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Home My WebLink AboutBlde-19-007275 Commonwealth of Official Use Only E;.R;►�� Massachusetts Permit No. BLDE-19-007275 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:6/26/2019 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) 12 RAMPART RD Owner or Tenant HUBER SALLY S Telephone No. Owner's Address 12 RAMPART RD,YARMOUTH PORT, MA 02675-1121 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Replace meter socket&panel board for existing service. 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- CINo.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/Alertine 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: BRANDON J COOK Licensee: Brandon J Cook Signature LIC.NO.: 21761 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 ANGELOS WAY, MASHPEE MA 026493063 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 ir7Z—/ -- 4---(o i---, C:31 - 6 -=2-4-- `� 7 f ,g,...., Commonwealth of ii/assacha-deft, • Official Use On ly \''...) i '_-`AP+�_ = 1Sapar�in¢nt o{ ServicedPermit No. C — BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _____5:-____k_ `` [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 rF:s (PLEASE PRINT ININI;OR TYPE ALL INFORMATION) Date:, '-2-C— ' 4 City or Town of: YARMOUTH To the Inspector of Wires: By this application the Imdersigned gives notice of his or er intention to perform the electrical work described below. t Location (Street dr Number) 12,.. ` _� Owner or Tenant So`\Vf ‘.\t)Les Telephone No. -6c " WO Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No �[ El (Check Appropriate Box) "N) Purpose of Building 4' �(�,� ,,\ N 1 � 'Cotvc4 l)s,\:(\ Utility Authorization No. Existing Senice Amps Volts Overhead ❑ Uadgrd❑ No.of Meters New Service Amps / Volts Overhead E Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:A)e- e xs s- \CV.- rrla: r �nr�Q`Y 1c cFteae 6oua1 Completion of the follawin- table may be waived by the Inspector of Tires. 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 lt.mergency Lighting _rid. ❑ grn& ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INn.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number I Tons ICW No.of Self-Contained Totals:I �- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal I'0C�❑Connection ❑ Otiner No.of Dryers Heating Appliances K, 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: OTHER No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of lyres. Estimated Value of Electrical Work re /� (When required by municipal policy.) Work to Start: b ZC-0 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 [2 BOND ❑ OTHER 0 (Specify:) I certify, under th pains and penalties of pe �'uryi that the information on this application is true and complete. FIRM NAME: Ned-6 L.) ,r-7/,_A Licensee: LIC.NO.:J�-�-�2 Signature LIC.NO.: (If applicable t ex pt"in the license m r line.) Address. 1 05 ukn l a ?� � mail Bus.Tel.No.: -O If J `Per M.G.L. c. 147 57-61,sec ty work ires D -! Alt TeL N . Department of Public Safety"S'License: Lic.No. ct OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage n rmally 5 required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner 7 Owner/Agent ❑owner's a ant ISignature - Telephone No. . PERMIT FEE: $