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Home My WebLink AboutBLDE-20-000131 Commonwealth of official Use Only 1 Massachusetts Permit No. BLDE-20-00013 0BOARD 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:7/10/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 22 AMELIA WAY Owner or Tenant BEAMISH JOHN C JR Telephone No. Owner's Address BEAMISH TASHULA M,22 AMELIA WAY,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 0 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 basement room. 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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: 1 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Kevin P Foley Licensee: Kevin P Foley Signature LIC.NO.: 10417 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:3 HIRAM POND RD,PO BOX 763,DENNIS MA 026380763 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: $75.00 i;\1)(16-- i q 111V awit4 4ti'11)661) 65N'peakearto turtliw •004909 j dwoji 71((I rei U Peeill egivu-t) • Commonwsatth of t'/la�acku-4altts _ Official Use Only Permit No.(.__20 CO 31'�- i UeparfnaaE o/ -garvicsd_ _ _, _- ` BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked Y '�,`• (Rev. I/07] (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: -V P .20/ City or Town of: YARMOUTH To the I ector of Wires: By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 2 2 .I .�i Owner or Tenant r \A 0 (1,� L ^ �,-` 1 Telephone No.�Zjk (.." Owner's Address Z,4 Sq' -;tf iA1/4—\ Is this permit in conjun on with a building pe�att? Yes Vs No ❑ (Check Appropriate Purpose of Building P�S t �a�� -�(/� PP P Box) ,,p� Utility Authorization No. Existing Service k(/l)Amps (ICE' y7`Volts Overhead _Und d t'T ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No,of Meters Number of Feeders and Ampacity 1072 Location and Nature of Proposed Electrical Work: V 1 ASc.�,�C�� k'C.x \ 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 Lmergency Lighting • erred. grnd. ❑ (Battery Units No.of Receptacle Outlets T.-No.of Oil Burners FIRE ALARMS 1No,of Zones No.of Switches '", No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local D Municipal _ Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.ofNo.of Devices or Equivalent No.of Heaters ' Data Wiring: e Signs Ballasts 1 No.of Devices or Equivalent No. Hydrornassage Bathtubs No.of Motors Total HP Telecommunications Wiring: �D� No. Devices or Equivalentc OTHER: 1 C/ q ce9..>c.R. V 4v 1 'Y� Attach itional detail if desired or as required by the Inspector Estimated Value o Electric `ork (When r fired by municipal policy.) of Wires: to Start: Inspections to be requested in accordance with MEC Rule 10,and upon INSURANCE C VERAGE: 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 covege is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE lld' BOND 0 OTHER ❑ (Specify:) I certify, under the nits and pe ties o eri�` ,tit the information on this application is true and complete.FIRM NAM :' ...A v\ t ` Licensee: V t, a LIC.NO.: ±116,k—k `t "�lCr Si nature p F L;F:0 O.: lCL (If applicabl a erwerempt"in a linens m 1. . Address: 't• t Bus. .: J "Per M.G.L. c. 147,s.57-61,security ork requires Department of blic SafetyAlt Tei.No.: Q OWNER'S INSU CE WAIVE "S"License: Lic.No. ired by law, aware that the Licensee does not have the liability insurance coverage normally `t , hereby waive this requirement. I the c k one 0 Y � b 11 T Owner/Agenowner ❑owner's a ent Signature 3� PERMIT FEE: S Telephone No.