The URL can be used to link to this page

Home My WebLink AboutBLDE-19-006521 It t'Commonwealth of Official Use Only or 0f. ,�'(f1 ' Massachusetts Permit No. BLDE-19-006521 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked lRev.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:5/17/2019 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) 14 CYGNET RD Owner or Tenant ARONNE ERIC Telephone No. Owner's Address BREWER SHAWN, 14 CYGNET RD,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: Remodel kitchen&A/C condenser. 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 2 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 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating 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/Alerting Devices ,,, _ No.of Dishwashers 1 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: MICHAEL S SOBY Licensee: MICHAEL S SOBY Signature LIC.NO.: 10097 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:66 Lake Dr, Orleans MA 02653 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: $75.00 GVc t S7z$(/0 (C�i F(t C//3/i 1 /Z Caminotuviralth ot///a66acluzSaIs • Official Use Only -`s+�=7.... a:par-ttimed o f._tiro ( r �.$� ��— Permit No. �' -(��Z _ _ __= servicss --='� =f Occupancy and Fee Checked ,.s �r.� BOARD OF FIRE PREVENTION REGULATIONS ,[Rev. 1/07] . cleave blank) APPLICATION FOR•PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 A-' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f6 ., 0 City7,9. or Town of: YARMOUTH To the Insect r o Wires: \ _ By this application the undersigned gives notice of his or 'ntention to perform the electrical work described below. Nl\ Location (Street&Number) 4... Owner or Tenant ZPie Telephone No. ' i � �� Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No [N_ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service £ Amps-_)// )Volts Overhead Undgrd ❑ No.of Meters t New Service Amps / Volts Overhead E Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: !/-) 6)..b► t•atzkN(1)✓t--(l oet-,6)/7 ms 3 C KO �Mdef AOL7 1.2 r v k • S S � SPA Cl1Y7 dQ j/v�y� Completion o the roll instable may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of CeiFusp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets( No.of Hot Tubs Generators KVA _ ^ No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting - `� Prnd. arnd Battery Units Na.of Receptacle Outlets r. /0 No. of Oil Burners FIRE ALARMS No.of Zones No. of Switches i No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges Na of Air Cond. / Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Toas KW No,of Self-Contained - Totals:I Detection/Alerting Devices No.of Dishwashers ! Space/Area Heating KW Local D Municipal 0/ Connection No.of Dryers Heating Appliances KW Security Systems; No.of WaterNo.of Devices or Equivalent No.of No.of Heaters KW iData Wiring: Signs Ballasts No.of Devices or Equivalent jNo. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: .yAttach additional detail if desired or as required by the Inspector of Wires t Estimated Value o/f Electrical Work �)r (When required by municipal policy.) Work to Start: {� /4 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may y issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The i undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. i CHECK ONE: INSURANCE VL,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: rSO1lJ_e/J LIC.NO.:/G2 a Licensee: Mayt L��J/J Signature C LIC.NO.: (If applicable, enter "exempt" 'c a beeline.) us.TeL No. Address �9 35- 1 "Per M.G.L. c. 147, s.57-61,securitywork requiresAlt.Tel.No.: Department of Public Safety "License: Lic. No. OWNER'S INSURANCE WAIVER: 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)0 owner ❑owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE: $ 1