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Home My WebLink AboutE-18-3691 Commonwealth of Official Use Only .. ; Massachusetts • Permit No. BLDE-18-003691 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:12/22/2017 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) 5 QUAIL RD Owner or Tenant THOMAS FINELLI Telephone No. Owner's Address 172 MIDDLE ROAD,SOUTHBOROUGH, MA 01772 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 ❑ Undgrd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: installation of security&fire alarm system(617-620-0707) 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 Transfor KVA No.of Luminaire Outlets No.of Hot Tubs . General O w KVA No.of Luminaires Swimming Pool groat 0 grntl o No � j age.1� e� No.of Receptacle Outlets No.of Oil Burners FI''• ' 0 No.of Switches No.of Gas Burners of Initiatingng Devices O Int No.of Ranges No.of Air Cond. Total No.of Alerting Device�` Toro /� No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained U Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other. _Security Systems:* (Connection (�/ S /� No.of Dryers Heating Appliances KW 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 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 ❑ 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: Richard 0 Baker Licensee: Richard 0 Baker Signature LIC.NO.: 657 (/fapplicable,enter"exempt'in the license number line.) Bus.Tel.No.: Address:7 OLD POWDER HOUSE RD, LAKEVILLE MA 023471912 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) Cl owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$4100 R J u t2 4 6et- f ,, // �_ lamm:or ar e f/i/oaacc]•„^[fJ Omeinl Use on. ` � '— tt``�� i .PermitNo. - '�.36 a7i 2cparfmari o{ ",J erviced R._ -E BOARD OF FIRE PREVENTION REGULATION .• 'Rev. 1/0aey and Fee Checked — . S Rev. I/D7] pea„bltuk) APPLICATION FOR`PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electieal Code(142C) 527 Clea I LOO (PLEASE PRINT DiNA'ORTYPE/ILL INFORAa 'ION) Data: 2`-1N, T)eC '.®/7 • City or Town of: yfMOT.TI •To the Inspector of FVires: / By this application the undersigned eves notice of hisher intention to perform the electrical work-described below. Location(Street&Numbj=r) S Q „„-q r'� R6 t-d a 7 1 Owner'or Tenant Vh dry c S Fin t (7/ 17 Z /7/ d J Se !, Telephone N O 7•77_14^ySb Ed.l( ,� �9' \ Owner's Address � r �o e e� crG� li /41P Q�-� :s N i r . Is this permit in conjunction with a building ni ;yC permit? Yes _ No ❑ (Check Appropr at°Bot) !.0 i, Purpose of Building J F UtILp Authorization No. V wV Iv Eristing Service Amps / Volt Overhead 0, Undgrd❑ No,of Meters _ w e i , New Service _ Amps / Volts Overhead 0 Undgrd 0 Nd. of Mets Ce I m i Number of Feeders and Arnpacity • Location and Nature of Proposed Electriera Wont: )14.// ,Q•. a F e t r•-•‘.1 <- Comm of the followmt table racy be waved by the irrpec:or ofFirm No. of Recessed Lomb—lei—es Na of Cer7.Susp.(Paddle)Fans • INo'of Total Transformers KVA No. of Luminaire oatieti No.of Hot Tubs Generators • ICVA ' No. of Luminaires Swi•+++.+,cng Pool AboveIa- Nn.oarn,mergeuUptonern& 0 Ern 0 Battery Unitsry • Nn. of Receptacle Outietr Na of Oil Burners IF=ML4RM5 INo.of Loner 6 No, of Switches Na. of Gzs Earners Na of Detection and • No.of Ranges • Total �f �a Devices Na of 4ir Cond. Tolls No.of Alerting Devices • Heat Pump 'Number Tons ICW IHo.of Self-Contained Totals: Deteedon/Alertinz Dew No.of Waste Disposers s No. of Dishwashers • Space/Area Hung KW' LocalMtmicipal ❑Connection 0 Other No. of Dryers Heating Appliances KW Security Systems:* No.of Water ND.of Devices or Equivalent No. of Heaters k No,of Data Wiring: Sins Ballasts Na of Devices or Equivalent Bathtubs No.of Motors Total H P Telecommunications Wiring: No.Hydromassage Na of Devices or&univalent OiHLR • OC- Attach additional detail if desired, or ar required by the Inspector of fres. Estimated Value of Electrical Work:. COL” (When required by municipal policy.) Work to Start Z� neGactorF �) ,End upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit fo the performance of ce with hILEC Rule 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 coverase is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND El OTHER 0 (Specify;) I cetGfy, ander the pains and piriaffileis ofy ,erfury,alp the' orm on on this FIRM NAME: /1 l C eco � f application is true and complete Ov 1 V P J .•v'r'�/ y3 T'en'?) LIC.G NO.: 6'S7 Licensee: Ree_ en() (/J4 fte✓ Signature �/%. ,-(0 y1 (if applicable. enter"ex t" . ^'( ✓��—cs'�.•.NO.: t..-7-13-7- 1 /�+p h the Ecorse mrmb line) m Bus.TeL No: 7 6 e d 0 Address: cid 0'' l 4p /c.c c Al tc k vr/F • UZ) `�7 -6 J `Per M.G.L.c. 147, s.57-61,securitywork requiresAlt TeL No: ��Z 7 p)}.6 Department of Public Safety"S"License: Lie.No. • 2 o - Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the check oneownero Owner/Agentalk ( 0 0 owner's n eat Signature • Telephone No. PERMIT FEE: $