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Home My WebLink AboutBLDE-19-004772 of Commonwealth of Official Use Only NI AIN Massachusetts Permit No. BLDE 19-004772 .:' 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:2/22/2019 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 ele tncal work/n described bel Location(Street&Number) 1 BLUE ROCK RD j4I v t(2_t61 VV 1 LLtrti Owner or Tenant OPTION ONE MORTGAGE CORP Telephone No. Owner's Address C/O BRANDEN &JESSICA GOMES, 1 BLUE ROCK RD, 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: Replacement meter socket. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei1.-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 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 perjury,that the information on this application is true and complete. FIRM NAME: LLOYD R SMITH Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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 qc/cc : eic Kr Application Number: 0p C.I.D.#: ' Commonwealth,o/'aeeachueettd /OOffficciiall Use Only /* � c� Permit No. �1�-�'C c a �I .Department o/.ire Servicea —J V G =I=E_ Occupancy and Fee Checked j7 j/ BOARD OF FIRE PREVENTION REGULATIONS �^cy` [Rev. 1/071 (leave blank) 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: GJL)1 9 City or Town of: Q[ To the Inspector of Wires: By this application the undersigns gives notice of is or her intention to perform the electrical work described below. Location(Street&Number) I ',� � �. Parcel ID: Owner or Tenant Af 't.l4 cA W ; 1I-eLi Telephone No. — I WS-- Owner's Address 3 u-n g ci,y CL h\JQ. Is this permit in conjunction with a building permit? Yes ri No ? (Check Appropriate Box) Purpose of Building &I .((In Utility Authorization No. 2 2 j Existing Service/00 Amps / ZtIVvolts Overhead gi Undgrd ❑ No.of Meters / New Service (( O Amps /W / Z(UVolts Overhead Undgrd ❑ No.of Meters Number of Feeders and Ampacity 1(NOG -- 1-4 U v Location and Nature of Proposed Electrical Work: Kk.,03 0-e 4fj , )l' -1- U — Completion of the following table may he waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tof Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 -------No.of Luminaires Swimming Pool Above ❑ in- ❑ No.of Emergency Lighting �'" grnd. grad. Batted Units 1 _,-_,, w o.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones I Ul l "' 3r No.of Detection and c o.of Switches No.of Gas Burners Initiating Devices C"J 1 a cal o.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices "n Heat Pump Number Tons KW No.of Self-Contained m t? o.of Waste Disposers Totals: •• Detection/Alerting Devices i o o.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection , -••�5 Heating Appliances Security Systems:* 1 i m o.of Dryers g pp KW No.of Devices or Equivalent t.-------------m o.of Water Kam, 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 Valu of E ectrical Work: 4 (When required by municipal policy.) Work to Start: �� au inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C i VE'AGE: 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is.J ue and complete. FIRM NAME: V Iv j(N} solar EtNesccer J L.LC. LIC.NO.:34 Ib Licensee: LI bud Sh1i-t•{\ Signature dui•t LIC.NO.: 1S(Ay Bus.(If applicable,enter ' empt"in the license number line.) ) p� us.Tel.No.: l8l-411-OZgp (�}�—- Address: 240 — I St.41C1 Sh�u C446 Alt.Tel.No.:3k5'20•Cti43l *Per M.G.L.c. 147,s.57-61,security work requires De artment 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. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $