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Home My WebLink AboutBlde-20-000498 Commonwealth of Official Use Only Ifi,.. 7t7r111 Massachusetts Permit No. BLDE-20-000498 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:7/29/2019 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. O, Location(Street&Number) 103 WENDWARD WAY 77('— ` J Owner or Tenant ENRIGHT VICTOR J JR Telephone No. Owner's Address ENRIGHT ANNA E, 103 WENDWARD WAY,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: Replacement furnace. 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 El 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 1 No.of Detection and Initiatine 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/Alertine Devices No.of Dishwashers 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 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: Gary L Gordon Licensee: Gary L Gordon Signature LIC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 oozes), 74, _ r Commonwealth of Massachu e • Official Use Only ___ 0 IR R ��__/ . eparfmant of �`iro Permit No. C/(�J r .Serviced t • __�= Occupancy and Fee Checked '-:,, ,r. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/D7] Li (leave blank) A ckl (211.,0,0 APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code WORK Oick (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: C),527 CMR l 2.00 City or Town of: �� .g 1. YARMOUTH To the Inspector of Wires:By this application the undersigned gives notice of his or her intention to perform the electrical work de . below. i Location (Street&Number) ,//9 a Owner or Tenant , ( G v 2— Y®'r t '1 T lephone No. d Owner's Address Sol rh-e-. Is this permit in conjunctio with a buildinlg permit? Yes ❑ No �� ❑ (Check ropriate Purpose of Building & Authorization No. "6 Existing Service/60 Amps / Volts Overhead Undgrd s� � ❑ No.of Meters "y New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters CNC Number of Feeders and Ampacity /,t )` pc_ a.,-,,,,e., Location and Nature of Proposed Electrical Work: Q '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 SwimmingPool Above in- ❑ No.of Emergency Lighting =rod. ❑ prod.. 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 _J Initiating Devices No.of Ranges N Total o.of Air Cond. Tons No.of Alerting Devices ' No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun Connection El Other No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of Devices or Equivalent .� KW No.of No.of Heaters Signs Data Wiring: Ballasts No.of Devices or Equivalent t_ No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No ,� OTHER: No.of Devices or Equivalent b. ,. \ - Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of lectric I Work r (When required by municipal policy.) A Work to Start: �? �� Inspections to be requested in accordance with MEC Rule l0,and upon completion. INSURANCE C E GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless il 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. 'j CHECK ONE: INSURANCE El BOND 0 OTHER 0 (Specify:) V I certtfy, under the pains and penalties ofperju P f perju ,th the information on this application is true and complete i FIRM NAME: � (z 1 Licensee: ,��. G LIC.NO.: d Signature . , LIC.NO.ig___? `7 (If applicable,enter "ere pt"'n the license rim line.) . Address-. y tr, Bus.Tel.No.: /0/ ,J "Per M.G.L. c. 147, s.57-61,se work requires Department of Publi Safe Alt.TeL No.: OWNER'S INSURANCE W IVER: I atn aware that the Licensee does not have the liability insuranc.No. ce nce coverage normal S required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner o y Owner/Agent ❑owner's a ent 01 PERMIT FEE: $ Signature Telephone No.