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Home My WebLink AboutE-19-541 a . Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-000541 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 ININK OR TYPE ALL INFORMATION) Date:7/26/2018 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) 714 ROUTE 6A Owner or Tenant OLOUGHLIN JOSEPH V TRS Telephone No. Owner's Address OLOUGHLIN ALMA C TRS,2 HAROLD ST,HARW ICHPORT,MA 02646-1517 Is this permit In conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ 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: Replacement A/C System. (704 ROUTE 6A) 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. 'grit;d. 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. 1 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 ❑ 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 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 (SpecifYJ I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Gary L Gordon Licensee: Gary L Gordon Signature LIC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR,DENNIS MA 026382234 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:$80.00 /jJ rvi b/► 8 f V a, ...or of ...or.w c77Vrn sec...,. '. i..-.: /Dru Vtt �y t �= �= —�.J.�crf.,.�nE ol.yi+w....).„7,...., Perrot No. l-1C--11— uri t BOARD OF ARE PREVENTION REGULATIONSOoea antis and Fee Checked • l _ (leave 61ank) APPLICATION FO.R:PERMIT TO PERFORM ELECTRICAL WORK All wort to be pemrmod in accordance with the Massaclaustes Electrical Code NE ,527 1200 (PLEASE PANT DV MK OR t PPEALL NFOWrt47O1) Date: I 2 /r City or Town of: YARMOUTH To the Inrpe.or of"fres: By this application the lnderthped Piles notice of his or bee intention to perform the electrical work described below. ' Location(Street&Nnmber) 70 Y 6/4 /14 r, ' --CA _S . Own er'orTenant 04l14,1.../ CD ow�r6�tp4/4r7> Telephone No. �i�' _ Owner's Address t APWCFr / 4� Is this permit conjunction lana 'dm,o it ipermit, Yes ❑ No 127 (Che_k Aaproprisi:Bar L0 . Purpose of Bing o cc nay An orrcation Na.._-_____________ ^^ et En�v series/QO Amps/220 l'�yo Vols Qverhead IInr1gd❑ Na. of Meters s L �. ' co Ia. -. New Service Amps / Volts Overhead❑ Dndgrd❑ NO.of hfeW.rs _ 1,11; o Number of Feeders and Ampacity c' / R - , - 0 e z `tion and Natal_of Proposed r"I,ecsial Work, r —� —, o S. e a 4113114,1 e L _ i E _. .g.„ ac.. , _V. AFF '� 1!G vim' - :.7 m Correlation of the fofowa_v table may be waived by the bamemor of n ai No. of Recused Lucatlatrn No.of Cert-Shsp.(Paddle)Fans • INo,of Total Transformers KVA Na. of LtimitnatreOutlet No.of Hot Tabs IGenretots • LVA ' -. Na of Ltcmiazires Swrm,,.;r,g Pool '4'1T ❑ �' go..ca mn-geary m z;ntmg - arnod. ❑ o..ca%at No. of Receptacle Oa'i, . No.of Oil Ec-ars T't83 ALAPMS INo.of Zones - No, of Switches No.of Cu Barriers rNo_of D-t*rrtn'n and Iairizt�Devices No.of Rams • No.of Air Cond. Ton Tonss • [I.io.of Alerting Deciees Heat Pimp Number [Tons IKW Na.of ell-Cont ie-r{ Detection/Merano No.of Waste Disposers Devices No.of Dishwzshers • Space/Area Hearing IOW' T ❑Mnmcipal • Connection 0 other No.of Dryers Heating Appliances KW Security Spsteras:c No.of Water No. of No. of Data of Devices or Enuivalent Heaters KW � ataWnmg Signs Ballast No.of Devices or Equivalent No.Hydromassage Eathtabs No.of Motors Total HP Telecommunications Wiring 01db.& Na of Devices or Equivalent - • Estimated Value of El ctric- Wort Attach additional detail f des�d or m regrcved by She Inspector of Wires. Es Start $ O( J r (When required by municipal policy.) Work to StatNCE Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSR'• 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" overage or it substantial equivalent The undersigned centiles that such coverage is in force,and has exhibited proof of same to the permit issuing once. CHECK ONE INSURANCE ►I BOND 0 OTHER 0 (SpxifT) I eel fp,ander the pants and patddn ofp may, that a mformatfon on this appac�iors is true and complete. FIRM NAME:, c- 4 -q rig ` pd Licensee: - LIC.NO.. o/7.4067.-' Signature LIG NO-i L Address: dress: le,enter - •t"ill the .W)G_ - Address: '�, ..,.FfL`'ll) f Ens.TeL No- e e Alt TeL No _I "Per MG.L.c, 47,s.57-61, ty work tcyuu es Department of Public Safety't Luxus^: Lia No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coo rregtared b claw• By may sirnamrt below,I hereby waive this rnqowner ❑owner' n eat airy uircment I em the(check one 0 ernge no t /-E e"m'L- Telephone No. PERMIT FEE: S