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Home My WebLink AboutE-18-3432 Commonwealth of offieialuseonly Os ikt E ,• Massachusetts Permit No. BLDE-18-003432 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:12/11/2017 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 areal work des ' ed�b!elo�w.�p Location(Street&Number) 202 SOUTH ST P-- l l� - Owner or Tenant AHERN ELIZABETH ATR Telephone No. Owner's Address THE SALLY BENEDICT FAMILY TRUST,278 SOUTH ST,CARLISLE,MA 01741 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 ❑ 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: New residence Completion of the following table may be,+j• ed 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 ""�rr�/ 4a No.of Luminaires Swimming Pool Above 0 In- 0 No.ofEmergen f.'6 grnd. grnd. Battery Units [[ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Z� 4 a:p No.of Switches No.of Gas Burners No.of Detection and !VV!! Initiating Deng O , No.of Ranges No.of Air Cond. Total No.of Alerting Devices /47 Tons , No.of Waste Disposers Heat Pump Number Tons KW _. No.of Self-Contained 9 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters iSiens Ballasts No.of Devices or Eauivalent No.Hydromassage BathtubsNo.of Motors Total IIP Telecommunications Wiring: 1 No.of Devices or Eauivalent OTHER: Attach additional detail ifdesired 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: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (Ifapplicable,enter"exempt"In the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD,HYANNIS MA 026012043 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: $180.00 WODV& OWte CCM 1NanteAC5 td) 41Ire Aa 1N3W12iVd 0 ONIO11PS nn mmee'' )LI? TL 'RQ l.00nteea(th ei Ir/aeeac/rueeffe Official like Only Ji SfY;E T eparkwni of..tire._enders Permit •J ✓ ] Al .� 3 t� iwi l Occupancy and Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 0 (PLEASE PRINT IN INK OR TYPE LL INFORMATION)`JDate: /o-'J/// /7 City or Town of: YQf Itt[hi-`f'i To the Inspector of Wires: 4G.1 By this application the undersigned gi es notice of his or her intention to perform the electrical work described below, t Location(Street&Number) 02002 S/ .L/ S i / t. Owner or Tenant Coli K t f)s4-rU.ccl-i pn Telephone No.572-394-130/7 . • Owner's Address P go)( 0141 3 SpUi/i ))Pr/JI.0 jun ea_0f00 Is this permit in conjunction with a building permit? Yes [ ;. No 0 (Check Appropriate Box) Purpose of Building frrci3p ii Li.I Utility Authorization No. • Existing Service_ Amps / Volts Overhead ID Undgrd❑ No.of Meters VI) New Service o200 Amps 102. 1:720-voles Overhead 0 Undgrd F) No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: IU2w h n y►,t, .• Completion of thefollowinztable may be waived by the Inspector of Wires. lb, No.of Recessed Luminaires No.of Ceti Susp.(Paddle)Fans Na of total C.! Transformers KVA CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grid. ❑ grnd. 0 Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.o(Switches No.of Caa Burne )Ya of Detection and s Initiating Devices IU ' No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.o(WasteDts Disposers Heat Pump Number Tons KW-1 o�.ofSelf-Contained P Totals: -_ ._..__.._._..__....._....------- Detection/AlertingDavices No.of Dishwashers Space/Area Heating KW Local 0 M000ectlunicipalon 0 Other C No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of ICW 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 Stan: 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 issuingoffice. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) JJ)oW1jn t y- 0 well I certify,under the pains and penalties ofper/ury,that the I formation on this app tea, . it ue a , complete. FIRM NAME: kt - 5. "tits I I /l 4 ,r. 'I / / I.: 4/7/77 Licensee: I r/I7I((' P /b/) f✓ Signature F&-• s / /In e.: (If applicable,enter'exe t"in the license umber lie.) ,�s.Tel.No.•SOS- 77/-7o27O Address: 3771- 'las .na$-h Psi //!/Qhhis A(4 0240/ Alt.TeL No.: .5 0R-400-a 3gb *Per M.G.L.c. 147,s. 7-61,security work requires 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 required by law. By my signature below,I hereby waive this requirement. I arm the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 160.00