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Home My WebLink AboutBLDE-19-006460 0. !X.:6 Commonwealth of Official Use Only 1%. Permit No. BLDE-19-006460 1- 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:5/15/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention fo pertorm the electrical work described below. Location(Street&Number) 14 CYGNET RD Owner or Tenant ARONNE ERIC Telephone No. Owner's Address BREWER SHAWN, 14 CYGNET RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&relocate panel. 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. Batten,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 ❑ 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 perjuty,that the information on this application is true and complete. FIRM NAME: MICHAEL S SOBY Licensee: MICHAEL S SOBY Signature LIC.NO.: 10097 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:66 Lake Dr, Orleans MA 02653 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: $50.00 416 1(9 CommoruvsaCth of///a.66ac its Official Use Only P__= s, = ��-=_ _ 2¢partrrent of.firs Serr ices Permit No. Q �p L(�O r f. • Occupancy and Fee Checked' BOARD OF FIRE PREVENTION REGULATIONS (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: ` IT. 2 i? City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned dives notice of his or her intenti to perform the electrical work described below. __.._ Location (Street&Number) . ---- ,Owner or Tenant "'Kt(' Telephone No. /),.,-, Owner's Address N,p. Is this permit in conjunction with a building permit? Yes ❑ No It____ (Check Appropriate Box) Purpose of Building Utility Authorization No. �} Existing Senice MO Amps Volts Overhead Undg,rd No.of Meters New Service 0 Amps eft / /JO Volts Overhead Undgrd ❑ b No.of Meters 7 Number of Feeders and Ampacity --- t. �- Location and Nature of Prop sed sed Electrical Work: j� 447 G Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires !Transformers of Total No. of CeiL-Susp.(Paddle)Fans Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting - grnd. arnd_ ❑ 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 INo. of Air Caad Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number I Tons KW No.of Self-Contained Totals: I _Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ other No.of Dryers Heating Appliances Security ms:* No.of Water No.of No.of Devices or Equivalent Heaters KW No. of Data Wiring: Signs Ballasts No.of Devices or Equivalent No, Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value lectrical Work (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 711 BOND 0 OTHER I certify, under the poi and erzal ' ofperju , (Specify:) P that the information on this application is true and complete. FIRM NAME: , LIC.NO,: ,jGL�/ Licensee: (Ifapplicable, ,ter "exempt"in is a nu Signature LIC,NO,:Ax7 t Address: er li e.) s.Tel.No.: J "Per M.G.L. c. 147,s.57-6I,security work requires Department of Public afe Alt.LTiel,NNo.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n—� required by law. By my signature below,I hereby waive this requirement I am the(check one []owner g normally t Owner/Agent t( Signature ❑owner's a ent Telephone No. PERMIT FEE: $ 0