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Home My WebLink AboutBlde-20-001020 ar Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-001020 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:8/26/2019 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) 16 BOB-0-LINK LN Owner or Tenant PATTON RONALD V Telephone No. Owner's Address PATTON LORRAINE PAYNE, 16 COVE RD, SOUTH DENNIS, MA 02660-3501 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 ❑ 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 bathroom. 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 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 ❑ 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: THOMAS P SULLIVAN Licensee: Thomas P Sullivan Signature LIC.NO.: 18182 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 WAQUOIT RD,COTUIT MA 026353517 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 casuatt 6 f 7h (19 c r _ eonunruos oaitls of///adsaehussLts Official Use Only !r / 1JaParfinarst o�lira Services No. l �-tJ �(��Q �'` ATIONS BOARD OF FIRE PREVENTION REGULOccupancy 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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I ,2 3'-../7 City or Town of: YAR1VIOUTH To the Inspector of Wires: By this application the undersigned Vies notice of his or her intention to perform the electrical work described below. Location (Street&Number) /(ar aerIe�l i- Owner Tetra ivic40 R Owner's Address r� Telephone No. Is this permit in conjure on with a building permit? Yes E No 0 (Check Appropriate Box) Purpose of Building S C O�j )� Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: R-(3)44 O Of Igr Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ce�1.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ Ia- No.of Emergency righting grad. grnd. Battery units No.of Receptacle Outlets No.of Oil 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. Tod No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons No.of Self-Contained Totals:I I I KW Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal a Local❑Connection ❑ Omer No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters ' No.of Data Wiring: 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 f ectric Work (When required by municipal policy.) Work to Start: �s Inspections to be requested in accordance with MEC Rule 10,and upon completion., INSURANCE OVERAGE: Unless waived by the owner,no permit for the performance of electricalyissue 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 ❑ OTHER 0 (Specify:) I certify, under the atrts FIRM NAME:the o .erju at the in •rncafion .,�•PP[l •y.. is true and complete. `/ , /�� LIC.NO.: Licensee: J , :y 1� 7 , . Signature ?ram d (If applicabl enter" t"in t7e�icerise tuber 'ne.) 1/ /�— LIC.N O.: Address: / n (ky Bus.Tel.No.: Alt.Tel.No. J Per M.G.L. c. 147,s.57 ,securitywork requires Department of Public Safetyc. : o. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 ownero ` Owner/Agent0 owner's a eat. lISignature . Telephone No. •.• PERMIT FEE: $