The URL can be used to link to this page

Home My WebLink AboutBlde-20-002933 \` Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-002933 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:11/19/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertprm the electrical Lit9Adescribed below. Location(Street&Number) 4 KEEL CAPE DR l.(4 VDA LID ,p v- Owner or Tenant GLEASON RICHARD J Telephone No. Owner's Address BOND LINDA A,4 KEEL CAPE DR, 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 mini split system. 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. 1 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 0 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 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: Paul M Dunn Licensee: Paul M Dunn Signature LIC.NO.: 15825 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:358 OLD PLYMOUTH RD, SAGAMORE BCH MA 025622307 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 'c' � 14i Set Orem ( iisi9s6 3-9VAro) Y rt'ti,Ito � lam_�,a() Nun 6 L Cat tzop 444 \ease k/CQ f- Cc., I - 40 Me o-t r y 4-, sV)e,cA c.) tr. V (YlseecrO r . Commonuvaa[t/t o/fl aedachudet1d Official Use Only 7, _it a't cc�� cc77 n Permit No. (�' —Zq✓ 3 .16: - r � )epar(menl ol.. ire Serviced 1 i">' Occupancy and Fee Checked -'-�_r 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 IN INK OR TYPE ALL INFORMATION) Date: >1/ °'--/ <5 City or Town of: YARMOUTH To the Inspector of Wires: V By this application the undersigned gives notice of his or her intention to p orm the electrical work described below. Location(Street&Number) 4 `� e 1 Cr � '0 (( V e Owner or Tenant L. A 4 e, ila Telephone No. 508 ab78 S Owner's Address 4(-4.444L Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) 7-'r Purpose of Building 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 Ampadty Location and Mature ot Prlp^osed Electrica Work: � k' Co Y�[i e'(t -Sty l 4 o y c �\ `1\ ‘ \ Yl k t_c> ) 'J vt �' b 1Y .r Completion of die lowing tablebnay be waived by the Inspector of Wires. P "' No.of Total w No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA Z. -4, No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool 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. Tonsl No.of Alerting Devices Heat PumpNumber Tons KW No.of Self-Contained '� . No.of Waste Disposers Totals: Detection/Alertin Devices a No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other Connection ,r No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Data Wiring: g: No.of No.of `9~ Heaters Sys Ballasts No.of Devices or Equivalent -=. No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin �_; No.of Devices or Equiv ent OTHER: D Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:COI"T /I f e (When required by municipal policy.) Work to Start: 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 a is in force,and has exhibited proof of same to the permii issuing offic . CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) e fl e r ( k,c:►lj i ( \f I certify,under the gnsnand penalties of perjury,that the information on s application is true and completi FIRM NAME: Y P'V\ '-'' v Oki LIC.NO.: 'c 37 01 Q} Licensee: RA.,..) \ 'j n% \ Signature Pcb. -� i LIC.NO.: j-I r 19as (If applicable,enter',^ex�empt"i ih en�e mall'Itne. d Bus.Tel.No.6 3197 O 14 Address: `� 6'i) mid do Cj a,�tu c- c� 0 Alt.Tel.No.: 90 V 3{vim 01,k *Per M.G.L.c. 147,s.57-61,security)work requires Department Public Safety"S"L.,icense: 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $