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Home My WebLink AboutBLDE-18-001735 .� Commonwealth of OffcialUseOnly E Massachusetts Permit No. BLDE-18-001735 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1[Rev.I/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:9/25/2017 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 electrical work described below. Location(Street&Number) 8 SWORDFISH DR Owner or Tenant ALI LINDA M Telephone No. Owner's Address ALI FAISAL 1,47 ANTHONY RD, DALTON,MA 01226 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 0 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: Wring for marine dock power pedestal. 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 KVA No.of Luminaire Outlets No.of Hot Tubs - GeneratoKVA No.of Luminaires Swimming Pool Above 0 In-rnd. 0 No.or y O grnd. gBette t No.of Receptacle Outlets No.of Oil Burners FIRE ALA . f -tip. No.of Switches No.of Gas Burners at Detection d Int / • Initiating Devices [� 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 Q Totals: Detection/Alerting Devices ` No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Ot : `� Connection No.of Dryers Ileating Appliances KW Security Systems:* (49 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: heaters Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No,of Devices or Equivalent OTHER: Attach additional detail ifdesire4 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 verify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MATTHEW F OSTROWSKI Licensee: Matthew F Ostrowski Signature LIC.NO.: 17228 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 LOTHROPS LN,W BARNSTABLE MA 026681354 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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:$200.00 Yl ?•s //�� // //��/y)/// `` 11 ammonraca.ai oi1 tt/ 3dac4vn../, • • ' I se 35 V� g -i c-7 rPertNo. (�D�JJ v _ lJcpr�-bmr„!o{.yvo..�ervi.rc V _ Occupancy y end Fee Checked JQ / C BOARD OF FIRE PREVENTION REGULATIONS ;Rev, l/07j ' (7rzve Marx) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be Y tui med in accordance with the Massachusetts Electrical Code(MEC),027 CNtR 12.00 (PLE,4SEPROVTINWKOR TYPE ALL NF0R AT10N) Date: City or Town of: YARMOUTH To the Ilzspector of Wares: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 83 S' oO• Ct s 64 tathoS Owner'or Tenant FiS.k•1 AL1 Telephone No. Owner's Address Srt}-n-1,,J -- Is this permit in conjunction with a bn.7din;permit? Yes ❑ N2,4 (Check Appropriate_Boz) Q 1 Building' Purpose of Btg Si.-)I r(o cq,r„`1 Utility Authorization No. W r-- ujI Eoisti11-g Service Z Amps (7° /231OVolts Overhea Undgrd❑ No.of Meters > „...4a-, L2 New Service Amps / Volts Overhead❑ Undgrd ❑ - No.of Keen W C a 13- Number of Feeders and Ampecity U n u 1 Location and Nature of Proposed Electrical Work: (,�i n,Q- pito) PO./?(t... POsi- Ar tiel NI -1)CC� Completion of the follarvinr,table racy be waived by the Inrpectar of Bruer. No.of Recessed Laminaser IND.of Cel-S�sp.(Paddle)Fags • INTra'°•°f Total Transformers 'CVA No. of Luminaire Outlet INo.of Hot Tabs lit:aerator 'CVA ' Na. of Luminaires I Pool Above Ia- o.01 emergency Ugnung - Sr�r m!ng osnd. 0 crud_ IBaTi.>rq Dnits • No. of Receptacle Outlets . No.of OE Burners !FIRE ALARMS INo.of Zones No. of Switches INo.of Gas Burners • • No.of Detection and Na of Ranges 'nit atma Devices INo_of Air Cond. TO No.of Alerting Devices Tons No.of Waste Disposers (HeatTotals: DPrimp I Number I Tons IICW INo,of SeteeGon/erf Contained 4lertino Devices No. of Dishwashers ISpace/Ai ea Heating KW' .Leal Mtaricipal Connection 0 Other No.of Dryers 'Heating Appliances KW Security Systems:• No. of Water Eg No. of No. of ni No.of Dvalent evics or Heaters KW Ballasts Mata Wiring: SinsNn.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na of Devices or Equivalent OTHER - Arnch additional detail if derired or as required by the Inspector of Wires. Estimated Value of Electrical Word (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO G : Unless waived by the owner,no permit for the performance of electrical work may issue tmless • the licensee provides proof of liability insurance including"completed operation"coverage or it substantial equivalent The undersigned certifies that such coy ge is in force,and has exhibited proof of same to the permit issuing office.ONE: INSURANCE BOND 0 OTHER 0 (Specify) r certify,under the pains p of.cdury,that the information on this application is true and complete. FIRM NAME: 0 sista-sit ' TECs_ LIC.N0. Licensee: Xi etr:Sgraou44 Lt Signature LIC.NO.: (If applicable,enter "Qempr"in the lieensf numqer fine.) Bus.TeL No.: Address 7/ L-Orneteg c' two- tot 64(,QNS 4-bfo 44. ��' J "Per M.O.L.c. 147,s_57-61,securi workAlt TeL Lie. No.:�_ OWNER'S'NSU � requires Department of Public Safety"�"License: No. — INSURANCE WAIVER I am aware that the Licensee does nor have the liability insurance coverage ne o ry 5 required by law. By my signature below,I hereby waive this requirement I am the(check one)I] owner 0 owner's agent_ , Owner/Agent t� Signature Telephone No. 1 PERMIT FEE: 5 1