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Home My WebLink AboutBlde-20-001591 Commonwealth of Official Use Only � Massachusetts Permit No. BLDE-20-001591 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•9/23/2019 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) 170 PLEASANT ST Owner or Tenant SPENCER ABBOTT K JR TRS Telephone No. Owner's Address C/O ACHESON ELEANOR D,425 8TH ST NW APT 1129,WASHINGTON, DC 20004 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 ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for guest cottage&garage. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 14 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 40 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 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/Alertine Devices No.of Dishwashers 1 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 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: SHAWN A SOUZA Licensee: Shawn A Souza Signature LIC.NO.: 39768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 LAKE DR, PLYMOUTH MA 023605648 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: $180.00 & L9éi i co./Ace-0 4/23((r xtve5zr- /((i /, 9 6f2r ck, e„,b l(f1 f(f P1 kr) J(', ((((9((9 f P--/Ai 674,Q I/ ,g/i9 / � ...\.)--1 o4 ..Q -.-- cornmoruusa[th of/i/aosae�ucssf#s • Official Use Only i. ,_ ij c-� n / • eil = Apar1nsarif on ire Services Permit Na !' C�� -= -L Occupancy and Fee Checked 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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /6C 77 I z.00 s, City or Town of: YARMOUTH To the Ins t nspector ofWires:- r , am-:! ay this application the undersigned gives note his or her intention to perform the electrical wo described bel w. „ V- IFiocation(Street&Number) / '?C.) C vLC` ,,v`— . ,. i `-" Owner or Tenant L.I t A c� ` • it Telephone No. Owner's Address SaMe..— Is this permit in conjunction with a building permit? Yes No .. ❑ (Check Appropriate Box) Purpose of Building (rue-61 C r Ly I&vzcL yc Jay Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd o,of Meters New Service 100 Amps icary at/eTolts Overhead ❑ Undgrd No.of Meters Number of Feeders and Ampacity a /00 4 • Location and Nature of Proposed Electrical Work: ( r►� � i.t, --'ia 4.- Ck_ A_.16,--) 6-1-)e-- I"--H-0.•, . et-il.: Y Completiors f the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell-Snsp.(Paddle)Fans a Tr.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 1 Swimming Pool Abod. rind. 0 Battery IInits No.of Receptacle Outlets O No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches aQ No.of Gas Burners o.of Detection and Initiating_Devices No.of Ranges / No. of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Fleet Pump'Number!Tons I KW No.of Self-Contained Totals:I 1 Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW Loral❑ Mu ionnicipal Connect ❑ Omer No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of Heaters KWData Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromass age Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value Ele 'cal Work:4/0/0C° ( t(When required by municipal policy.) Work to Start:? ( /7 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 i ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove Is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify, under thrums and penalties of pet=at the information on this applicatio is true and complete,-- a 7 j) FIRM NAM E E tit 1a LIC.NO..C. -. / Licensee: A.) Si atu (Ifapplica en er t 'in thq��g b r!i 'r C.NO.: Address: A .� e 7 0� mil D Bus.TeL No.: -V q j *Per M.G.L. C. 147,S.57-61,security work requires Department of Public SafetyO �L Tel.No.: 0 t/ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabiliense: Lic.No. insurance coverage n— o- ty S required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑ownero Owner/Agent 0 owner's a enL Signature.• Telephone No. . PERMIT FEE: $