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Home My WebLink Aboutblde-20-002180 Commonwealth of Official Use Only II` st Permit No. BLDE-20-002180 Massachusetts � 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:10/18/2019 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) 31 KATES PATH VILLAGE Owner or Tenant BANKS WILLIAM A JR Telephone No. Owner's Address BANKS MARILYN M, 31 KATES PATH,YARMOUTH PORT, MA 02675-1448 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 Furnace. 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 1 No.of Detection and Initiatine 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/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 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: SEAN C ROGAN Licensee: Sean C Rogan Signature LIC.NO.: 20141 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 MELIX AVE, PLYMOUTH MA 023601280 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 gi • Official Use Only&o C,. orrimonwsa aaeac uasiia ,� ' Permit No. ,.,. sloarlmsaE o�,}e�irs Serviced i'.) BOARD OF FIRE PREVENTION REGULATIONS Occupancy andFee Checked ''•,, ` [Rev. 1/07] (leave blank) V APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ki 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: /0//21 /�Z City or Town of: YARMOUTH To the Inspector of Wires: aBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3/ k4 Peg PA11-I C„ Owner or Tenant ,/// eck kr Telephone No. (� Owner's Address Ca►^+.— Is thispermit in conjunction with a buildingpermit? Yes j pe ❑ No (Check Appropriate Box) Purpose of Building Dbbedi kis Utility Authorization No. 0 ` ExistingService Amps / Volts Overhead 0 i P ❑ Undgrd❑ No.of Meters 1/4 t,4 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters V 3 ' Number of Feeders and Ampadty • Location and Nature of Proposed Electrical Work: ,F�i-44e.G (glaczisiti r \' Completion of the followin table mg be waived by the Inspector of Wires. i9 No.of Total 1-1.. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA i No.of Luminaire Outlets No.of Hot Tubs Generators KVA •5 No.of Luminaires Swimmin Pool Above In- 'No.of Emergency Lighting g grnd. ❑ grnd. 0 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: ""'' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municip lonnection ❑ other, C No.of Dryers Heating Appliances W Security Systems:* KW No.of Devices or Equivalent No.of Water KW Heaters Signs Ballasts No.of Devices of No.of Data Wiring: evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent (d OTHER: tf� Attach additional detail if desired,or as required by the Inspector of Wires. - 7 Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: /''13r//) 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 w 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 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: C-R Pic_]7yc-.... L LIC.NO.:4Z0/4-1 Licensee: e v a ,o✓ Signature LIC.NO.: EC 36et (If applicable,a er enipt"in{he license numb line.) Bus.TeL No.: P-3414 67 Address: 5' , 70/fir ,dc*� A'.4 L ' ��PI0 f'?,ntir 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $