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Home My WebLink AboutE-19-4086 Commonwealth of Official Use Only ' � Massachusetts Permit No. BLDE-19-004086 �—' 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 1200 (PLEASE PRINT IN Thr OR TYPE ALL INFORMATION). Date:1/11/2019 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) 72 LOOKOUT RD Owner or Tenant MCLAUGHLIN JUNE E _ Telephone No. Owner's Address PO BOX 275, YARMOUTH PORT, MA 02675-0275 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 2319777 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repairs to service&change from under ground to over head. Completion of the following table may be 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 Agrnd.bove ❑ Ignr-nd. o No.of Emergency Lighting 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 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 Data Wiring: 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: 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: MATTHEW ABOODY Licensee: MATTHEW ABOODY Signature LIC.NO.: 22360 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:79 KINGSWEAR CR,SOUTH DENNIS MA 02660 I 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 (7 « / i9, A1A � • Ole, Q, CN s Gtho. as& titin Ce__- V • _ Cmuno. won&of t//aesachaits ea— Use Oni • ii tree E4 JJa asimsn( c7� (7 'Permit No. e C'— D g G a P of 7i.n. Jaroins (t Occupancy and Fee Checked ' � BOARD OF FIRE PREVENTION REGULATIONS ev. I/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEG'),527 CMR 12.00 • r- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: )////if 1 C3 '-' I City or Town of: YARMOUTH To the Inspector of Wires: at tom, By this application the undersigned gives notice of his or her intention to perform the electrical work described below. • > II I Location(Street&N tuber) 7Z. (C:2ac ,00N 7z,QJ LV _ .Owner orTenant ghs; I( t-,/at 5/r in Telephone No. Owner's Address �— Z -,in Q ; Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) I ,l ,. Purpose of Building Utility Authorization�No. ?,�/�j 777 c, a Existing Service /PO Amps / 7 /2'& Volts Overhead u❑y) Undgrdll<l 2 No.of Meters I New Service /A Amps iaMg Volts Overheadp;) Undgrd " C gr 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -r-z,:-/...5 b.,24,fr, ("yea��o so i /vu se-4'4c--L Completion of the followingsable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei1 usp.(Paddle)FansNo.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- 'No.of Lmergency Lighting grad. Brod. Battery Units No.of Receptacle Outlets No.of Ort Burners FIRE ALARMS INo.of Zones No.of Switches . No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained - Totals:I I I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Munlci al Local 0 Conne ion 0 Other No.of Dryers Heating Appliances K1,y Security Systems:' - No.of Water No.of Devices or Equivalent No.o1 Heaters No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wtring: No.of Devices or Equivalent OTHER: Attach additional detail if desire4 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE B OND 0 OTHER 0 (Specify:) I certify, under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NCA 4/30",D %4 LIC.NO.:7 Licensar Gi Signa LTC.NO.: ,3 r,t} (if applicable.enter"exempt"in the lice number line) Address. Bus.Tel.No.: j 'Per M.G.L. c. 147,s.57 61,securityAIL Tel.No.: • 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 nrmally 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 j Signature Telephone No. I PERMIT FEE: $