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Home My WebLink AboutBlde-20-002704 O. 41‘ Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-20-002704 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:11/8/2019 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 electncal wor de' b d below. A_ Lf2s Location(Street&Number) 7 COPPER BROOK RD t Owner or Tenant MCPADDEN ELLEN M Telephone No, r� Owner's Address 7 COPPER BROOK ROAD, SOUTH YARMOUTH, MA 02664-4332 l.� Is this permit in conjunction with a building permit? Yes 0 No 0 (C e B Purpose of Building Utility Authorization Existing Service 100 Amps Volts Overhead 0 Undgrd New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement 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- ❑ 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 ❑ 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: BENJAMIN NARDI Licensee: Benjamin Nardi Signature LIC.NO.: 50435 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:35 GREAT WIND DR, PLYMOUTH MA 023602778 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 V i, d'.\S) .x.. g4 Commonwea[th 4 Maddachudalld Official Ueetiy _ B ' c� c� Permit No. C� ? oq .--;�,-v' ,. 2)spartmsnt 4.}irs ServicedOc _ 1 : BOARD OF FIRE PREVENTION REGULATIONS1 07] and Fee Checkedk) �- v .-+'` [Rev. ) (leave blank) !!�� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ),527 R 12.00 ,, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: - 0 ZG (y City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perf rm the electrical work described below. Location(Street&Numbe ) 7 Cp(p 7( r L o)plc- r t. _ Owner or Tenant t f( J IA) r t-03 YJ Telephone No.5(J q 7 37�'(`(5 7 Owner's Address Is this permit in conjunction witji a building permit? Yes E No (Check Appropriate Box _ Purpose of Building [L',5(of eiA c_ (7 . Utility Authorization No. Z 36 y 1 J Existing Service /0 f) Amps 120 /2-(v Volts Overhead Undgrd❑ No.of Meters New Service it A!) Amps ) /Z(UVolts Overhead r1 Undgrd ❑ No.of Meters I Number of Feeders and Ampacity / �,, �^ Location and Nature of Proposed Electrical Work: 1�1iu�'(�d /OD # ,�J 'er ✓I L C____- V" Completion of the followingtable may be waived by the Inspector of Wires. otal : No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of 1,'mer.gency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Is'-, tNo.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 j 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 HER: ,;,. 4Attach additional detail if desired,or as required by the Inspector of Wires. . ttimated Value of Electrical Work: (When required by municipal policy.) t; \`� - Work to Start /(—J"I I 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: INSURANCI 'BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information • pplication is true and complete. FIRM NAME: LIC.NO.: _ Licensee: �. ( /�ik C, Signature (If applicable me "ehem in the License number line.) LIC. o.2 �( 3 � Raj / n I -,` Bus.Tel.No.•7 S y d y Address: / .0 t x,. 51 b L14.4 E vfilu,/' 0E14f C JL /v U L,7()Z Alt.Tel.No.: l *Per M.G.L.c. 147,s.57-61,securi 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$