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Home My WebLink AboutBlde-20-000772 or Commonwealth of Official Use Only Permit No. BLDE-20-000772 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:8/12/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pert rm the electrical wor escribed below. Location(Street&Number) 141 SEAVIEW AVE CAfA-iQ EntriLe Owner or Tenant HOFFMAN CHRISTINE M Telephone No. Owner's Address 131 SEAVEIW AVE, SOUTH YARMOUTH, MA 02664 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 ❑ 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: Wiring for hot tub&disconnect. 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 1 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 Initiatin t 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 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 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: Steven J Paine Licensee: Steven J Paine Signature LIC.NO.: 12743 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 108 CONSTANCE AVE,W YARMOUTH MA 026731509 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$65.00 E3 (r ) tct - - _ _ L' y _ _ ''� oi77/ad t3i mt O _ r_-,...„_-_... .eporEm t"Oz. Permit No. l/ ��77 • —tom Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS �von (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code I2_00 (PLEASE PRIIVTDUNIORTYPE ALL DIFO `lpO119 Date: O d 9 I.) City or Town.of: ` 612344o� 'n. 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) /t.// S Q&V,-e lti) b4-V E , Owner or Tenant Ric koL,2,1L-p rl k Telephone No. 'd Y 23"t�cP,C1 Owner's Address /ey l ,Spev t"tr2_Vl) '►4V< J0, 1 )t 'l YlaSS Is this permit in conjunction with a braiding permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Eiisting Sernce IICG Amps me pew,Vohs Overhead M---- Undgrrd❑ No.of Meters 7 New Service Amps / Volts - Overhead❑ Undgrd❑ No.of Meters Number of Feeder's and Ampacity - Location and Nature of Proposed Electrical Work '• j t( e., ( /V - U/ t� ComplehMtoftbefjiba may be waived b_v the Ammar ofWarr_ No.of Recessed Luminaires - flu.of CelL-Snip-(Paddle)Fans No,of T Transformers -KYA No.of Luminaire Outlets. No.of Rot Tubs _ —_ . ._ _. __ Generators _ . -KVA. _ - . No.of Luminaires Swimiuiag pool Above ❑ v ❑ Battery erred- brad. _ - No.-ofReceptacle Outlets . . No.of Oil Burners - "FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners - PEo,of Detection and - Initiating.Devices (n No.of Ranges No.ofAir Cond. TotalTons No.of Alertin Devi No.of Waste Disposers HeatPnmp'Number[Tons KW o.of Self-Contained Totals:_ p Devices Ill No.of Dishwashers SpacelArea Healing KW , .I❑rent= ❑Other No.of Dryers Hearin Applances KW No. =or • Eq t , n No.of Water KW No.of No.of Data Wiring- Beaters - - &gas Ballasts No.of Devices or - . .. -., No.Eyd nniass9ge Bathtubs Na of Mobors Total BP Tdecommmrimtions ' _. om No,of Devices or -, _, OTHER: _ - Attach ackraiarad detail¢d orarep'ne!'by theinspecmrtelYarc to Estimated Value ofEjectrio#Words ,eD (When required by municipal policy.) - Work to Start et / ' Inspections to-be requested in accordance with MEC Role 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the perfonnauce 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 cove9ge is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) i • I semi,ander the__ptarns mid penalties ofperjwy,that the information on this arpplic on is brie wul complete FIRM NAME: Q see ne1t(PIIeAtot1! LIC NO.: /a`t 7Y3 8 Licensee: S r � .4Pe Signature y� LIC NO.:/ 7 8 (ifappliooble.enter memo"in the Taaaew number ik,r) Bus.Tel.No.:771f ag,i+ Address: Mk COUShandee atote L Ma-0.2673 Alt:Tel.No.: *Per ivLG_L c.147,s_57-61_security work requires ofPublic Safety 'License; Lis No. OWNER'S INSURANCE WY_AIVER: 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. Item the(check one)❑owner ❑omen's agent OwneriA.ggaatate`ustTelephone No. I