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Home My WebLink AboutBLDE-18-001062 '"Ilk.--0 Commonwealth of ofreialuseonly lr ►\ Massachusetts Permit No. BLDE-18-001062 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:8/24/2017 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) 34 FESSENDEN ST • Owner or Tenant HEALEY WILLIAM J TR Telephone No. Owner's Address WILLIAM J HEALEY TRUST,34 FESSENDEN ST, SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes El No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters tit/�(a New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters O 1 f IJ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace panel,light fixture,&receptacle. Q Completion of the following table m• ' �d �tctor of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Ii Q.Total Transfo YY VVV KVA No.of Luminaire Outlets No.of Hot Tubs Generat KVA No.of Luminaires Swimming Pool Above ❑ In- 0 No,ors,EmerIln'CCgg)) yy g grnd. grnd. Battery Un'�(�� No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALAR o.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting 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 Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Eauivalent 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 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: STEPHEN D WILKINS Licensee: Stephen D Wilkins Signature LIC.NO.: 36023 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:250 UPPER COUNTY RD,DENNISPORT MA 026391402 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:$50.00 1344 t(1z41-143 6/z le/ `�on\ � (\��Jy APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ur \- „ _... All work to be performed in accordance with the Massachusetts Electrical Code,(MEC), 527 CMR 12.00 ` / OF yq y";j? a ; (OFFICE USE ONLY) VV m g TOWN Cu"'\' C , I By ` h� Fee: $ I19J PERMIT NO. v OP-- ter lODtIILDING DEPARTMEN (PLEASE PRINT IN INK OR TYPE Date: 8---.2/— 30/7 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) J 7 9 FE S'SE f‘/A—, S7R,E.ffr 5 . turinat 7 ,n — Owner or Tenant tar1/44 :4 H144-LE`r Telephone No. Owner's Address '95f9-l44 e_ Isthis permit in conjunctionwitha�building permit? EP Yes ❑No (Check Appropriate Box) rnw Purpose of Building ,[�Y/va4e f A QI Utility Authorization No. Existing Service Me Amps /aft / 23d Volts Overhead[' Undgrd❑ No. of Meters New Service /0 e) Amps I la / 23a Volts Overheads Undgrd El No. of Meters i Number of Feeders and Ampacity Location and Nature of Proposed electrical Work: f PG¢5e.' /00.4 �/444/GL OA/1 f Citi L . �-elia.„,e%`va 0,9-7,9 JZoo`,, G.crL ou7terr Completion of the following table may be waived by the Inspector of Wires No.o Total No. of Recessed Fixtures No. of Ceil:Susp.(Paddle)Fans Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA AboveIn- No. of Emergency Lighting No. of Lighting Fixtures Swimming Pool gmd. ❑ gmd. Li Battery Units No. of Receptacle Outlets I No.of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No.of Gas Burners Initiating Devices Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat Pump 1 Number Tons KW No. of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other Secutity vice:No. of Dryers Heating Appliances KWNo.of Devices or Equipvalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications No. ir Wiring: qu valent Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may be issued 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 Et BOND CI ()THERE (Specify:) 7 - 7- /ii (Expiration Date) 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. I certify, under the pains and penalties,o•fhperjury,that the information on this application is true and complete. FIRM NAME: Srig�o-ER w t, (14 i PA LIC. NO. 3 0 ea3A Licensee: 37-CP/1.f ,c,44%/i SGS Signature ''`E:% .� _, LIC. NO. (If applicable, enter"exemit" in the icense number li -. Bus. Tel. No.: 94,94/4. Address. --gQ {-4- '' r ' "A 0--n . a:. /I.4 .Tel. No.: .,‘ 7 50./.5"-- OWNER'S .fOWNER'S INSURANCE WAIVER:I am aware that the icensee 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)owner O owner's agent.0 Owner/Agent Signature Telephone No. [Rev.04/00]