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Home My WebLink AboutBLDE-19-003930 ir Commonwealth of Official Use Only 'L{ Massachusetts PemiitNo. BLDE-19-003930 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:1/3/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of nis or tier intention to pertomi the electrical work described below. Location(Street&Number) 7 BLYTHE TERR Owner or Tenant BONGS ERNEST Telephone No. Owner's Address BONGS PHYLLIS,299 CAMBRIDGE ST UNIT 212,WINCHESTER, MA 02645-1890 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building UtilityAuthorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. Completion of the.following table maybe waived by the 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 KVA No.of Luminaires Swimming Pool Above ❑ In- 1:1No.of Emergency Lighting 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 Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:' 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 1 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: 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:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lawrence R Brown Licensee: Lawrence R Brown Signature LIC.NO.: 30708 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 LIMERICK CT,CENTERVILLE MA 026322713 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 c Use __ C Commonwealth o/ ///atsachuleth Ce. —On=.ly5 y1---1---rT-'=a= l ay� �7 (� Permit No. ` v 'v0=T . Ilrf it apartment o`lire ..Jervices BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (-*, i �t, (Rev.IN71 (leave Wank) (`� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00p (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: JAN 3 aO l! City or Town of:JAR h1 lansvenest 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 4Y1-%e /ri6-Annc. Owner or Tenant P0AbaiG T PONT-2 Telephone No. ' Owner's Address SAME-- Is this permit in conjunction with a building ermit? Yes Ac No 0 (Check Appropriate Box) Purpose of Building SSE T"/C Pa/#/0 t44R/M Utility Authorization No. Existing Service /00 Amps /a0/ Volts Overhead 21-'Undgrd 0 No.ofMeters / New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters --NUhibt`frfFeeders and Ampacity 3 W /00A c� ... w/4c Si- ric Rim 7, //hum �titicati _xnll Nature of Proposed Electrical Work: v P tILI , cr, >� >i r_- 1-11 ,,,�i �i I C I Completion of the following table may be waived by the Inspector of Wires. tj1 Np,of Rece sed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA V i of Lu nalre Outlets No.of Hot Tubs Generators KVA Lt. No of Bunn fires Swimming Pool Above ❑ Ig�O Battery f Emergency Lighting ifr. i_...-. _ , 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. TotaloNo.of Alerting Devices No.of Waste Disposers Heat Pump.-Ctt ibcr. _.Tpgg, „EN_ No.of Self-Contained Totals: DetectioNAlerting 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 No.of No.of Data Wiring: Heaters KW Sims Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of MotorsTotal HP/ Telecommunications Wiring: g:4 No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 7.�0 (When required by municipal policy.) Work to Start: /'3-/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 14I BOND 0 OTHER 0 (Specify:) /certify,under the pains and penalti of perjury,that the information on this application is true and complete. 3070(Q'C FIRM NAME: t4 jrto&N lice LIC.NO.: Licensee: GARB y/ A.C'JJW/l/ Signature Sat' g.2 U4f LIC.NO.: (If applicable enter/"exempt"in the license number line.) I/ Bus.Tel.No.: Address:SO aC�mre?/tk Cr r.CN7E,Qf//k. /y//}- Alt Tel.No.:,cO8•aaI-7763 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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) 0 owner 0 owner's agent Owner/Agent PERMIT FEE:$ 0— Signature Telephone No. (�