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Home My WebLink AboutBlde-19-000886 / Commonwealth of Official Use Only atM Massachusetts Permit No. BLDE-19-000886 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:8/15/2018 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) 28 VALLEY RD Owner or Tenant TOBIN JOHN TRS Telephone No. Owner's Address TOBIN JOYCE M TRS,58 HILLSIDE ST, MILTON,MA 02186 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec ropriate Box) Purpose of Building Utility Authorization No. 4 Existing Service Amps Volts Overhead 0 Undgrd 0 Ntv / New Service Amps Volts Overhead 0 Undgrdt'. jte 7.11k17 Number of Feeders and AmpacityjIlf 0:5)0 Location and Nature of Proposed Electrical Work: Wiring of sun room. • Completion of the following table may be . •0jor of Wires. No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans No.of ►� 1 Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Imtiatine Devices No.of Ranges No.of Air Cond. 1 Total 2 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: Paul J Notarangelo Licensee: Paul J Notarangelo Signature LIC.NO.: 16080 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 146 HULL ST, HINGHAM MA 020431423 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:$75.00 eitd it' N A E (z7( CCommonwealth mmonwea of Masaac fti Official Use Only lii' Permit No. _ _==.e+l = �Sspar6nanE o`er,,.S' -=f • ' Occupancy and Fee Checked r7S 07) BOARD OF FIRE PREVENTION REGULATIONS [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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: _/s-�_, 74 - M City or Town of: YAROUTH To the2nnspector of Wires: By this application the undersigned gives notice of his or her intention to rform the electrical work described below. Location(Street&Number) /24( l/a,//� , e Owner or Tenant joky -T-CB,-A/ ( Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. - Existing Service fee Amps aa /2Y0 Volts Overhead ❑_ Und d gr ❑ 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: ii.,/,ite._ J!`,...,, ty„.77 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 1 mergency Lighting grad. grad. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches c/ No.of Gas Burners No.of Detection and 1 (( Initiating Devices No.of Ranges No.of Air Cond. / Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local❑ 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: g: 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: 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 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: { I' ' - € L' ,e tC LIC.NO.:j�/ 4 Licensee: P/9v / 4/6744- ,,a7�/0 Signature LIC.NO.: 36 '7 (If applicable.a ter"exempt' in the license number line.) �/ Bus.Tel.No.:9Y/ eil Address 7 t`n Q s y M #7 61 0 2 O'y 7 /�'9� Alt.Tel.No.: 4/ 77b‘ `09y5— ...i "Per M.G.L. c. 147,s.57-61,security wor requires 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 S required by law. By my signature below,I hereby waive this requirement. I am the(check one)ID owner El owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE: $ I