The URL can be used to link to this page

Home My WebLink AboutE-20-2698 Commonwealth of Official Use Only (/i. ' Massachusetts Permit No. BLDE-20-002698 F 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 pertorm the electr1 al work described below. Location(Street&Number) 10 OLD TOWNHOUSE RD '$ Q• Owner or Tenant CONTINENTAL CABLEVISION OF MA elephone No. Owner's Address COMCAST OF MA I INCPROP TAX DEPT, 1 COMCAST CTR 32ND FL , PHILADELPHIA, PA 19103 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: Remodel sales area. 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 rnd. grnd. Battery Units No.of Receptacle Outlets 13 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/Alerting 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: 15 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 perjuty,that the information on this application is true and complete. FIRM NAME: Thomas P Oconnor Licensee: Thomas P Oconnor Signature LIC.NO.: 11661 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:82 MAYFLOWER LN, E WAREHAM MA 025381198 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: $80.00 Met, / 'c/(? — ,..... hJ �T //�� /�, ytyy�� V•,!\ t.omwnonwea[th of ride Ifs Official Use Only p \� • ', Permit No. 2.30—2 v] 1� 1Jeparafaseni o13ire Services BOARD OF FIRE PREVENTION REGULATIONS [ROccupancyev. lro7] and Fee Checked(ieavebink) \\ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK lk All work to be performed in accordance with the Massachusetts Electrical Code ),5 7 CMR 12.90 (PLEASE PRINT 1N INK OR TYPE LL INFORMATION) Date: ti/ '//q City or Town of: S. 7a rrliOv><h To the Inspector of Wires: By this application the undersigned gives notice of his r her intention to perform the electrical work described below. Location(Street&Number) /O b t v o US e / p. X Fi n i tj Owner or Tenant ( Telephone No. i I Owner's Address _ Is this permit in conjunctiontin with a building permit? Yes IT No 0 (Check Appropriate Box)Lh Purpose of Building C-I-a i I Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters yr Ner Service Amps / Volts Overhead❑ Undgrd D• No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 5a if S 1foo r f e n1 oe G I i Completion of thefollowinjable may be waived by the Inspector of Wires._ r' KVA No.of Recessed Luminaires No.of CeIL rs KVA-Susp.(Paddle)Fans No.of 1 Transforme No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool ve ❑ n- ❑ No.of>rJmtrgency Lighting grnd. grnd. attery B Units i� ` No.of Receptacle Outlets f J No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Mind 1 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices I Meat Pump Number ons KW No.of Sell-Containetf No.of Waste Disposers _ Totals: Detectiou/Akrting Devices ` No.of Dishwashers Space/Area Heating KW Lord 0 Municipal Connection ❑ Other No.of DryersHeating Appliances Key *Security Systems:* No.of Devices or Equivalent No.of Water Nof No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Ig j No. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDevices or Wiring: Y Be No.of Devices or Equivalent OTHER: Z F(ocr 0vf4i;IS $ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Iec ical Work: 1 3t D 8 r7 (When required by municipal policy.) I Work to Start: // ( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 e�r 'ry,that the information on this application is true and complete.A / /l FIRM NAME: �j(/ii4i7 u Lim �im.12i)K UC.NO.: /Ili(04`/ � f I I Licensee: Signature .,ir_� •j- , . UC.NO.: I (If applicable.enter" "in t license number,line.) Bus.Tel.No.:Ct ' — y 7-0 co i."7 Address: l3�� ay O tut r t_vt . c• ii(/a>'��1a1V1.(1\/1. C"--j' ' Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. t 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 Signature Telephone No. I PERMIT FEE:$