The URL can be used to link to this page

Home My WebLink AboutBlde-20-000291 Commonwealth of Official Use Only 416\ Massachusetts Permit No. BLDE-20-000291 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:7/17/2019 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) 29 NORMA AVE Owner or Tenant PAULA M " } { Telephone No. Owner's Address CASH THERESA,29 NORMA AVE,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 El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of hot tub. _Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans INo.of Total ,Transformers KVA No.of Luminaire Outlets No.of Hot Tubs 1 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 _InitiatingDevices __,_ 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* _ No.of evices 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: Michael D Hollister Licensee: Michael D Hollister Signature LIC.NO.: 10071 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:85 N DENNIS RD, S YARMOUTH MA 026641017 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: $65.00 G u)voiNz- 7((g(,? ( y Commonwealth of//Jadtac fttd .. • Official Use Only i� 1 -, c� a t(�( �i=s eparfinent o{.}ire Serviced Permit No. �3 - [Rev. - BOARD OF FIRE PREVENTION REGULATIONS Ov. 1/07]ncy_and Fee Checked @cave blank) 1 CI APPLICATION FOR°PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 27 CMR 12.D0 (PLEASE PRINT IN INK OR TYPE ALL INFORMAT10A9 Date: - /1.1 f ) 1 � City or Town of: YARMOUTH To the Inspector of Wires: c) By this application the Imdersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) a") 'A/6/Zr)/6 tl Y& Owner or Tenant pfiu_14 S 1.+ Telephone No.$t! �f Owner's Address Y Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 'Fgj 4306,1GE--- Utility Authorization No. Existing Service /oo Amps /2.0 l 2fry Volts Overhead K Undgrd❑ No.of Meters New Service r Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity /4 7 "7-4/ e4I w' r d fr-i ^/ d�- ~ �/ Location and Nature of Proposed Electrical Work: " Completion of the follawine 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 Liners cy Lightutg • _rnd. (Tim& BatterT units No.of Receptacle Outlets No.of OR Burners FIRE ALARMS JNo.of Zones • J 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 `Number !Tons RW No.of Self-Contained I`' Totals:I 1 Detection/Alertueg Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal 0 Other Connection No.of Dryers Heating Appliances KW +Security Systems:* No.of Water No.of Devices or Equivalent 'No.of o.o Nf Data Wiring:Heaters KW Signs Ballasts No.of Devices or Equivalent Cg No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent _ OTHER: NI Attach additional detail if derired or as required by the Inspector of Wirer. Estimated Value of Elec 'cal Work: fdd (When required by municipal policy.) Work to Start: /7 . Inspections to be requested in accordance with MEC Rule 10,and upon completion. r INSURANCE C VERAGE: 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 a BOND 0 OTHER 0 (Specify.) ' I certify, under the pains and penalties o f perju ,that the information on this application is true and complete. V FIRM NAME: i C IA}•cL 0 AQ��r�-- LIC.NO.:Iiiia 9 Licensee: _ Signature / (If applicable, rer.'ecempt"in t license rrumber ne.) LIC.NO.: Address: /j' /r. yyt ‘ is S.✓� tiz -- Bus.TeL No.: j "Per M.G.L. c. 147,s.57-61,securitywork requires / Alt.Tel.No.: Department of Public Safety"S"License: Lic.No. Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 5 required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner ❑owner's agent Owner/Agent I Signature Telephone No. I PERMIT FEE: $ (t5.W I