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Home My WebLink AboutBlde-19-007046 �. Commonwealth of Official Use Only •Lam,:411 Massachusetts Permit No. BLDE-19-007046 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:6/13/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to perform the electrical work described below. Location(Street&Number) 211B PLEASANT ST Owner or Tenant SEELEY GARY P Telephone No. Owner's Address SEELEY SANDRA M,211B OFF PLEASANT ST,SOUTH YARMOUTH, MA 02664 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: In ground pool. 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/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 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: Kenneth E Twigg Licensee: Kenneth E Twigg Signature LIC.NO.: 17306 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 11 Elizabeth Dr, Pembroke MA 023592862 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: $85.00 Jun& D t( w r_ Ilk i =_-__ Cow,wi, of 2��lts Official Use Only iced -- `��apartment of C�� Permit No. -7 ��j -`-f- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] . (leave blank) }_ APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL �� All work to be WORK performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 c\2 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c.�.0 � 1Z ao >9 ,�r, z City or Town of: YARMOUTH To the Inspector of Wires: 4 p . By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) a i( -g PC6 4,S A. ,r ' u_-.•..._ Owner or Tenant i‘IR,Y S'�Lty Telephone No.S"o -, Owner's Address ..S Alh.� �� -ps�-� Is this permit in conjunction with a building permit? Yes t� No . 0 (Check Appropriate Box) Purpose of Building g ti-.S . Utility Authorization No. Existing Service Amps / Volts Overhead 0 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: U/M(.tet.`} OP .. �llov N 1- t, t + 4SSacc.itz tocol E esu-e r. Completion of the followin. table may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Cei1.-Snsp.(Paddle)Fans No.of Total Transformers gVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimcnia Pool Above In- No.of Emergency Lighting g :rnd. ❑ ernd. 0 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 No.of Ranges No. 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: j Detection/Alerting Devices No.of Dishwashers SpacelArea Heating KW Municipal p Local❑Connection ❑ Other v No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring 1p Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent . OTHER: 62 Attach additional detail if desired or as required by the Inspector of Wires. 62 Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 6/j Z/ /9 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 V 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 EKBOND 0 OTHER ❑ (Specify:) e• �•j- b J) . S v/ I certify, under the pains andpenalties o /6! zV f perjury,that the information on this application is true and complete. L3 FIRM NAME:c0 R Pr,R,�TE c7eer,.iCAt`, �2vIC�S A LIC.NO.: / 7304 A `` I Licensee: /(€ti '7'�l ' --�t- 1. 0-applicable,enter "exempt"in the license number l' e.) Signature LIC. o.:_ 3=� E Address: //. EZIZ*4.ETN D,L < 1`'1t8RcJ kr � � 3 Bus.t TeL No.: J J `Per M.G.L.c. 147,s.57-61,securitywork requires 1`' Alt TeL No.: [�ds�q Department of Public Safety"S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner El owner's agent Owner/Agent . i Signature Telephone No. [PERMIT FEE: $ �s-.�