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Home My WebLink AboutBLDE-18-002501 a�'� Commonwealth of Official Use Only lE ►►` Massachusetts Permit No. BLDE-18-002501 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:10/27/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her mtention to pertorm the electrical work described below. Location(Street&Number) 427 NORTH DENNIS RD Owner or Tenant DUMONT DANIEL V Telephone No. Owner's Address WENNERSTROM LORI A,427 NORTH DENNIS RD,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No 223"630 -223 863 Existing Service Amps Volts Overhead 0 Undgrd 0 N�of Meters __. _ . .,�• e, New Service 200 Amps Volts Overhead 0 Undgrd 0 • — rs - Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service and wiring of garage. /,�J / Completion of the following to 74 VeV t I1 �'�7Wires.'/ No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 0 otSL/ Transformers � No.of Luminaire Outlets No.of Hot Tubs Generators tib No.of Luminaires Swimming Pool Above 0 In- 1:1No.of Emergency Lighting ('/q � grnd. grnd. Battery Units /n No.of Receptacle Outlets 18 No.of Oil Burners FIRE ALARMS No.of Zones / No.of Switches 12 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 Tool No.of Alerting Devices No.of Waste Disposers tleat Totals:ump Number bTons KW No.of Self-Contained petection/Alertine 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 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 2 Total IIP 1 Telecommunications Wiring: 2 No.of Devices or Equivalent 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: Robert P Coleman Licensee: Robert P Coleman Signature LIC.NO.: 17527 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:116 HILLSIDE DR,CENTERVILLE MA 026321736 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: $75.00 p`' (0/30, 7 Jc ira ..... I - Commenweaa of rtlaesacaueeRe Official Use Only °(t t re//f n Permit No. ��[QJ� t c2eparlmaat a/Jirr Jirvicee .�'"�es ;. i�i�� .. Occupancy and Fee Checked 8 _ BOARD OF FIRE PREVENTION REGULATIONS Rev.1/071 (leave blank) 3 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 0 All work to be performed in accadaxe with the Massachusetts Electrical Code(MEC),527 CMR 12.00 4- (PLEASE PRINT IN INK OR TYPE' INFORMATIO19 Date: 10- ZS -7O i7 ir City or Town of: j c r ri.0.-.4--k. 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) LI 1.7 \ N 7 N). ier a t ). M Owner or Tenant D A r.r 'bV s'l o nn Telephone No. 77q-c 34-55 el g' Owner's Address 4'0 7 IJ U. de.-01.s Q A Yae w`o AI` Is this permit in conjunction with a building permit? Yes ,® No 0 (Check Appropriate Box) 1/41 Purpose of Building cart eye_ Utility Authorization No. 22.-3 qt go Existing Service_ Amps / Volts Overhead 0 Undgrd 0 No.of Meters _ New SenicE '1400 Amps 124 /1'(o Volts Overhead® Undgrd❑ No.of Meters I Number of Feeders and Ampacity 1 - 7.40h n 0,r Location and Nature of Proposed Electrical Work: kJ, ,,,, 1,.tr v.T.e- .} %,-.71,-c-.5 ?,v Can5.0--- •4 .a—•. Hj Completion of thefollowing table maybe waived by the Inspector of Wires. U) No.of Recessed Luminaires No.of Cel Snap.(Paddle)Fans Tra of Total Transformers KVA _ CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA rta . �k No.of Luminaires Above In- No.of Emergency Lighting Swimming Pool gmd. ❑ grnd. ❑ Battery Units . No.of Receptacle Outlets i g No.of OB Burners FIRE ALARMS No.of Zones T No.of Switches 1 y - No.of Gas Burners No.of Detection and Initiating Devices IU No.of Ranges No.of Air Cond. I Total No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: I Deteetion/Alerdns Devices No.of Dishwashers Space/Area Heating KW Local 0 Monutrnectiokipil n 0 Other C 1 No.of Dryers Heating Appliances KW Security Systems:* 1,ONo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 7 Telecommunications Wiring: o W T o.Hydromassage Bathtubs No.of Motors Z. Total HP I No.of Devices or Equivalent 2- 111 s ``OTHER: :174Q� Attach additional detail tfdesire4 or as required by the Inspector of Wires. - �� °Est mated Value of Electrical Work: (When required by municipal policy.) Ill u 1 Work to Start to--al-1 1 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 O ')the',,licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The 1... E ,,,. _ v 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:) ^- -TeirBfy,under the pains and penalties ofperjury,that the bs ormadon on this application is true and complete. FIRM NAME: RI\1c7ci-i-wt s. I e -L.-o03itis LIC.NO.: A 17 c7-, Lkensee: `/_.,.,,,;, (o(4.44..a.. Signature LIC.NO.: I405'( 3 (ifapplicable,enter"exempt"in the license number line.) Bus.TeL No:Sof -lit-6TH'f Address: IS )a., CcS..� . � +'sr /� ser. A.%c)- MA o25i.3 Alt.TeL No.:CoL-3u•lin.. *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. I am the(check one)0 owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.