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Home My WebLink AboutBlde-20-000141 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000141 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:7/10/2019 City or Town of: YARMOUTH 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) 8 WASHINGTON AVE Owner or Tenant MAGUIRE KAREN A Telephone No. Owner's Address 8 WASHINGTON AVE,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 fu e. 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 Ab 0 In- ❑ No.of Emergency Lighting grnove d. 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 0 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: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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 COITL nonraiatfh 01///26611•4 f4i • Official Use Only -_ �`�= = apartmentC./ sarvicea Permit No. [kJ. o ( ' --_ - BOARD OF ARE PREVENTION REGULATIONS O�ancy and Fee Checked S� '�'`� [Rev. l/07J (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.(10 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-/d - l cl City or Town of: YARMOUTH To the Inspector of Wires: By this application the Imdersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) R Go e�s 1 i 10 4_c.,/ A-t1 Owner or Tenant V ar.G n yi n d \ Telephone No. 'Z. O er's Address J ZIsi s permit in conjunction with a building permit? Yes No w (Check Appropriate Box) UJr a, P ose of Building i F4 t. Utility Authorization No. > 1 QEl 'ag Service Amps / Volts Overhead a 0 Undgrd❑ No.of Meters w i - JN Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters ! ; N tuber of Feeders and Ampacity W - , oL lion and Nature of Proposed Electrical Work �"-r'i' C c (a� � la.. . m e t 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 Traasformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming pool Above ❑ In- ❑ No.of 1~:mergency Lighting - and. Enid. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.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 Number Tons KW 'No.of Self-Contained C Totals:I { ! Detection/Alerting Devices 0 No.of Dishwashers Space/Area HeatingKW Municipal Local❑Connection ❑ Other • No.of Dryers Heating Appliances , Security SysteKms:* No.of Water No.of No.of Devices or Equivalent o Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent -,� No.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs 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.) -y Work to Start: .7 — ( i-- 1 Inspections peons to be requested in accordance with MEC Rule 10,and upon completion. 'i' INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless .9 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The 0 undersigned certifies that such cove is in force,and has exhibited proof of same to the permit issuing office. 5 CHECK ONE: INSURANCE O BOND � OTHER (Specify) I certify, under the pains and penalties of perjury,that the information on this application is true and complete y FIRM NAME: v`i o (d 4 .1•Q_ E I. c-)-,,i c_ L.1. C Licensee: LIC.NO.: p ,S- � �r-«1 � i /.2.' - Signature Pet....-el ,.�,u, Z- LIC.NO.: (If applicable,enter "exempt"in the license number lineA . Address. 18 a rtc i.cv n/`t v-e Fo,e.�4c94 le pit('- a 1. tin 4 ls B Its.Tel.No.: (-,1 .f7.s-- J "`Per M.G.L.c. 147,s.57-61,securi work re Alt•Tel.No.: ty quires Department of Public Safety"S"Lice: Lic.No. - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n�or-mally 5 required by law. By my signature below,I hereby waive this requirement. I am the(check one)[D owner ❑owner's agent. Owner/Agent I Signature Telephone No. L PERMIT FEE: S 1