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Home My WebLink AboutBlde-20-002144 Commonwealth of Official Use Only it nil Massachusetts Permit No. BLDE-20-002144 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:10/17/2019 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) 41 PHEASANT COVE CIR Owner or Tenant MCCLELLAN GERALD S TRS Telephone No. Owner's Address MCCLELLAN KATHLEEN S TRS,41 PHEASANT COVE CIR,YARMOUTH PORT, MA 02675 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: Repairs to under ground service lateral. 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 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 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 ofperjury,that the information on this application is true and complete. FIRM NAME: John F Linhares Licensee: John F Linhares Signature LIC.NO.: 23211 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 CHRIS WAY,SOUTH DENNIS MA 026602619 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 Ce;:1 t 9 2.1 ((ci c 4,,,,A a3'71658 Commonweal of///adoac e Official Use Only ,• —* lil{ -•t cc�� c7 Permit No. Z.O Zt/\ k V\(4 �1 ; eLJePartment of,}ire�ervice� r t_( BOARD OF FIRE PREVENTION REGULATIONS [Rev. and Fee Checked (k\-..' 4 (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: /G /5-- /f' City or Town of: yettfria V 1/t To the Inspector of Wires: ' application the undersigned gives notice of his or her intention to perform the electrical work described below. ® tl n(Street&Number) 4/ f�r4,"4'?"2—ii V r w 7-14el 'or Tenant E1t2't-',b AT C2/24, Telephone No. >1 N O to s Address --- ` Is t}is, ermit in conjunction with a building permit?of Building Yes El No (Check Appropriate Box) `� Puo' �Gt/t , t Utility Authorization No. V Exiii Service s' Amps /Ad" /.'yGVolts Overhead❑ Undgrd No.of Meters 1 \ < ,� , N Amps / Volts Overhead V � S .:ce cc0 Undgrd ❑ No.of Meters Num of Feeders and Ampacity Location and Nature of Proposed Electrical Work: l?j/A/ t t v{,lk'jL fkE LA-Tex. Vit-u el Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf 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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number., s__.__KW. No.of Self-Contained Totals: Ton Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other, Connection 4 No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water K`,4, 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 E ectri al Work: (When required by municipal policy.) Work to Start: /d/i<7/)' 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 ge 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: -- LIC.NO.: Licensee: D/fN 1-/1.J ,Tiz tom Signa _ LIC.NO.: 3.2-11 c (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:, `d I' .3G V 4/64, Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work 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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ S(D