The URL can be used to link to this page

Home My WebLink AboutE-20-192 Commonwealth of Official Use Only Permit No. BLDE-20-000192 ��,� Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:7/12/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 3 TURTLE COVE RD CUM'007- P2(0B Owner or Tenant REYNOLDS JOHN D Telephone No. Owner's Address REYNOLDS JUDITH A,3 TURTLE COVE RD, SOUTH YARMOUTH, MA 02664 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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire NC system. 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 Above 0 In- ElNo.of Emergency Lighting grad. 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 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 ❑ 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 Siens 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 ❑ 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: Gary L Gordon Licensee: Gary L Gordon Signature LIC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 `' Commorum=th of MaJJaciu derit • Official Use Only =chi=: cc-'�� cc�� n - ��_ 2eparti scsit o f...firs J Permit No ` Q _ _ _ Serviced =r=`- E. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS.0 jR I/07]ev. (leave blank) ---- APPLICATION FOR.PERMIT TO PERFORM ELECTRICAL WORK OtA All work to be performed in accordance with the Massachusetts EIectrical Code(MEC),527 CMR 12.00 Olt' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YAR1VIOUTH To the Inspector of Wires: (y\ 1 By this application the undersigned gives notice of his oo her intention to perform the electrical work described below. Telephone No.777 ` Location (Street&Number) 3 T r /..Je p._-0.04 Owner or Tenant P rio S Okil Owner's Address O 7-- -a r jip Is this permit in conjunction,with a b 1i in��t? Yes ❑<i�, .') � ❑ Na (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Servicgd Amps/GO la Volts Overhead k' Undgrd❑ No.of Meters New Service � Amps / Volts Overhead II Undgrd gr ❑ No.of Meters Number of Feeders and AmpacityPeAvAl pet.)..e.,_ Location and Nature of P oposed Electrical Work: 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 Swimmia Pool Above In- "No.of Emergency Lighting - ggrad. ❑ grid. ❑ Battery Units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS [No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Toas KW No,of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Municipal L0�❑Connection ❑ er . k No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Wiring: jZ Sips Ballasts No.of Devices or Equivalent ZNo. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: ` No.of Devices or Equivalent OTHER: AJ Attach additional detail if desired or as required by the Inspector of Wires. EstimatedStart:Value of Electrical Work: f (When required by municipal policy.) Work to � pe�ons o 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. CHK ONE: INSURANCE f,•/ BOND ❑ OTHER 0 (Specify:) IC certECify, under the pains and.enalties of perjury,that the information on this application is true and complete. FIRM NAME: Sv7-/r— `�� LIC.NO.: � d Licensee: Signature LIC.NO.-' / (If applicable,enter "ex pt"inch icense number line. A Address �- Bus.TeL No.: �� j "Per M.G.L. c. 14 ,s. 7-61,sec ' won requires Department of Public Safe Alt.TeL No.: �� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — S required by law. By my signature below,I hereby waive this requirement I am the(check one 0 owner o Owner/Agent ❑owner's a eat Signature Telephone No. PERMIT FEE: $ al