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Home My WebLink AboutE-18-3520 Official Commonwealth of kin. Massachusetts Permit No. BLDE-18-003520 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:12/16/2017 City or Town of: YARMOUTH To the Inspector of Wires: 4 By this application the undersigned gives notice of his or her intention to pertonn the 1r al wo bed below. __tt Location(Street&Number) 5 QUAIL RD — ( PM xJ 7J4 (/�]l Owner or Tenant _p_. _• __.ntil-R Telephone No. `� �'/ 1A`-,N Owner's Address •._: -__=:.-- ---.--see • _..-..,_ --_-_---, -- _.._r..--,-:T. ::;,a,, , _ -. -,(� t•Iut Is this permit in conjunction with a building permit? Yes 0 No 0 (C - . , , , : i , s� Purpose of Building Utility Autho ' ,n ,. 4 ��1��J'J" Existing Service 200 Amps Volts Overhead 0 .ndgrd 'a No.of -Antra New Service 200 Amps Volts Overhead 0 Undgrd ss No.of Meters Number of Feeders and Ampacity .-. Location and Nature of Proposed Electrical Work: Remodel residence. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 25 No.of Ceil:Susp.(Paddle)Fans 2 No.of O Total Transformers ^KVA No.of Luminaire Outlets 20 No.of Hot Tubs Generators /�[ A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Li \��lY 0 grnd. grnd. Batten,Units A. No.of Receptacle Outlets 48 No.of Oil Burners FIRE ALARMS No.of .t 0 No.of Switches 30 No.of Gas Burners No.of Detection and O Initiating,Devices / O No.of Ranges 1 No.of Air Cond. 2 Tony 5 No.of Alerting Devices /(! A, No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 7`� o Totals: Detection/Alerting Devices / fJ No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal ❑ Ot er: 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: 2 Heaters Siens Ballasts No.of Devices or Equivalent No.Ilydromassage 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 ❑ OTHER 0 (Specify:) 77L�—Z39-005 I certify,under the pains and penalties of perjury,that the information on this application Is true and complete. FIRM NAME: Jason A Curran Licensee: Jason A Curran Signature LIC.NO.: 21794 (If applicable,enter'exempt"in the license number line.) Bus.Tel.No.: Address:7 TATNUCK GDNS,WORCESTER MA 016021220 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:$125.00 AvCc/-4 0/ d xmi .exend i70470 )5 zofie Grir ao0c6) tsita.„,.,44_ g .,. Commonwealth o`ii/aeeachaarke Officialiljse Ony esti �: �O (!J ttitn" cy� �'/ r� Permit No. E +ah*o .ueparbns4 o`51n J*nkn 0 s 1"gs Occupancy and Fee Checked Q.) i BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (llan eave bk) gr APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),527.CMR 12.00 13, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: // c� ��I City or Town of j!e$f �(Clt'M O V t�t To the lnspe Coro Wires: t) By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5_Qv C&t t R c4 - m Owner or Tenant res ne, t-i et e-I 1 t Telephone No. 5 0R-a ei+-9 cec S Owner's Address 17a M; adlt rd . So4OAboea ,,c iil MA 4 t Is this permit In conjunction with a building permit? Yes f2S No 1:3 (Check Appropriate Box) Purpose of Building res.t de K t e_ c i n5 l e- Utility Authorization No. a.a S 1_7 7 4 v • Existing Service POO Amps lZo / 240 Volts Overhead 0 Undgrd E^Aj/ No.of Meters I S New Service c20 V Amps 170 / 2. 4°Volts Overhead❑ Undgrd Q/ No.of Meters U Number of Feeders and Ampadty aeaa�4rc iLt'/140 Jo(l 4/0 1d Location and Nature of Proposed Electrical Work: 1e—t,ire_ hen,a to co Glen) LAdirtc. remodel. .. 1 Completion of the following table may be waived by the Inspector of Wires, Total II.) No.of Recessed Luminaires a Jr No.of Cell.-Susp.(Paddle)Fans No.ofKVA S Transformers KVA A � No.of Luminaire Outlets No.of Hot Tubs Generators I VA t S No.of Luminaires ° swimming Pool Abovgrnd Bate 0 In- ❑ No.ofteryUEmnitsergency Lighting end . ' No.of Receptacle Outlets ' "8 No.of Oil Burners FIRE ALARMS No.of Zones i"- i ^ 'No.of Detection and t No.of Switches a V No.of Gas Burners a Initiating Devices 111 I No.of Ranges I No.of Air Cond. a Total 5 No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons J KW No.of Self-Contained Totals: Detection/AlertintDevices No.of Dishwashers I Space/Area Heating KW Local 0 Monneunicictpal.ion El other C No.of Dryers Appliances ICW Security Systems No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: a S...... Heaters signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'telecommunications Wiring: [�/� r No.of Devices or Equivalent llpl W I refs- , M1?S Attach additional detail ifdesired oras required by the Inspector of Wires. etre i Value of E cal Work - o�U10° o.V amino:: required by municipal policy.) %"ivorl4to tart: /2 1;7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 111 iNSU CE CO GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless U the Coen� provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The del ed certifies that such coy/rage is in force,and has exhibited proof of same to the permit issuing office. WCHECK NE: INSURANCE 3, BOND 0 OTHER 0 (specify:) re I etre,under the pains and penalties ofperjury,that the information on this application is true and completes FIRMNAME:D'ASoN CvRriaN MFtslRR Ec6 reptii LLC LIC.NO.: 21794-A Licensee: -3-AS U/✓ C.v rz/Z$M Signature _ LIC.NO.: 5-a 13 0 "a (If applicable,entc"exempt"in the license number lime.) Bus.TeL No: I/r/ -2,21-o S Address: Q CrOS S c-I-. Ochi 6-4-AS MA 0I5/Co Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)0 owner ❑owner's agent. Owner/AgentPERMIT FEE:5 SignatureturaTelephone No.