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Home My WebLink AboutBLDE-20-002355 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-002355 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'10/28/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nofice of his or her intention to perform the electrical work described below. Location(Street&Number) 85 HARBOR RD Owner or Tenant RAJADHYAKSHA DILIP P Tele I 1 t . Owner's Address RAJADHYAKSHA KRISHNA D, 11 OLD BROOK CIR,SHREWSBUR , f A 01545-5407 UI y. J Is this permit in conjunction with a building permit? Yes 0 i 0 (t , ,.poi) Purpose of Building Utility A horization 1 '` - ', e, Existing Service Amps Volts Overhead 0 k ndgrd 0 4';*: I.o *eters New Service 200 Amps Volts Overhead 0 Un. d 0 No.of Meters Number of Feeders and Ampacity _.../' Location and Nature of Proposed Electrical Work: Temporary service. 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- CINo.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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: MATTHEW ABOODY Licensee: MATTHEW ABOODY Signature LIC.NO.: 22360 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:79 KINGSWEAR CIR, SOUTH DENNIS MA 02660 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 c tc/— CcCf KE- _ . _., ,..- ...,,..._ , ce6 'r- it 1 \ \ Commonweakh of massachwatts Official Use Only e 4i `; �; 2s artmsr el5ire Services Permit No. ,� N �+ Occupancy and Fee Checked ii J ":'z I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Iw : to r. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK l m All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: JO/2 r//y 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) �/� 4) Owner or Tenant f4.(,L• 13 /✓ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 0357693e Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service 7.A.9 Amps /Zfl l pf/e Volts Overhead❑ Undgrd No.of Meters I Number of Feeders and Ampacity <( r Location and Nature of Proposed Electrical Work: y1,,p j. _- Completion of the following table maw be waived by the Inspector of Wires. . . No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Total J Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA .b ~ No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting AJ grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and �� No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices 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 ❑ Other• n\ Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent '4- No.of Water , 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: 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. 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: 4 D F,/,��,syZ,j__ LIC.NO.:7 ,4 Licensee: Signa LIC.NO9776j L (If applicable,a er" empt"in the lice �a umber!big.) yr/ Bus.Tel.No.' ram^Ss`1`1-`3- Address: /7b'tr %been (il�c , . yr�,,li- �� d` Alt.Tel.No.: *Per M.G.L.c. 147,s.5 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 60—