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Home My WebLink AboutBlde-19-004065 Commonwealth of Official Use only Permit No. BLDE-19-004065 ' � 4\ Massachusetts i 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•1/10/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto the electrical work d sc'bed below. Location(Street&Number) 54 OLD HYANNIS RD IA /SGu) Owner or Tenant LEBEL LAURIE SNOWDEN TR Telephone No. Owner's Address t t" Is this permit in conjunction with a building permit? Yes 0 No 0 (C '4 Purpose of Building Utility Authorization = ' ;'. Existing Service Amps Volts Overhead 0 Undgrd . New Service Amps Volts Overhead 0 Undgrd III of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence w/rebar grounding. 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 Inttiatinc 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 ❑ 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: William R Reeves Licensee: William R Reeves Signature LIC.NO.: 9241 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 175 QUEEN ANN DR, N EASTHAM MA 026510517 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: $230.00 K9-/2 C)ILDI to<1lct W r iv - 6V0r-8 m 0 e/ /el IceVe \TUa , CCO -r 3/1 L 1 IS :,iLY er ®N r/ c 74 'gin LG f/ti tae _ Commonwealth of Massac tts • Official Use Orly i= ry� c7 �I== 1JcParfmcnt o{`tiro Services Permit No. 1'— L�j S� - - -_►f , BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev- 1/071 (leave blank) APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ck City or Town of: YARMOUTHInspector� / � By this application the undersigned To the of Wires: im gn gives notic of s or her intention to perform the electrical work described below. Location (Street&Number) 5 q 01A I /,,,Inti f di , Owner or Tenant ((S I�C St 1111 ITelephone No. Owner's Address S '1 0 A y,,,,,o-1 r•K Is this permit in conjunction with a building permit? Yes _iC No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd gi' ❑ No.of Meters New Service `3.p i) Amps i),()I'a`1 a Volts Overhead❑ Undgrd gr 2 No. of Meters _i___ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W rc 1 1• frisj1A1,f Completion of the followingtable may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Cei1.-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 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Total No.of Alerting Devices No. of Air Cond. No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals:I 1 Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local D Municipal Connection ❑ °tiler No.of Dryers Heating Appliances , Security Systems:* S No.of Water No.of Devices or Equivalent No.of Heaters ' No.of Data Wiring: J Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent cli Attach additional detail if desired or as required by the Inspector of Wirer. Estimated Value 4 Electrical Work: 11 I()0,) (When required by municipal policy.) "• Work to Start: I I U 1N 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 e undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Er BOND 0 OTHER 0 (Specify:) 724) I certify, under the p ins and penalties of perjury,that the information on this application is true PP and complete FIRM NAME; C'ws C_.ti11- r It G 4 n L LIC.NO.: t, Licensee: ) (1 �t �� Signature 4 j-bl,tr---/L_ 1 (If applicable,enter "exempt"in the license number line.) LIC.NO.: . Address: p tt (,1� S/7 I-tC�) -,"1 M 4- O 1 J(I Bus.Tel.No.. `l�� J *Per M.G.L. c. 147,s.57-61,securitywork requires �Y Alt.Tel.No.: 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 n�orma►ly S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.Owner/Agent Signature Telephone No. I PERMIT FEE: $