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Home My WebLink AboutBLDE-19-003285 Commonwealth ofOfficial Use Only L. , Massachusetts Permit No. BLDE-19-003285 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:11/29/201f 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 dcchicat work described below./�, y �] p Location(Street&Number) 52 KATES PATH VILLAGE 5 V g l 144- ( 1 75 Owner or Tenant MCEWEN PHYLLIS J(LIFE EST) Telephone No. Owner's Address C/O KIP MCEWEN,20 TASCHEREAU BLVD,NASHUA,NH 03062 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace. Completion gfthe 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 1 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 No.of No.of Data Wiring: Heaters Signs 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: JOHN WEISS Licensee: JOHN WEISS Signature LIC.NO.: 53846 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:63 UNCLE BOBS WY,SOUTH DENNIS MA 02660 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 lammonmsa el�rlassac/ivaslf! !�ycj4 Use linty Wiz _ cc77,, Thre (_lJ j✓iZ� •�� JJsParlmsal of..Y'irs Jslvicn Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 'Rev. 1/07) (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 1200 (PLEASE PRINT IN INK OR TYPE.411,INFOR.W1770NJ Date: 1/ e r 12-- City or Town of: YARMOUTH To the I ecto of Wires: rey this application the jmdersigned„kives notice of his or her intention to perform the electrical work described below. • lD • ocation (Street&Number) 5 2 �i C-S pa;4 al ! wner'orTenant ��/^S„/� i N � vaner's Address CZ /tare) ear c. Lr5 G� Telephone No. tJ��s— W �;w this permit in conjunction with a Wilding pet-mit? Yes �No 0 (Check Appropriate Ba) o. urpose of Building Gottb4/ V O Utility Authorization No. w 2 xisting Service (GCi Amps `o'i 240Volts Overhead 0 Undgrd❑ No.of Meters / IX mt. ew Service Amps / Volts Overhead❑ Undgrd° gr 0 No.of Meters amber of Feeders and Ampaeity Location and Nature of Proposed Electrical Worit: PeLLoft or f_ , /�" ,�, r ,� /-1132,112-7 ANT Completion of theiblIcnvinttable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceti-crisp.(Paddle)Fans • No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above la-d. 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 Total . No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Mvaicipal Local 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:' No.of Water No,of No.of Devices or Equivalent Heaters No.of Data Wiring Signs 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 derire4 or as required by the Inspector of Wires. Estimated Value of lee •cal Mork: (When required by municipal policy.) Work to Start: // Z,› /� lmspections o be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VE GE: 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 E, BOND 0 OTHER 0 (Specify:) I cemft, under thr afns and pen:Ides ofperjury,that the information on this application is true and complete. FIRM NAME: V Lie-SS IC/cc rj/tlet n LIC.N • Z—/a Licensee: V� (,�rr5f' Signature ///� LIC.NO.:7� —6 (If applicablees�egter"exempt"in the license number line) // Address: G3 ct`tCft f g s /�e� Bus.Tel.No: g3�5 j *Per M.O.L.c. 147,s.57-61,security work�requires Department of Public SafetyAlt.TeL No.: OWNER'S INSURANCE WAIVER I am aware thatthe Licensee doer not have the liabilityinsurance c �- - required bylaw. Bymysignature o coverage normally Ori gnature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent t Owner/Agent Signature Telephone No. I PERMIT FEE: $