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Home My WebLink AboutBLDE-18-001425 �orr�� Commonwealth of OfficialUse Only 4 &Etab Massachusetts Permit No. BLDE-18-001425 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (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:9/13/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below. Location(Street&Number) 8 MONTEREY LN Owner or Tenant DALY CHRISTINE M Telephone No. Owner's Address 8 MONTEREY LANE, SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Apprppriate Box) Purpose of Building Utility Authorization No O Existing Service Amps Volts Overhead 0 Undgrd No.yf�'Lpters Service Amps Volts Overhead 0 Undgrd (�Y6 d s Number of Feeders and Am parity �V`/�Q� Location and Nature of Proposed Electrical Work: Install generator and wire receptacle for stove. /� Completion of the following tableWuf raQ 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 1 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Light o grnd. grnd. Battery Units / e G No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones CCJJ No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. TotaloNo.of Alerting Devices No.of Waste Disposers heat Pump Number Tons 1 KW No.of Self-Contained F Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: O Connection No.of Dryers heating Appliances KW Security Systems:" b• No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.hydromassage 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 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 (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 n Telephone No. PERMIT FEE: $75.00 r,..---, i 4 o 4((so v t T 91(ce'/f7 r¢' UPptrtsroi&D ;s Remoy Now is l.ommonrueaLCh of///addaaLsia Official Use only • r_ f'7� c7 [� Permit No. ��j SCj :Ira aparfinent of..7k.S.-pit-ea :t = Chked VE BOARD OF FIRE PREN . �7]TION REGULATIONS Oc1/07)upancy andFee(lezve blanank) k) APPLICATION FOR:PERMIT TO PERFORM.ELECTRICAL WORK All work to be performed in accordance wit the Massachusetts Electrical Code(MEC),527 CMR 1100 to nI (PLEASEPP�DdT1NINKORTYPE ALL INFORPUTION) Date: s /3 20/7 City or Town of: y MQ $ To the Inspector of Wires: By this application the yndersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) g' /flop izgy G.V. S.YArmou7t1. r Iwner'orTenant CRR;51 jwp Ijc•Ii, Telephone No. w r..... L [Ier'sAddress 8. MOne-re9 LA/ 5. /Ant1ouTN > o s this permit in conjunction with a building permit? Yes ❑ No - (Check Appropriate Boz) Wo' I'urpose of Brnlamg P .//:, &/;N jr' Unlit' Authorization No. V 3 z 'fisting Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters lL! 1 o ew Service Amps / Volts Overhead❑ Undgrd❑ Nd.of Meters Ct m > amber of Feeders and Ampacity • • m a. ocation and Nature of Proposed Electrical Work W:rt 6 EvE,2ieTn ik 9- SN52/v c.G: iviEt✓ E!P.cTrfc STOd2 ovr/eT Completion ofthe following,table may be waived by the Ircrpector of Tram No.of Recessed Luminaires 'No.of Ca-Snap.(Paddle)Fans INo,of Total Traasfot-mers KVA No.of Lumbsaire Onyets No.of Hot Tubs 'Generators • KVA ' No. of Luminaires ISv;immsng Pool Above o In- No.or emergency Lagtingmad. arnd. 0 IBatteryUnits • No. of Receptacle Ontiets No.of Oil Burners 'FIRE ALARMS INo.of Zones No.of Switches No.of Gas BurnersNa of Detection and — . Initiating Devices No.of Ranges 'No.of Air Cond. Total No.of Alerting Devices • Tons No.of Waste Disposers Heat Pump Number Tons' KW No,of Self-Contained es J Totals:' Deteetion/AlertingDevic No. of Dishwashers - SpacelArea Heating ICW' Local tvltmitspal I _ �CQIIDCCLIOII 0 otherNo.of Dryers 'Heating Appliances KW Security Systems:* No.of Water , INo.of No.of Data Wiio. evicts or Equivalent Heaters Sins Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP Telecommunications wiring: Na of Devices or Equivalent OTHER Attach additional detail if derired,or as requtred by the Inspector of Fires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 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 0 BOND 0 OTHER 0 (Specify.) I certify, tinder the pairs and pencMrc o fperjury, that the information on this application is true and complete. FIRM NAME:g/%75S'/) SCTritmi Co Air�/ !'/LLTerf! LIC.NO.: / /47 Licensee: Co/ar..o. . `os_re(ko Signaturepa.Q,,,,,,� ea LIC.NO.: (If applicable,enter "aempr"in the license number tine) „ Bus.Tel.No Address 0 ,Lir (�` Alt TeL No. 71G• 9 .J `Per M.O.L.c. 147,s.57-61,securitywork rt00 quires Department of Public Safety"S"License: Lit.No. - OWNER'S INSURANCE WAIVER I am aware that the Licensee does nor have the liability insurance coverage n — required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent, u Owner/Agent l Signature. Telephone No. I PERMIT FEE: $