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Home My WebLink AboutBLDE-19-006835 0 Commonwealth of Official Use Only f . :4\ Massachusetts Permit No. BLDE-19-006835 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:6/4/2019 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) 42 SUNSET DR Owner or Tenant OCONNELL JOHN J Telephone No. Owner's Address OCONNELL BARBARA A, 77 MONTROSE ST, NEWTON, MA 02158-2726 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: Exterior service replacement. 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 ❑ 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 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 Space/Area Heating KW Local ❑ 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: Jeffrey T Foss Licensee: Jeffrey T Foss Signature LIC.NO.: 36938 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 SULLIVAN RD,W YARMOUTH MA 026733543 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 k- 9 (/ ;/ 9k.. _ - l�ommoner/42ts oil//la3.5ac tt3 • ,. • Official Use Only 1.-__ (�&3 4i=: `� Permit No. eq— = �= _ cpartmed o __ ( __r �CrViGl1 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked :.�.'` (Rev. 1/07] --_ (leave blank) APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: j ! 7 City or Town of: YAR1VIOUTH To the Inspec or of Tres_ 0 By 's application the itmdersigned gives notice oe�r her intention to perform the elec ical work scribed below. wca on (Street&Nu//m er)p, /;�J �(/�e pie pvts ►Ie/f �. W o� r or Tenant 14II ��""" L/t '1� > ' -' D /t/ >°� Telephone No. - Q�� ;c' is Address W , Or h permit in conjunction with a building permit? Yes ❑ No M (Check Appropriate Box) 2 P� se of B 0 = 7rp Building = Utility Authorization No. Lli 1 i s ng Service/((0 Amps /?Q /42V( Volts Overhead Undgrd tr' ❑ No.of Meters ervice Amps / Volts Overhead E Undgrd fir ❑ No.of Meters r umoer of Feeders and Ampacity akin Location and Nature of Proposed Electrical Work: ��//'"le /1461 t 5 cK e7 .Z,Us '1/ G/nou d s�`�le S� G /P e `'� 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 ❑ In- No.of Emergency Lighting ernd. ,ernd. ❑ Battery Units No.of Receptacle Outlets No.of OH Burners FIRE ALARMS [No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating_Devices TotalNo.of Ranges Na of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained V Totals:l Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other .) No.of Dryers Heating Appliances KW Security Systems:* ... No.of Water No. of No.of Devices or Equivalent No.of Heaters KW Signs Data Wiring: Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent � Attach additional detail if desired or as required by the Inspector of Wires. � Estimated Value of El tricai Work (When required by municipal policy.) Work to Start: p p �') Inspections to be requested in accordance with MEC Rule 10,and upon completion. r--.. INSURANCE CO E GE: 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 J' BOND 0 OTHER 0 (Specify:) Cbfy flp jrei'e 4/j ca, /07 VI ` I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Licensee: el del LIC.NO.: (If applicable, mp " e . 1 Signature l e` " LIC.NO.:�� / n t e lic er If e • Address: I Bus.Tel.No.: j *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe Alt Tel.No.: 2A �6rog -- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature owner below,I hereby waive this requirement. I am the(check one ❑ Owner/Agent ❑owner's a ea Signature. Telephone No. PERMIT FEE: $ SD'