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Home My WebLink AboutE-18-890 Commonwealth of Official Use Only •1of ,t\ej' Massachusetts Permit No. BLDE-18-000890 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07) 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:8/15/2017 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) 95 GREAT WESTERN RD Owner or Tenant OROPALLO MARYPAT K Telephone No. Owner's Address 95 GREAT WESTERN RD,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No 0 (r' . k Appropriate Box) Purpose of Building Utility Authoriza ion 4116.. `'� Existing Service Amps Volts Overhead 0 Undg e , Meters New Service Amps Volts Overhead 0 Und 1 i Of ers Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wring for addition O ///fff�e�� Completion of the following tablr,,atpfle the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of VV Total Transforms( KVA No.of Luminaire Outlets No.of Hot Tubs Generators`�jp/�/ KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emerg ncy 161tg g 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.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers heat Pump Number 'Pons i KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No,of Devices or Equivalent No.of Water Kµ, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Enuivalent No.Hydromassage Bathtubs No.of Motors Total IW Telecommunications Wiring: t No.of Devices or Enuivalent IOTIIER: 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 0 BOND ❑ OTHER ❑ (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) ❑ owner 0 owner's agent., Owner/Agent Signature Telephone No. _ PERMIT FEE:$75.00 4'7 (171 - A/0-[ keeileby /.r/. // Cnt t r"o/2 el41.S2e..0?.-041 • Comnwnw al�of/t/auac etre Of'ocial Use Only 3F �= c7c7r� Permit No. __ �� apartment of,giro.._eroiced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev, 1/0i] " pea„blank) APPLICATION FORTPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code NEC),527 CMR 121)0 (PLE,4SEPRINT ININK ORTYPE ALL INFORA 1T1019 Date: AUG is 2.0,7City or Town of: YARMOUT$ To the Inspector of Wires: . By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)95 6 CST &e 7o r,)J RZ Owner'orTenant HAR y PAT OROR,00/0 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 2 No E (Check Appropriate Boz) fI Purpose of Buidmg e((:1J�. Utility Authorization No. Existing Service_ Amps / Volts Overhead ❑ Undgrd❑ No.of Meters _ ew Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters zumber of Feeders and Ampacity W ocation and Namre of Proposed Electrical Work:ork w;rt.. /veto M757GiZ73et� 4AUNDrY HA/( Closer N f3A7f/ 4'-/1b1> Nf t ) G:GP/Ts 4- OUT/2:rs i A) .6ArA &e . . . .. . I!J ,---; Completion afthe folo"vatable may bewaived lrythe Inspector ofWret. t. U V, a.of Recessed Luminaires INo.of Ceti-Susp'(Paddle) TraFans IN°•°f Total Transformers ICVA W Q 7 o.of Luminaire Outlets INo.of Hot Tabs 'Generators • 6'VA ' et r'n , No.of Luminaires ISwir*m;ng Poole ❑ In.- No, `);ml.tghnng - • =_end. IBarreotry IIaitsergency No.of Receptacle Outlets . No.of OE Burners 'FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges INo.of Air Cond. I ons Tons No.of Alerting Devices • No.of Waste Disposers Heat Pvmp Number Tons KW No.of Self Contained I Totals:I I I Detecdon/Alerting Devices No.of Dishwashers ISpace/Area Heating KW' PealEl Municip Connectioaln No.of Dryers Heating Appliances ICW Security Systems:* No.of Water KW INo, of No.of DataoWoences or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER Attoch 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 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, under the pains and penalties of peejrtry,,that the information on this application is true and complete. FIRM NAME: gny5(Dig- gE/ c-fl-,oil L Coe ilrAt7-ors LIC.NO.: / / 7 Licensee: Co/eMan Cos7el4 Signature(2,,e, , _ /% LIC.NO.: (If applicable.enter"exempt"in the license member line.) Bus.TeL No.: -- Address: ,380YArMoritie w /-/yAA/Nic /9Q. O26o/' Alt.TeL No.:.3oR-7i[-2p0 J `Per M.G.L.c. 147,S.57-61,security work requires Department of Public Safety"S"License. Lie.No. 9 — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally Oe d by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent Signature Telephone No. I PERMIT FEE: S