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Home My WebLink AboutBLDE-19-003278 . y `e. An Commonwealth of Official Use Only RT Massachusetts Permit No. BLDE-19-003278 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:11/29/2018 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 electrical work described below. Location(Street&Number) 47 MOCKINGBIRD LN Owner or Tenant HAUTANEN DAVID L Telephone No. Owner's Address HAUTANEN MARY ELLEN,47 MOCKINGBIRD LN, WEST YARMOUTH, MA 02673 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 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install receptacles for washer/dryer. 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- 1:1No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initlatine 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 1 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 No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional derail 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 ❑ 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 LIC.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 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 '.11A 1y31c8n i z f,/ ti yr�y Comma. h o f/'/aesaclasetfl Official Use Only Ide . --'e `2spartmarE f tt}ar S Permit No. �' •- a o arvicsl ` . ' Occupancy and Fee Checked 0 D U BOARD OF FIRE PREVENTION REGULATIONS Rev fro r {leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code(MEL) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALLINFORMATIOI9 Date: /J0V, g' 18- City or TOWEL of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his Lor her intention to perform the electrical work describedbelow. Location (Street&Number) 7 11nrf7;14\ -A, It I `5r ��__TTrrI Owner orTenaat V `� snag is Vn VI AN Telephone No. tiara 93 1 ( FO•• er's Address 1AM T LL [Is .' permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) tose i!QP rpose of Building 0111.. FAMi Iy 7t,T 1 I Utility Authorization No. W f�oo !at-E fisting Service Amps / Volts verhead Q Undgrd❑ No.of Meters V j0 w Betula Amps / Volts Overhead❑ Undgrd❑ No,of Meters w ^�z o N tuber of Feeders and Ampacity 1 I • g L,cation an Nature of Proposed Electrical Work: L Iczt O i.JAs Ask -4. 1)tib Completion of thefollowinztable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cetl-Susp (Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Fool Above ❑ In-grad. 0 BNo.atteofry Unitscy LtmergenLiLightingtired. No.of Receptacle Outlets No.of OH Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • • Initfating_Devices Total No.of Ranges No.of Air Cond, Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number !Tons 1 KW No.of Self-Contained — Totals: Detection/Alerting Devices No.of Dishwashers SpaceJArea Heating KW' Municipal Local❑Connection 0 Other No.of Dryers / Heating Appliances KW Security Systems:' No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP 'telecommunications Wiling: Na of Devices or Egnfvalent OTHER — Attach additional detail if dertred or as required by the Inspector of Wives. 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 , BOND 0 OTHER 0 (Specify.) I cern)", under the pains and penalties of perjury,that the inform am on this application is true and complete. FIRM NAME: / LIC.NO.: Licensee: At I Milt 4 Signatur� r i LAC.NO. (ifapplicable,enter"exempt"in the license num ter line) Bus.Tel.No: � Address { SLzz. / J 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety Alt.Tel.No.: y 'Jp OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurane: Lic.No. ce coverage normally required bylaw. Bymysignature below,I hereby waive this requirement I am the(check one)El owner 0 owner's agent c Owner/Agent Signature • Telephone No. I PERMIT FEE: $