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Home My WebLink AboutBLDE-19-3341 Commonwealth of Official Use Only .* Massachusetts Permit No. BLDE-19-003341 �-' 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:12/3/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertoms the electrical work described below. Location(Street&Number) 191 SPRINGER LN Owner or Tenant DIFILIPPO THOMAS Telephone No. Owner's Address 15 BLACKTHORNE RD, FRAMINGHAM,MA 01701 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 ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. 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- ❑ 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 1 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 KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 Total IIP 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LTC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST,SOUTH DENNIS MA 026603744 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 ant 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 • J eminioFunaith ei../asset "• Official se 2n • ea 2vpni of ire Seroicn Permit No. ER (i —3 7 2—f ( BOARD OF FIRE PREVENTION REGULATIONS ROccupancy and Fee Checked 'Rev. 1/071 . (leave blank) — APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Elecnical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM4770A9 Date:/ iJ ad e e'c) City or Town of: YARMOUTH To the Inspector of Wires: IC)- . By this application the{ndersigned es notice of his or her intention to perform the electrical work described below. `•.0 Location(Street&Number) III Sp(+ tC Li ` 1NT VArm r ' ,Owner orTenant7hOMt�`7 `.I�i r; v,? )/ 1)(?rn Telephone No. j - — Obt3 wines Address i b , this permit in conjunctionwith a buidiag permit. Yes ❑ No � (Check Appropriate Bas) rposeofBttilditgfl f '1 97 U1RityAuthorizatioallosting Servic Ams qq,� �� /P 12.0 At Volts Overhead ® Undgrd❑ No,of Metersw Service APs / Volts Overhead❑ Undgrd ❑ No.oCMeterstuber of Feeders and Ampacity tion and Nature of Proposed Electrical Work: W't l tisg OT s`� , s Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cert-Sasp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators INA - No.of Luminaires Swimming Pool Above 0 In_ No,os Emergency Lighting - grnd. orad. 0 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 No.of Ranges No.of Mr Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat PumpNumber (Tons KW No.of Self-Contained Totals:I I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Muni=loin Lova!�Conne�etion 0 °til? No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP telecommunications Wiring: Na.of Devices or Equivalent OTHER: _ Attach additional detail jderired or as required by the Inspector of Wires. Estimated Value of Electrical Work (WhenWork to Start required by municipal policy.) 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 it BOND 0 OTHER 0 (Specify:) I cernly, under the pains and penalties of perfuly,that the information on this application is true and complete. FIRM NAME: a i i LIC.NO.: Licensee:tippfl Z� Signatur `�� LW.NO.V (If applicable,enter"exempt' in the license mber line) BusAddress .TeL No.: q J Per M.G.L.e. 147,s.57-61,securitywork requiresAlt.Tel.No. Department of Public Safety"S"License: .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 mewl i Owner/Agent Signature Telephone No. 1 PERMIT FEE: $ 6