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Home My WebLink AboutBlde-20-000302 \�� Commonwealth of Official Use Only o. fi Massachusetts Permit No. BLDE-20-000302 • 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:7/18/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto he electrical viefk described below. Location(Street&Number) 37 MOORING LN (t tJ 2C4oP.4fJ Owner or Tenant RIM+$— Telephone No. Owner's Address 37 MOORING LN, SOUTH YARMOUTH, MA 02664-2217 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 ❑ 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 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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 eea 9// ( 9 t C�oemmoruasa of///assachu.4elfs ,. Official Use ly • i parimeni o/ Serviced Permit No. -- ' 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 .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 12 1 City or Town of: YARMOUTH �" $1 g To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) OOP' t n Owner or Tenant u COT CO Pi f1 Telephone No Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No . g. (Check Appropriate Box) Purpose of BuildiagOn 7 F'AIK t / E I i Utility Authorization No. Existing Service Amps 1af 1two Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead E Undg rd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 0;74 tc 9,t9 spies.►,ink-- r to nnc� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Col.-Snsp.(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 h.mergency Lighting - _rid. Li _rnd. LI Battery units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS INo.of Zones • No.of Switches No.of Gas Burners No.of Detection and No.of Ranges No. of Air Cond. Total No. Devices - 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 Q Municipal Connection D other 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: _ L� Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work f 95 — (When required by municipal policy.) Work to Start: Inspections 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 ❑ OTHER ❑ (Specify:) I cerizfy, under the pains and penalties of perjury,that the info ' n on is appli n is true and complete. FIRM NA • LIC.NO.: Licensee: L Signatur LIC.NO.:(If applicable,enter"exempt"in the license ber line.) Address: Bus.TeL No.: j Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie. No.. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability 5 required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner E]era owner's g—ly Owner/Agent Signature Telephone No. PERMIT FEE: $ ,