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Home My WebLink AboutE-20-1123 _ . j Costa m a ari 1l/____ Or ci:d tip Orly _ a it areo aesisf aj��rs�a�s"aa Permit No �-1U — 2-3 _-_;-,_17= Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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 TYPE ALL INFORWATIO11M Date: OF lig-//`/ City or Town_of: yak rvxd v-}-- - To the Inspector of Wires: By this application the undersigied gves notice of his or her intention to perform the electrical work described below. Location(Street& PrV Number) 9? ti-C12-42._,S/V.efti-C12-42._,SOwner or Tenant filGt7 I gWl 0411t� Telephone No. Owner's Address ? ACK rive a W uSYt+-l.®V 141S'5 h C1. . Is this permit in conjundioin with a building permit? Yes ❑ yNo EF--- (Check Appropriate Box) Purpose of Building :Milky Authorization No. ExistiiigService /CIO Amps Jam) I6WO Volts Overhead❑ Undgrd 1W No.ofMeters New Service - Amps / Volts - Overhead❑ Undgrd❑ No.ablated Number of Feeder's and Aaopacity - Location and Naturefof Proposed Electrical Work: 'tJ t & S vS-I-eNit f'Una p Pa-4tot A cgtwi (6 J+rt 4 r / ((the may la, rrb theIapectoe-((lyres No.of Recessed Luminaires - _No.of Cal-Susp.(Paddle)Fair o.of - Total - ransformcrs -KYA _ No.ofT min ire Outlets_ No.of Hot Tubs - -- - -- -. __ _ Generators _. _KVA. __ No.of LuminairesSwiarmnog Pool Abode ❑ In- n pro.of k meramcy l Img erect. end. _ . nary Uaits No.-of Rxeptade Outlets -, = Pio.of Oil Burners If t. ALARMS No.of Zones No.of Switches No.of Gas Burners - o.of Detection and -Initiatrn_Devices No.of Ranges No.ofAir Conn Total I o.of Alerting Devices No..-of WasteDisposers Reams I Number Tons 1KW of Self-Contained Totab:I It _,-.,;.,,, AlertinDevices No.of Dishwashers Space/Area Heating KW I i ❑ C+mwechea ❑ Other No.of Dryers Herdic Apphanaes KW - - S No.of Devices or Equivalent No.of Water No.of No.of a.to jai- ' Heaters KW sBallasts No.of Devices or i ,r -, - No.Hydromassne Bathtubs Na ablators eleoammnnications c = .otors Total HP No.ofDevices sr :, r -, - OTHER: C� - / - chadrhtiorrdd�m7¢dun" xi;arasrega� hndbytierewires Estimated Value ofElect ri Work.: 6S-6,0C (When required by munidpal policy.) - Work to Start t'OY ja 7/19 Ind to-be requested in accordance with MEC Rule 10,and upon coaipl INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof ofliabiit'y insurance including"cold operation"cover e or its substantial equivalent. The undersigned certifies that suchcroversre is in force,and hasexhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BO D ❑ OTHER 0 (SPeci1 ) I cert.fy,ruder&ep Peres QfPejwy,that the information on this aeon is Due and comgikte. FRMNAME= Qin LIC-MI: jQ7Y3 e - Licensee: S„,,_ _ . L 5gnat:we sr.-..: LIC.NO.:/a 75/3 8 afopprocabk.other cnemis in tire hie member tine) Bus.TeL No.:775'959Sf"SYeV Address: Mk ro>archsui 'ta f-tJe IW&04473 Alt TeL No.: *Per M.GL c.147,s.57-61,security work requires "S t ofPublic Safety 'License: Lis Na OWNER'S INSURANCE WY_Ai_YL 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)❑owner D owner's agent - Telephone No. $ - . Commonwealth of Official Use Only firisorA. Massachusetts Permit No. BLDE-20-001123 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:8/29/2019 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) 98 ACRES AVE Owner or Tenant ODONNELL JAMES F JR(PERS REP) Telephone No. Owner's Address P 0 BOX 475758, SAN FRANCISCO,CA 84147 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: Septic pump&alarm. 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 ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grbovend. ❑ IInnd ❑ 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat No.of Waste Disposers Total Pump I Number I Tons I KW No.of Self-Contained 1 Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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 ❑ S eci I certify,under the pains andpenalties o ( p ) fperjury,that the information on this application is true and complete. FIRM NAME: Steven J Paine Licensee: Steven J Paine Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: 12743 Address: 108 CONSTANCE AVE,W YARMOUTH MA 026731509 AusTel. o.:: Alt. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Tel.No.: 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 thecheck one)) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. ‘ 'PERMIT FEE:$50.00