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Home My WebLink AboutE-20-2516 Commonwealth of Official Use Only kttli Massachusetts Permit No. BLDE-20-002516 Tt 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:10/31/2019 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) 188 BERRY AVE Owner or Tenant BIGDELIAZARI ALI R Telephone No. Owner's Address BIGDELIAZARI ELAINE R, 18 JUNIPER RD, MEDWAY, MA 02053 ' )ii Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch.ck` . } , Purpose of Building Utility Authorization No, 2-3 G 7 c -i cc,et kek' i i Existing Service Amps Volts Overhead 0 Undgrd No.of Meters New Service Amps Volts Overhead 0 Undgrd I ,-, -1,10.4of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Relocate 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- 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 Initiatinc 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/Alertinc 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 Sins 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: Thomas E Cunningham Licensee: Thomas E Cunningham Signature LIC.NO.: 8410 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO Box 48, Leicester MA 015240048 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 y �1,5 tkys s1 vo o,JJ A�`Zd c� ,U of c fZt)l a 11 f if j' & k 0 4CP-�et0 (O-1 .. k (i/24(Of L-E4 -RECEIVED OCT3 ' 2019 1 •UILDING DEPARTMENT '` �+ ----- •, nweatth o/f a ach uaits Official Use Only Permit No. e 'ia z, LS l (o 7 z 7�Al'i �Uaparfananf ol�in Sat vitae 1i -- BOARD OF FIRE PREVENTION REGULATIONS [Rev.Oc and Fee Checkedk ri` 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 CM .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 49 3t/,/ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned g Mice Q or h1n1)erfOflflte the electrical work described below. Location(Street&Number) v�r f, l(J— e Owner or Tenant AL/ /(,,P /nz il Telephone No. Owner's Address ,5^77Ne .0 /41 Is this permit in conjunc 'on with a building permit? Yes ❑ No Er (Check Appropriate Box) Purpose of Building /_9 Pt ezt/a4 Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity g,,, Location and Nature of Pr �Ased Electrical Work: W 1/&S L�,t'� TV /h& v- Completion of the following table may be waived by the Inspector of Wires. q.. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans To. f al ,; Transformers KVA No.of Luminaire Outlets No.of Hot s -nerators KVA No.of Luminaires Swimsag Pool Above ❑ In- is No.of Emergency Lygnhng grad. gird. Battery Units No.of Receptacle Outlets .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. otal No.of AlertingDevices ons No.of Waste Disposers Heat Pump Number ons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating 0 Municipal ❑ Oth � / 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 Wirin No.of Devices or Equivalent _ OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electric 1 Work: .. (When required by municipal policy.) Work to Start: #10--/ 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 ❑ OTHER 0 (Specify:) I cerrify,under the pins and penalties o perjury,that the in ormation on this application is true and complete] FIRM NAME: ��I//////06/� Z-C //L ig. � LIC.NO.: #30ViU Licensee: 7fiti rt/V/ j,(/6ji Signature j`l Q/ J LIC.NO.• Opt ff' 41. (lf applicable,enter" emp�,' iiyie lice number line.) Bus.Tel.No.' 3�31 Address: 1,: S�'r ,e/.0De V ,v/ in, Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,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 0 owner's agent. Owner/Agent 1 Signature Telephone No. 1 PERMIT FEE:$