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Home My WebLink AboutBLDE-19-003053or Commonwealth of Official Use Only ® Massachusetts PetmitNo. BLDE-19-003053 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 PRINTIN INK OR TYPE ALL INFORMATION) Date: 11/19/2018 City or Town of: YARMOUTH By this application the undersigned gives noTce of it—s � Location (Street & Number) JM27 MISTY Owner or Tenant BONADIES ROBERT S Owner's Address Is this permit in c To the Inspector of Wires: described below. Telephone No. Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for bathroom. (27 MISTY LANE) Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires 1 No. of Ceil: Susp.(Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets 2 No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In [3 rnd. rnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets 1 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 2 No. of Gas Burners No. of Detection and Initlatine Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: her Tons KW No. of Self -Contained Detection/Alertine Devices I No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No. of Dryers Heating Appliances KW Security SXstems:" No. of evtces or E uivalent No. of Water XW Heaters No. of No. of Islens Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: o of Devices or E uivalent OTHER: Attach additional detail if desired, oras 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties afperjury, that the Information on this application is true and complete. FIRM NAME: Michael F Oshea Licensee: Michael F Oshea Signature LTC. NO.: 17199 (Ifapplicable. enter "exempt" in the license number line.) Bus. Tel. No.: Address: 30 BELMONT ST, READING MA 018672625 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. IPERMITFEE. $75.00 - comrnanweatt� a`c7aseac�ueeffs t I Use ly 1JaParfinenf o�}ire Jervicee Permit No. BOARD OF FIRE PREVENTION REGULATIONS ccupancy and Fee Checked - [ROev. 1107] leave bl k APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLE4SEPR1NTI7VINKORTYPEALLINFORM4TION) Date: City or Town of:—// fa -/$ S YA Rumo(mj To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform thCelect i�al work described below. Location (Street & Numberl -9 r`7 iA t <,L, . _ / Owner or Tenant Owner's Address W zs Telephone No. Is this permit in conjunction with a building permit? Yes No Purpose of Building ❑ LJ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ New Service Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: tN S7 -,+Ce BA7zt 4V/20V6 Completion o the ollowin table ma be waived b the !ns ector No. of Recessed Luminaires No. of veil: Susp. (Paddle) Fans To^ o , totalo Wires. No. of Luminaire Outlets No. of fiat Tubs No. of Luminaires Z Swimming Pool ove[:) n- No. of Receptacle Outlets rnd. rnd. No. of Oil Burners No. of Switches Z No. of Cas Burners No. of Ranges No. of Air Cond. Tota Of Waste Disposers of Dishwashers of Dryers Heaters KW Hydromassage Bathtubs ice/Area Heating KW ding Appliances KW of _oN oF— Signs Ballasts of Motors Total IIP Generators KVA o. o mergency ig mg Battery Units FIRE ALARMS No. of Zones o. of erection an Initiatin Devices No. of Alerting Devices o. o e - ontame .Detection/Alertin Devices Local unicipa Connection ❑ Other Security Systems:" No. of Devices or Equivalent Data Wiring: No. of Devices or Eouivateni .attach additional detail irdesired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: BGy,, (When required by municipal policy.) Work to Start: //-/�j'_/g 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 cov age is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER (Specify:) /certify, under the pains and penalties of erjury, that the information on this application is true and complete. FIRM NAME:.0 ES /A/C S �2 Sc -R vI LIC. NO.: /7/ 94/4 Licensee: 41/GygEL 11111 4-0 Signature (Ijapplicable, enter exem t" to the ticen a number line.) LIC. NO.: f ,$7 C Address: �(i [y��X o(7 Bus. Tel. No. i(�/ 77/ p/ "Per M.G.L c 147, s. 57 61, security work requires Department ofPublic Safe Att. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer not have the liability Lin. No. required by law. By my signature below, I hereby waive this requirement. I am the check o e insurance coverage normally Owner/Agent ( ) ❑owner ❑ owner's agent. Signature Telephone No.__ PERMIT FEE. $ 75-