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Home My WebLink AboutBLDE-20-000422 o' Commonwealth of Official Use Only ,s Massachusetts Permit No. BLDE-20-000422 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:7/25/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to pertorm the electrical work described below. Location(Street&Number) 1 BENNETT AVE Owner or Tenant KOVACS LOUIS S Telephone No. Owner's Address KOVACS LUCINE A, 1 BENNETT AVE,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 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repairs/renewal of service due to storm. 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 ❑ 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 +.R Commonwealth of/fla actucseth • Official Use Only -m`�i-_ / e Permit No. 2 parlmeni o f. e services i Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/0TJ . pea„blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICA WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 CMR (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 1S City or Town of: YAR1VIOUTH To the Inspec or of \ By this application the dersi ed ram' im gives notice his or her' tendon to perform/ the e1e cal�rk described / Location (Street&Number) v/lli'�/v� //�' Owner or Tenant h64 U t`5 toil I 5. Telephone No. S� 2 v69 Owner's Address 5 i7z4 /� Is this permit in conjunction with a building permit? Yes � ❑ No (Check Appropriate Box) TF Purpose of Building Utility Authorization No. Existing Service,2oa Amps /A //V0 Volts Overhead Und grd❑ No,of Meters /' / New Service Amps / Vo is Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity D liter[ L tion an N re of Pr2Eosed Elec ork: ej. <3 1 CP 1 (37/65li/'` Co letion o the ollowin table m be waived the Ins ector o Wires. No.of Recessed L minaires No.of CeiL-Susp.(Paddle)Fans o.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. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS {No.of Zones 'Z''' No.of Switches No.of Gas Burners No.of Detection and - ' Initiating Devices No.of Ranges NTotal o.of Air Cond. Tons No,of Alerting Devices No.of Waste Disposers Heat Pump l Number (Tons I KW No.of Self-Contained Totals:I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal L Connection ❑ Oth7 No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent Heaters KW Signs Ballasts Data Wiring: 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 Wirer. Estimated Value of ctric Work (When required by municipal policy.) •i— Work to Start: 7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE. 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 (Specify:) Co/�l ie/&,,Gr�' 2, 5 id /D �/ I certify, under the pains and penalties of perjury,that the information on this application is true and complete. / FIRM NAME: (i LIC.NO.: Licensee: �`e (�/ _ Signature (If applicable. ere n epm / LIC.NO.:. Address. /" -If �iI�/.I ne.) tit Bus.TeL No.: j *Per M.G.L. c. I 7,s_ l,secunty work requires1 Dep rof Public Safety" "d't1 er Alt TeL No.: �� : Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normallyS 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: $