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Home My WebLink AboutBLDE-19-005499 Commonwealth of Official Use Only Permit No. BLDE-19-005499 , Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07J 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:4/2/2019 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) 141 SEAVIEW AVE .EtsAID cio..rn erg Owner or Tenant Telephone No. Owner's Address E, SOUTH YARMOUTH, MA 02664 1"p,° °4)14 1 v Is this permit in conjunction with a building permit? Yes 0 No 0 (e P49 Purpose of Building Utility Authorization N " x Existing Service Amps Volts Overhead 0 Undgrd 0 .• New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Local wiring for modular home. 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine 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/Alertine 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: Steven J Paine Licensee: Steven J Paine Signature LIC.NO.: 12743 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 108 CONSTANCE AVE,W YARMOUTH MA 026731509 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: $180.00 t (1/3i' ti<N1�4� 6:_d3cr-t_ Grp orgy) 4//91 '�' Commonwealth oil 7J)a13a kstid ia Officialthe e Only Q Permit No. El 1 51(q't 7y 2eP artmen O ✓ire�e uKBs - ��TTT Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (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 P_V INK OR TYPE ALL INFORMATIOV Date: o y �O r�./9 City or Town of: yalko'lcv-0 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) Sea V hetAi 14V e /1/ Owner or Tenant /Q/<n a ld (:,_ ,,,,I,le Telephone No. /(O3 73O 68S'7 Owner's Address /9/ S ec4 view A-i f -SO, yaren101417 Ovss Is this permit in conjunction with a building permit? Yes Er No ❑ (Check Appropriate Box) Purpose of Building Re,c12/1 if -Utility Authorization No. a 3 c2 8-O 9 L/ ExistinaService Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service &CC Amps /qb /c5C Volts Overhead Er Undgrd❑ No.of Meters _ / Number of Feeders and Ampacity 7 /.✓p 'QO 6"11' Location and Nature of Proposed Electrical Work: '. /A)5741f 6 U%-/De Se, v/f e ca tcP w1e>leke- 13RAki2 , Setl-/ce A/SPrz , ,S'i/t3 ,Teed .S k 70,a-ne./ Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires - _No.of Ceil.-Snap.(Paddle)Fans T of Tr No ansformers -KVA _ No.of Luminaire Outlets- No.of Hot Tubs - .- -_ - .- - Generators - KVA .. - No.of Luminaires Swimming Pool Above In- No.of1•.mergency Lighting grad. ❑ arnd. ❑ 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. Total Tons Alerting No.of Devices No.-of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained Totals:_ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal 1-1 Other Connection No.of Dryers Heating Appliances KW Security Systems:" — No.of Water KW Heaters No.of No.of •• No. tf Devices or Equivalent Data Wiring: 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 rfdesired or as required by the Inspector of Wires. Estimated Value of Electri Work: 73— .ee (When required by municipal policy.) Work to Start CV%///9 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 cove 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 peduly,that the information on this application is true and complete FIRM NAME: i- t/eLrf a t ie e`l /Qv? LIC.NO.: %�7Y3 I`3 Licensee: S si�� et_ Signature �_ LIC.NO.: ro?7y3 e (If applicable,enter"exempt"- the license number line.) Bus.Tel.No.:77 y, j // Address: Mk Cows fe q-uip G jpgr ee h Iv,*oa673 Alt.Tel.No.: *Per M.G.L.c_ 147,s.57-61,security work requires Dep&fluent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE iY_AIYER: 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. Own er/Agent Signature Telephone No. I PERMIT FEE: S i