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Home My WebLink AboutE-18-2667 • Commonwealth of Official Use Only t �E, Massachusetts Permit No. BLDE-18-002667 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/07j 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:11/3/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto the electrical work ,bed below. fJ 60? � Location(Street&Number) 202 SOUTH ST j 'a` v1:576t Owner or Tenant AHERN ELIZABETH A TR 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 ❑ 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: Install rebar grounding. 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 a KVA No.of Luminaire Outlets No.of Hot Tubs Generato ' KVA No.of Luminaires Swimming Pool Above 0 In- 0 No.of E i .. n.i I ): O grnd. grnd. Battery l ' n✓/�_ No.of Receptacle Outlets No.of Oil Burners FIRE ALARM' • �m g�� V (� No.of Switches No.of Gas Burners No.of Detection and '/`.45) 07 t Ini.iofineDeng D G•! Iv' U_ No.of Ranges No.of Air Cond. .Tl.00�al No.of Alerting Devices V No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Ileating KW Local 0 Municipal 0 Other 1 Connection No.of Dryers Heating Appliances KW Security Systems:* 1 (n No.of Devices or Equivalent ,r/�' No.of Water KW No.of No.of Data Wiring: Ileaters Sins Ballasts No.of Devices or Equivalent No.llydromassage 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 ❑ BOND ❑ OTHER 0 (Specify:) I certify,under the pains and pen aides 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 (If applicable,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:$50.00 Comoro/wra&o`tr/aaaaclwdrtta u • Official UseOnly ..i, yyrPartmrnt oJir Services Permit No. cm-_, 246. "dios { Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1107 ) (leave blank) Z. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/3/17 1 City or Town of: /i,{ M p U T 4�u' To the Inspector of Wires: t‘‘) By this application the undersigned Ives notice of hispdor her intention to perform/the el ctrical work described below. Location(Street&Number) 02oa- So&UhS 6]-. 6D LOA )Ai14 0lit`A Owner or Tenant -- ren s+-rued on Telephone No,QY-30?6,-30/7 Cti Owner's Address Po Box t943 ccnetV. >Pmis iit* 00764,0 ct Is this permit in conjunction with a building permit? Yes tZW No ❑ (Check Appropriate Box) Purpose of Building ( cit_Jei4ict Utility Authorization No. Existing Service_ Amps / Volts Overhead❑ 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: I(:ein ria u hci. V) i Completion of the followinztablemgbe waived by the Inspector of Wires. Total UJ No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA C1No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting ¢rind. Ernd. Battery Units . ;;I No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones • nd No.of Switches No.of Gas Burners No.InDetention Initiating Devices I U I No.of Ranges No.of Air Cond. TonsTota No.of Alerting Devices No.of Waste Disposers Heat Pump Number, Mons •_ KW_ No.of Self-Contained Totals: " Detectlon/Alertlng,galDevices M No.of Dishwashers Space/Area Heating KW Local 0 Couonnectionicip ❑ Other ste No.of Dryers Heating Appliances KW Sec No oyf Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 1 a to. ydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or Eqons uivalent , jr----3 OTHER: ��` IC 11 Attach additional detail if desired,or as required by the Inspector of Wires. cC%4 Estimated Value of Electrical Work: (When required by municipal policy.) t r•i Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. iii I INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless (J1 > the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The w Z ug igned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing� office. CHE K ONE: INSURANCE BOND 0 OTHER 0 (Specify:) MOW/lVl i O Net 1 l ertrfy,under the painsand enalties of rjury,that the information conn thhiis appptiicati isant a d complete. ' cIRM NAME: 15ny. ide 0-e nazi C.On �� • •: 1417197 Licensee: f}1'{-11 u/ 7, �0ber-nJJ7 Signator r .: (If applicable,enter"e��-xe/mmpt"in the license nu" lip¢.) • s.Tel.No: l:- S - . 70 Address: 370 y/.t est t tell, el 1 Q01 C ea 6O f Au.TeL No.:•5D. - Od-.23S-0 *Per M.G.L.c. 147,s� 57-61,security work requires D ent 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 am the(check one)f owner ❑owner's agent. Owner/AgentPERMIT FEE:$S0.o 0 Signature ure Telephone No.