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Home My WebLink AboutBLDE19-007048 -- or Commonwealth of Official Use Only 444 'E Massachusetts Permit No. BLDE-19-007048 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:6/13/2019 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) 24 NIAGARA LN Owner or Tenant NAGY MICHAEL T Telephone No. Owner's Address NAGY BARBARA,24 NIAGARA LN,WEST YARMOUTH, MA 02673 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: Replace service mast&meter socket. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: No.of Total Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.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 Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinu Devices Space/Area HeatingLocal 0 Municipal No.of Dishwashers P KW Connection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers PP 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 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: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD, HYANNIS MA 026012043 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 43/ r COmanontoea/th 4Massac fls Official Use Only • _�i_ _(� �7� �i Permit No, e-1q'-7� g __1f_ -' , eparin c o/.lire Services BOARD OF FIRE PREVENTION REGULATIONS Occu/ .a(l Fec Cnkked jRev. I/07] ) 7) (leave blank) 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: Sv City or Town of: YARMOUTH "r 2i, Zo/9 By this application the undersigned To the Inspector of Wires: im gn gives notice of his or her intention to perform the electrical work described below. •-_ - ocation (Street&Number) Z Y N (S riot L/� R ._.--- Owner or Tenant is 6u;L2 i5 A J ep 1 WITel hone No. '! Owner's Address u c� -- this permit in conjunction with a buildingpermit? ❑ No Yes (Check Appropriate Box) L, v- purpose of BtWding bWe1I;RJt, A Utility Authorization No. h,. / — 1(xisting Service E � Epp Amps /Zp / yo Volts Overhead E Undgrd❑ No.of Meters �i T '� Iiiew Service Amps / Volts Overhead❑ Undgrd El NO.of Meters ,�"--"--- Number of Feeders and Ampacity ------ """"Location and Nature of Proposed Electrical Work KcP/acp. ge['f/iC.P s-1� - 4-M�Tcr- Sae.,,,�-7 Completion of the following table may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of Col-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Switnmia pool Above In- No.of t mergency Lighting _ g grad. ❑ amid. ❑ Battery Units No.of Receptacle Outlets No.of Ott 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump1Namber I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal - Connection ❑ Other No.of Dryers Heating Appliances KVV Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters ' No.of Data Wiring: Sins Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommanicatioas 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 Work to Start (When required by municipal policy.) 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 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 2 BOND ❑ OTHER 0 (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:pAy ;Az- IF IEc.Tr;c i L Co&7-Ac,7"o �5 LIC.NO.: / Licensee:CC//__11DD -cc,pno„,,, Co��p J/p Signatures (If applicable,enter "exempt"in the license number line.) '�i�> LIC.NO.: . Address. 372,/A(" 0Liti-1 21) � -)q )/L S H, . OZ6O/ Bus.Tel.No.:_ �3T$ r009 ,j Per M.G.L.c. 1 7,s.57-61,security work quires Department of Public Safety"S"License: Alt Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 5 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 I Signature Telephone No. [PERMIT FEE: $