 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- a 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 Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Sins 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: MATTHEW D KLINE Licensee: MATTHEW D KLINE Signature LIC.NO.: 53620 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:10 Nehoiden St, Harwich Port MA undefined 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:$50.00 1 r 4 av, 7 08 a) Ii" 41. lmmonava ofr/aesac tie 'va/A of9UseOn($ a !� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked . fRev, 1/07]• (leave blank) APPLICATION FOR;PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachuse¢s Electrical Code(MEC), 712.00 (PLEASE PREW'ININ OR TYPE ALLINFOR.ASATI019 Date: ` \ I �1 J I 11 City or Town of: YARMOUTH m the Irupector of Wires: By this application the lmdersigned gives notice of his or her' tention to perfo the electrical work described bfle�w. . Location (Street&Number) •A S' Per-C.i V c t R 4 , i cep-VA- ry Pet c V tit \J Ownefor Tenant (' Telephone No. q/ Owner's Address —_____ 9 ' Is this permit in conjunction with a building permit? Yes 0 No 2 (Check Appropriate Boa) Purpose of Building r .,./&I tiaj y. UtilityAuthorization No. Existing Service Pp Amps / Volts Overhead>� Undgrd❑ No.of Meters r----- w Service 0 t i, Amps / Volts Overhead 0 Undgrd 0 No,of Meters JW � u ber of Feeders and Ampadty o { tion and N:re of Proposed Electrical Work: Mt)v H a� +Z. f-� r > - tc tilc vZ A,q . (y�T3 eft *crest t coM Na2s"� sew,/ t/rG,d J — .--i Completion of thefoflowin�tab/e maw be waived by the Inspector of Wires. .of Recessed Luminaires No.of CeIL Susp.(Paddle)Fans • No,of Total Transformers KVA II 1l � .of Luminaire Outlets No.of Hot Tubs Generators KVA ' m f�T •o[Luminaires Swimming Pool Above 0 In- No.os Emergency Lighting errhd. 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 To No.of Ranges No.of Air Cond. Ton No.of Alerting Devices - No.of Waste Disposers Heat Pump I Number ITons I KW No.of Self-Contained - Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' MuWcipa Isocal Q Connectioln 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of Heaters KW Signs Ballasts Data Wiring Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: Na.of Devices or Equivalent Value of EI trical Wor k 2-)•17 Attach additional detail i'desired or as required by the Inspector of Wires. rk Estimated start / 2 (When required by municipal policy.) WInspections 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 Z BOND 0 OTHER 0 (Specify.) I cercfy, under the pains and penalties ofperfury,that the information on this application is true and complete. FIRM NAME::1,, �i ilv. LIC.NO.:_ Licensee: Signature �2�L_._i" LIC.NO.: (If applicable.enter`r pt"int Iii'ccens{,mtmberline.) Bus.Tel.No.: �0 71S`y Address sj c� a J nqr� J *Per M.G.L.c. 147,s.57-61,securityworkAlt Tel.No.: requires Department of Public Safety"5"License: Lie.No. a OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally rmally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE:$ SO