The URL can be used to link to this page

Home My WebLink AboutBLDE-20-001044 or Commonwealth of Official Use Only '�,NI Massachusetts PermitN°. BLDE-20-001044 _ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1Rev.l/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:8/26/2019 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 electrical work described below. Location(Street&Number) 2 RHODE ISLAND AVE Owner or Tenant DJUSBERG CARL E JR TRS Telephone No. Owner's Address DJUST REALTY TRUST, PO BOX 2186,ABINGTON, MA 02351-0686 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS IN°.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 1 Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 1 Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 1 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST,SOUTH DENNIS MA 026603744 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 te)(z7(6) . Commonwealth o[t'//addac ttt ,. .• Official Use Only ram" ,. _ .t Apartment am 7c� l.n `/111- ' Apartme it o/,}ire serviced Permit Na V �' C o �- \ ' , BOARD OF FIRE PREVENTION REGULATIONS O panty and Fee Checked "' Rev. I/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 12.D0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: j ()(- Q2 L 7 }- City or Town of: YARMOUTH To the Inspector of Wires: I ` py this application the undersigned • e o .ce of is or her__lntpn'on to rm the electrical work described below. Ill X,o lion (Street&Number) N § er or Tenant C 197 CP 11�5 S Telephone No. Lis • ' c,2 .@wler's Address () 1, "= Ii t>x permit in conjunction with a building permit' Yes ® No p�� (Check Appropriate Box) w, 'Q i r�ose of Building 0)S� 11)01 t ly .) 1 I l 0* Utility Authorization No. rig Service J Amps O() /0C/0 Volts Overhead IN Undgrd❑ No.of Meters I New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: S`1- t Q Rc mp I A Ifi r� Completion of the following table may be waived by the Inspector of Wirer. - 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 1.mergency Lighting zrnd . arnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating_Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 1 • No.of Waste Disposers Heat Pump I Number!Tons I KW No.of Self-Contained Totals: l Detection/Alerting Devices kJ No.of Dishwashers Space/Area Heating KW Local❑Connection Municipal ❑ Om 7 No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent - _ , No.'of No.of Heaters Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent OTHER: r Attach additional detail f desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 5.50 (When required by municipal policy.) vok 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. CN .CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify.) ■ I certify, under the pains and penalties of perjury,that the informal on this applic ' n is true and complete. FIRM NAME: LIC.NO.: Licensee: 1 Signals LIC.NO.: Mia2E . (If applicable,enter"exempt"in the license nu er line.) Address: Bus.Tel.No.: j *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safe Alt.TeL No.: 36 ty"S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent ' Signature Telephone No. 1 PERMIT FEE: $ 50 I