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Home My WebLink AboutBLDE-18-001491 �a�� Commonwealth of OffrcialUse Only ft Massachusetts• Permit No. BLDE-18-001491 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.)/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:9/18/2017 City or Town of: YARMOUTH To the Inspector of'Warm By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 52 SEMINOLE DR Owner or Tenant ROMANO BERNADETTE A Telephone No. Owner's Address ROMANO ROBERT T,22 REDWOOD RD,NEW HYDE PARK,NY 11040 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd ❑ ' No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install underground service. Completion of the following l® be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans N' tfd a Total V O KVA No.of Luminaire Outlets No.ofllotTubs I,Ge - �� KVA No.of Luminaires Swimming Pool Above ❑ ln- ❑ No.of jj _ d grnd. grnd. Rattery l (r No.of Receptacle Outlets No.of Oil Burners FIRE ALARA. No.of Switches No.of Gas Burners No.of Detection a Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices ///' Tons e!/ No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained {p Totals: Detection/Alerting Devices [0 No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: C7 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 ISions Ballasts ,No.of Devices or Eauivalent No.Hydromassage Bathtubs I No.of Motors Total HP (Telecommunications Wiring: No.of Devices or Eauivalent OTHER: Attach additional detail fdesired,oras 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:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Tyler W Payne Licensee: Tyler W Payne Signature LIC.NO.: 53024 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 JAMS PATH, HARWICH MA 026452458 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$7100 _ J —keit ' (S at So cr,l3D -Oupoott 190 7 S�eh ,ee CoNDucrg t_ zcMks) -TosayEt612Si94� 1� 7r� C _ '451-._ Lammonweatrh of /I/o+darhadel4l l`J 1 �t7 �Ei cy� c7 Permit No. —= 1Jepartmenl o/Dire Serviced =fli-P S. Occupancy and Fee Checked / BOARD OF FIRE PREVENTION REGULATIONS [Rev. 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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9. 1 N. IT City or Town of: y4r/vlei Al 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-a. SCMI nate De Owner or Tenant M i K.. Ferull a Telephone No. Owner's Address &tat C. Is this permit in conjunction with a building permit? Yes 0 No 2 (Check Appropriate Box) Purpose of Building p.-.e(('i-S Utility Authorization No. Existing Service 10a Amps t2•• /t10 Volts Overhead El Undgrd❑ No.of Meters ( New Service 2456 Amps /2. / m'° Volts Overhead❑ Undgrd. No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: V/4t leo A....p Unt(.cs. ..&neon.' eaAta Completion of the followingf table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of CeiL-Sus . Paddle Fans No. KVA P (Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. nDefenand Initiating Devices No.of Ranges No.of Air Cond. TotaluNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Po Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ other Connection No.of Dryers Heating Appliances KW Security Systems:* ry Na of Devices or Equivalent No.of WaterKM, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Bathtubs No.of Motors Total HP Telecommunications Equivalent No.Hydromassage Na 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: cil/•/b7 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 issuing office. CHECK ONE: INSURANCE 121 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. n FIRM NAME: ?RV C t 1 v.]C, NP, LIC.NO.:____ t__ Licensee: Signature // /N A, y LIC.NO.: _OA k (If applicable.enter "exempt"in the license number line.) Bus.Tel No: / ' Address: 9 (WINS PPCM RCLti IC:Fh-t MIN m(1,45 Alt.Tel.No.. .3 Jr *Per M.G.L.c. 147,s.57-61,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 am the(check one)0 owner 0 owner's agent Owner/Agent PERMIT FEE: $ Signature Telephone No.