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Home My WebLink AboutE-18-793 Commonwealth of Official Use Only • �E / Massachusetts Permit No. BLDE-18-000793 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:8/9/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to Naomi teistrical work des ed below. Location(Street&Number) 237 ROUTE 28 Mt eta oer (?Aj Owner or Tenant Telephone No. Owner's Address • ;fly.....- .._......,, . ---T'—`- -. - -.i.... . .,._ _._ s.,., ..,:n.. �•i . ' Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box '�/Ore- Purpose of Building Utility Authorization No. 2229489 it - Existing Service Amps Volts Overhead ❑ Undgrd 0 o.of Meters . New Service 200 Amps Volts Overhead 0 Undgrd 0 ./ � f Meters Number of Feeders and Ampacity _ vvt Location and Nature of Proposed Electrical Work: New residence ` J mrd O Completion of the followi /e yy • . e. /�Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of / notal TransformersV VA No.of Luminaire Outlets No.of Hot Tubs Generators V -KVA No.of Luminaires Swimming Pool Above 0 In-grnd. 0 No.of Emergency Ligh 64ri74 4/t/ grnd. Battery Units /8 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Imtiatine Devices No.of Ranges No.of Air Cond. .Tl.otal No.of Alerting Devices on No.of Waste Disposers Heat Pump Number Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Pleating KW Local 0 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 Sians 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 ❑ (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 Telephone No. PERMIT FEE:$180.00 Cil t- m U r•-•_ ,. > N I-� • a t, tyy� tar w t Cammonwaaith a`trladdachivaallsiry`/93 Use Only Lid O o .�: ; . t c7 Permit No. 01 o t' can:r;'e 24,414~4 al girt�arvku o-.' its.• Occupancy and Fee Checked al m )., BOARD OF FIRE PREVENTION REGULATIONS Rev. I/07] (leave blank) z APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK p All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CM�12.00g- 17 (PLEASE PRINT IN INK OR TYPE LL INFORMATION) Date: $ City or Town of: arwl D wl-if To the Inspector of Wires: • By this application the undersigned g ves notice of his or her intention t perform the electrical work described below. • Location(Street&Number) ,, II / Al i . ,A I A r/i ` Owner or Tenant i,..4)11 r con c cit r, Dn Telephone No. ,D8-3 fl-30/7 • Owner's Address PO any 0143 cSn/A.4-h 1)e/ini$ !U,>4- Opz&o,0 Is this permit in conjunction with a building permit? Yes ly{ No ❑ (Check Appropriate Box) • Purpose of Building r(side,l'l -I� / Utility Authorization No. c1.91-189 Existing Service_ Amps / Volts Overhead 0 Undgrd 0 No.of Meters _ New Service a Amps /X l P Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: OP(,V AomC Completion of the foilowingtabte may be waived by the Inspector of Wires. tal Lb No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of 7 ft Transformers KVA q ! No.of Luminaire Outlets No.of Hot Tubs Generators . KVA A . •k No.of Luminaires Swimming Pool ❑ Battery EmUnertncy Lighting i No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and FInitiating Devices iU ; No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Her,.,eat Pump NumbTons KW 'No.of Self-Contained Totals: `- Detection/Alertin�l Devices No.of Dishwashers Space/Area Heating KW Local 0 Munonctiecpaan 0 Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water W No.of No.of Data Wiring: K Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.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: 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 BOND 0 OTHER 0 (Specify:) 1)0WI f rta 4. 0 r el I(yr*,under the pains and naides o{perjury,that the information on this apt iicatiod is true an, complete. FIRM NAME: 13 t S( Elf r i Ad f`I A 7197 9 Licensee: .a / and Signature or �.... (If applicable,enter'tempt"in the tic nse number .t£�- ' ' Te.No.• . 7O Address: .g7. yartt&D/An_ (.1y/riper t'l�&/Ihis ha 0o4D/ ''It.TeLNo.:06' 3Sb 'Per M.G.L.c. 14 ,,s.57-61,security work requires!Department of Public Safety"S"License: Lie.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)(1 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:S 180. 00