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Home My WebLink AboutBLDE-18-001156 of Commonwealth of offieialuseonly � Massachusetts Permit 1' . BLDE-la oo1156 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:8/30/2017 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) 7 MEADOW -7BROOK RD 74- ; 4- /877 Owner or Tenant DESMARAIS JEFFREY M Telephone No. p W Owner's Address PAPADOPOULOS HELENA A, 7 MEADOBROOK RD,WEST YARMOUTH,M' s2• Is this permit in conjunction with a building permit? Yes a No 0 (C ro Purpose of Building Utility Authorization No. � Existing Service Amps Volts Overhead 0 Undgrd 0 .St D New Service Amps Volts Overhead ❑ Undgrd ❑ No.Lf_y/e/s/\-v NumberooFeeders and AProposed �/�/fVOr)`V SPCP Location and Nature of Proposed Electrical Work: Lighting and receptacles Completion of the following table may be waived by the . ctor of Wires. No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 4 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Batten,Units No.of Receptacle Outlets 17 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 19 No.of Gas Burners No.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 Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs 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: _ Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 auce. s13a6> 4 • 4• _ lamrronwcazL c//t/adsac�cIti Permit No.C 'thiel Use ony (8r 1(S co7n„. ter= �apartmcnE o{glia.�crviut � F ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 1/07] (leave blank) k., 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 ALLINFORM4TIOA9 Date: 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) Owner'or Tenant S.e 'bess ,4-4..1 Telephone No. 7? Le - `-,If„ Owner's Address r7 fntw,)n,i6,,•,>1r; CA O.\krinswA1/4 ytAA Is this permit in conjunction�,` with a building permit? Yes XC No El (Check Appropriate Box) Purpose of Building No�.+�t �tiov.k�.i Orr% Utility Authorization No, ` 'r Existing Service 3Zr& ps 21 /MOO Volts Overhead ®, Undgrd❑ No.of Meters / Q i 4w Service Amps / Volt Overhead❑ Undgrd ❑ Nti.of Meters • IJ.I w N tuber of Feeders and Ampatity 5 L cation and Nature of Proposed Electrical Work: L h•`_ 4,/ acPkekt N Q 2 W C .. .— --_ —.._. Completion°file foflowme table maybe waived by the Inspector of Fever. V Z o.of Recessed Luminaires INo.of Cei1.-Susp.(Peddie)Fans • No.of Total � V Transformers KVA _ ual V. .of Luminaire Outlets 4 INo.of got Tubs Generators • KVA ' h. No.in Einercr cd - E ST .of Luminaires f 7 ISst timing P°°1 Above ❑ gid. ❑ IBattery Units ency lancing _ No.of Receptacle Outlets /7 No.of Oil Burners 'FIRE ALARMS INo.of Zones No.of Switches / 9 No.of Gas Barriers o.of Detection and Initiating Devices No.of Ranges l INo.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers IHeatPump i Number (Tons IKW No.of Self-Contained Totals: Deteetion/Alertiao Devices No.of Dishwashers '.---- ISpace/Area Heating KW' I oval❑ Muainneccitipa!on 0 e- Co No.of Dryers (Heating Appliances KW Security Systems:a No.of Water KW No.of Devices or Equivalent Heaters INo.of No.of Data - Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: S-p00 (When required by municipal policy.) Work to Start /3e Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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, ander the pains and penoMes of perfury,that the information on this ap ' ation is true and complete. FIRM NAME: S w rnse..:s C NO.: Licensee: ________ Signature C.NO.: (If applicable.enter "exempt"in the license number line) y Bus.Tel.No.:• _ Address: � Alt.TeL No.:�_ J 'Per MG.L.e. 147,s.57-61,security work requires Dep.Lee .eSafety"S"License: Lie.No. INSURNCE WAIVER I am aware that , does not have the liability insurance coverage n�onnally S requiredAby law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Signature Telephone No. ' PERMIT FEE: S 1 J O 0 O j V �+ o p _ n ? U 6 S so ® -4- u _q_ - T T _ 5 -4- -4- 'S O O ,� sib -4- Y T O 1) T T ,,�'' LYGC?o }f Vu y}NW/b) 0 �� J l" -hon,Or°efiVA L y o Commonwealth of Official Use Only E` Massachusetts Permit No. BLDE-18-001156 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:8/30/2017 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) 7 MEADOWBROOK RD Owner or Tenant DESMARAIS JEFFREY M Telephone No. Owner's Address PAPADOPOULOS HELENA A,7 MEADOWBROOK RD,WEST YARMOUTH, MA 02673 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 ❑ 1 Q i . New Service Amps Volts Overhead 0 Undgrd 0 of. /, r Number of Feeders and Ampacity � i Location and Nature of Proposed Electrical Work: Lighting and receptacles ,( '0? Completion of the following table may be w&if tjAt • of Wires. No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans No.of 4 Transformers ' No.of Luminaire Outlets 4 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. ,Battery Units No.of Receptacle Outlets 17 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 19 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. TTootal 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 my 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: $75.00