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Home My WebLink AboutBLDE-18-002925 • Commonwealth of Official Use Only y� r �`� `,, Massachusetts Permit No. BLDE-18-002925 , 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:11/15/2017 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) 18 PAINE RD Owner or Tenant ECKEL DAVID L Telephone No. Owner's Address RASKY LAWRENCE,3 LAWRENCE RD, MILTON,MA 02186 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: Replacement furnace. Completionofthe following tablet ay.•Qaedte by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans INo.of /n\ Total Transfor `r KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergent 4 • grnd. grnd. Battery Units /'�` No.of Receptacle Outlets No.of Oil Burners - FIRE ALARMS No.�'� OV 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 13 Municipal 0 Other: Connection / No.of Dryers Heating Appliances KW Security Systems:* (., INo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No,of Devices orEciuivalent No.Hydromassage Bathtubs No.of Motors Total HP (Telecommunications Wiring: No.of Devices or Eauivalent 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 J Peckham Licensee: Daniel J Peckham Signature LIC.NO.: 26830 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 AUDREYS LN, MARSTONS MLS MA 026481629 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 r " l-0rr��mmorzruc.�rc o,/c 279/ ��ait ett, OZ-itis)Use Ody V apartment of_7`iro Services Permit No. I BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/D7] APPLICATION FOR:P•ERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1200 (PLEASE.PRINT ININK ORTYPE ALL INFORMATION) Date: 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) /f y71�,1 keg� Owner'or Tenant CoA F1,kis/ Telephone No. t1\`t Owner's Address Is this permit in conjunction with a building permit? Yes E No 0 (Check Appropriate Box) Purpose of Building Q Utility Authorization No. z Existing Service LL1 � � I APs / Volts Overhead ❑, Undgrd❑ No,of Meters _ U N ut New Service Amps / Volts Overhead❑ Undgrd ❑ No, of Meters Number of Feeders and 4mgsoty w .-_t C,` I Location and Nature of Proposed Electrics)Work: V a tt. Cl.�M [iter t,-,��i rvcat�G( o _ Z E,: I .. _ ._. -.._. Completion ofthefollowinz table mry be waived by the Impactor of i9o-es. No.of Recessed Luminaires No.of Cetl�usp.(Paddle)Fans INo.of Total e, Transformers CVA No.of Luminaire Outlet No.of Hot Tubs G-aerators KVA ' Ce No. of Luminaires Swir++mingPoo, Above ❑ In- 0 INo.of Emergency Ltghang - Ernd_ t?rnd. BattervUaitr Na. of Receptacle Outsets No.of Oil Burners FSE ALARMS INo,of Zones No. of Switches No.of Gas Burners Na.of Detection and • InitiatinE Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump7Number Tons KW 1No.oof Self-Contained Totals:II Detection/4lertuts Devices No. of Dishwashers Space/Area Heating ICW Local❑Mtmicipal -, Connection O � No.of Dryers (Heating Appliances LON Security Systems:r No.of Water No.of Devices or Equivalent No.of ata Heaters No.of DWiring Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: ` No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if derived or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipaloli Work to Start P ry') Inspections to be requested in accordance with MEC Rule 1 D,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 coy ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE. BOND 0 OTHER 0 (Specify.) I terrify, under the pains and p s of perjury,that the information on this appEcation is true and complete. FIRM NAME: //� � )� �J // LIC.NO.: Licensee(j\. ..t,r_ j .l .7..,�, M Signature 4 rlrvc49#&j�a_. LIC.NO. (1f applicable. enter"ex��++pt"in the license mtmber line.) _ f t- Address: 7 f4•WA.e✓ y I-n.• in.ri.et AD-e-a 3 en /C, Buts.Tel.No.: J Per M.G.L.c. 147,s.5741,securitywork requires Alt Tel.No.tir3� �r quirts Department of Public Safety"S"License: Lic.No. — OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this Orequirement I am the(check one)0 owner 0 owner's agent t Owner/Agent Signature Telephone No. I PERMIT FEE: S 1