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Home My WebLink AboutBlde-19-006324 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-006324 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:5/8/2019 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) 19 CHANNEL POINT DR Owner or Tenant YANNATOS DIONYSIOS Telephone No. Owner's Address YANNATOS HARICLIA, 19 CHANNEL POINT DR,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 boiler. Completion of the,following table may he 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 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 0 BOND ❑ 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 tee7(' 1( ? k**72: _ COrMIiORlUeatih o///JaddaC W Official Use 1y \ ,T. fi q �3 (�4 (� 1 _ •�1_ ? . )eparlmenf o{ crvices Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy Lin and Fee aCnk) '�.� �� '�` [Rev. 1/07] (leave blank)_ t, ' 'J APPLICATION FOR•PERMIT TO PERFORM ELECTRICAL WORKAll work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 /9 $ City or Town of: YARMOUTH To the Insp ctor o Wires_ ç'j y this application the pndersied gives notice of 's or her in 4:14/ o performt the electrical work described below. Location(Street&Number) q v�� e /name didy_. Owner or Tenant 0 p Sias' „x./J i-)°` Telephone No. Owner's Address �i Is this permit in conjunctio with pgilding permit? Yes ❑ No ��1 � ❑ (Check Appropriate Box) Purpose of Building 1 / A--"-), Utility Authorization No. Existing Service] d Amps /� Volts Overhead Undgrd gr ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd> ❑/y+� �h of Meters Number of Feeders and Ampacity (,t _ `�y.�— ld / Location and �Nature of Proposed Electrical W k: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei1.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 limergency Lighting - ernd. ernd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.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 Number Tons KW No.of Self-Contained Totals:I , ' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loral❑ Municipal Connection ❑ �� No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of Devices or Equivalent ® No.of Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent A.) No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: -f�/ Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of El ctrical Work 3 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. ki INSURANCE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless t_ 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 certrfy, under the pains and.enalttes of erjury,tF the information on this application is true and complete FIRM NAME: C07 /l P b LIC.NO.: /,�a7'd Licensee: et P Signature (If applicable.enter"ex f"'n t licet rrum .) Bus. LIC.NO. L`3 �/ Address: , /s S ��t / e ldt, Tel.No.: 4 J `Per M.G.L. c. 147,s.57- 1,security ork requires Department of blic ,SJ Alt.Tel.No.•��IfI//!!!1`, OWNER'S INSURANCE WAIVER: lam aware that the Licensee does not have the liabilityLicense: No. insurance coverage normally S required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner ❑owner's a eat t Owner/Agent Signature Telephone No. PERMIT FEE: $ 5 v