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Home My WebLink AboutBlde-20-002987 40;' Commonwealth of Official Use Only iimItc 1 Massachusetts Permit No. BLDE-20-002987 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:11/22/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 38&40 IVANHOE AVE 0 le Owner or Tenant BAYRIDGE REALTY LLC Telephone No. �U, 1 U Owner's Address 16 KINGS WAY, HYANNIS, MA 02601 V Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropr'ate Box) �',4 Purpose of Building Utility Authorization No. 3� S8 (�" 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: Replace meter socket. 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 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 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 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: JOHN J THROCKMORTON Licensee: John J Throckmorton Signature LIC.NO.: 11465 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 CORTE REAL AVE, E FALMOUTH MA 025365343 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: $50.00 a_i6 / , ) /17 46 4 /Nsikewaiej, lReck.dc t G —1 °ti.__.) l// 0 h Official Use Only _ iL.1 i Commonwealth or aJJctc �ualG ) i=c c n Permit No. _ �;__ .L'ararl�nanl o�.�ira JarvicaJ '= Occupancy and Fee Checked A---�- BOARD OF FIRE PREVENTION REGULATIONS p [Rev. I/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.09 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ti D.-0 `—/7 City or Town of r o/mp BREWSTER To the Inspector of Wires: By this application the undersi ed gives notice of his or her intention to perform the electrical work described below. Location(Street&Numbe -f' I 0 —Lt�A-'� l� Owner or Tenant / tfi [ Telephone No. Owner's Address )(, A g 'I, t-A-)Allf 047'$ / t r, Is this permit in conjunction with a building permit? Yes 0 No El-- (Check Appropriate Box) Purpose of Building 9••• fret-5- Utility Authorization No. Existing Service Amps 19 / olts Overhead 0----1.1ndgrd 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. '4401- M 2' 3 act' 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 ri❑ In- El❑ No.of Emergency Lighting gmd. 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. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump Number_.__Tp.ns_.__I{W__ No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW 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: ?O° (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAG : 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 a BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury, that the i ormation on is applica 'on is true and complete. FIRM NAME: D e-Ti iev „'I"os4ro`%,' )`c..\i LIC.NO.: we —f Licensee: 5 44..E-r Signature LIC.NO.: o� (If applicable, nter'exe,{'in the license n�"('er lin ) �' Bus.Tel.No.:L7`�7(o`l�'-t_S nil Address: f C_Y. uv hill /� � t�"�-- Alt.Tel.No.: *Per M.G. 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 5 D --