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Home My WebLink Aboutblde-20-001190 Commonwealth of Official Use Only tit Massachusetts Permit No. BLDE-20-001190 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•9/3/2019 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 electncal work described below. Location(Street&Number) 37 ARROWHEAD DR Owner or Tenant CAVAS EMANUEL Telephone No. Owner's Address CAVAS MARY, 37 ARROWHEAD DRIVE,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: Service repairs. 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 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: 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Christopher M Mcdonough Licensee: Christopher M Mcdonough Signature LIC.NO.: 10143 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:22 WHITFORD CIR, MARSHFIELD MA 020504148 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 KW,L, l 08/23/2019 FRI 16: 22 FAX 508 790 9062 Eversource 6;001/001 `e ni a J. / Jitiftula iLag-v 1-- -c.,/, Commonwealth of Massachusetts Official Use Only ._� f Permit No. ��/'I I `N ) _'' +-- Department of Fire Services - I ~-. Occupancy and Fee Checked 0 — BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) )41 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Codc(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INI''ORMAT ION) Date: 9/2 11 City or Town of: YAF-riov r VI To the Inspector o Wires: OP • ••--1 z B this application the undersigned gives notice of his or her intention to perform the electrical work described below. 11, ' c- Fa' L cation(Street&Number/)/ 3 9. �� .O� 11090 (e,/� c °O ne�or Tenant Via L.fr.5t S Telephone No. /°32J16(!7 c: I.,0' ner's Address ;�r�►"'� t t ,:Is, his permit in conjunction with a building permit? Yes El No a (Check Appropriate Box) WPti pose of Building8, at-4-C,1-M Utility Authorization No. = z ?ting Service I� Amps (11 / 2,'4u Volts Overhead Undgrd❑ No,of Meters I Jihti Service Amps / Volts Overhead❑ Undgrd IIINo.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 6FgeA,CAl- P -NGI C1"1J pi (• Completion of the fo/o.1 g table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Sus Tr.or Total P•(Paddle)Fans Transformers KVA _ No.of Lulninaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units s No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.?Dete and Initiatingon and No.of Ranges No.of Air Cond. Total Tun r No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons It W_ No.of self-contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heatin• KW Local❑ Municipal ❑ Other P 6 Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of meter KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 0 J No.N dromassa c Bathtubs No,of Motors Total HP Telecommunications Wiring: y g No.of Devices or Equivalent OTHER: Attach additional detail(desired,or as required by the inspector of Wirer. Estimated Value of Electrical Work: /t O.) (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 `t3. the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover ge is in force,and has exhibited proof of same to the permit issuing office_ "c" CHECK ONE: INSURANCE coverage D OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. O FIRM NAME: L►ybop k jm`Potoll. L.e-15,4 _6/ r'c cr\ LIC.NO.: i D w/5t�p 7 C Licensee: Signature :Are' " LIC.NO.: 0 (If applicable,enter"exenpt' air Ilcensgg number lint)[ ,a Bus.Tel.No.:7$1-(a03'6566 Q Address: ZZ Lvh. ('a.1c. rolg 4$N(v eli 1)44 bae.50 Alt.Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance co e-nortxtolly- required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 ow r ❑owner's agent. Owner/Agent • Signature Telephone No. PERMIT E: $ 5 d. 0..)