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Home My WebLink AboutBlde-20-002790 Commonwealth of Official Use Only Ems; Massachusetts Permit No. B0LDE-20-002790 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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•11/13/2019 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) 34 SOUTH SEA AVE Owner or Tenant MCGINNIS JOHN A JR Telephone No. Owner's Address MCGINNIS GAYLE S,4 WOODSIDE DR, SHREWSBURY, MA 01545 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: Replacement burner&wire new A/C. 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 1 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/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 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: Jeffrey T Foss Licensee: Jeffrey T Foss Signature LIC.NO.: 36938 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 SULLIVAN RD,W YARMOUTH MA 026733543 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 *� 1 j= C,,mmontosa of///assac ifs ,_ • Official Use Only c� n �7 '_ st--y 1Japarfinent PI.5u�s Jsrviced Permit No. C/� C—�q I -. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . 1/07] (leave blank) 40 APPLICATION FOR=PERMIT TO PERFORM ELECT ICA OR K All work to be performed in accordance with the Massachusetts Electrical Code• pLEAsE Z PRINT IN INK OR TYPE ALL INFOP ff1019 Date: l City or Town of: YARMOUTH 4 ,6 To the Inspector f Wires. vr.)i By this application the pndersigned gives notic of his or her intention to perform the electrical work described below. ocation (Street Number) 0 • .sea k Owner or Tenant I ` ‘� G s 6 C Telephone No. g_„oi��kp � Owner's Address \k Is this permit in conjunction with a building permit? Yes ElNo A (Check Appropriate Box) � Purpose of Building Utility Authorization No. \J Existing Service /OC) Amps bib/ tyt7 Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ Na.of Meters Number of Feeders and Ampacity Local:IRA and Nature o Pro ose Electrical Work: CO C et/ ew O 4,0� Cui -- xi e,6,e Dmt' e �' ,S'�;rip: 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 ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- No.of 1 ergency Lighting Prnd. ❑ srnd. ❑ m Battery Units No.of Receptacle Outlets No.of Oil Burners Fr RE ALARMS INo.of Zones • No.of Switches No.of Gas Burners 'No.of Detection and'Z' J Initiating Devices No.of Ranges No.of Air Cont ( TonsTotal y.� No.of Alerting Devices No.of Waste Disposers Heat Pump j Number I Tons J I KW No.of Self-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Muni ' al Local❑Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* -NZNo.of No.of No.of Water No.of Devices or Equivalent l Heaters KW Signs Ballasts Data Wiring: 1 No.of Devices or Equivalent \ No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 2 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of ectric I Work if 7 (When required by municipal policy.) Work to Start /// j�J 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 144, undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing� ioffice. I CHECK ONE: INSURANCE,� BOND /o ,/,� ( ice / / /l0 I certify, under the pains and penalties o ❑ OTHER ❑ (Specify:) C'�/�1/�'jP (� CO� 11 f perjury,that the information on this application is true and complete iii FIRM NAME: \.....,) Licensee: 1-�y / f Signature LIC.NO.: ✓ (Ifapplicabl t "e �f "frr licens berli ) LIC.NO.: 3�� 9171 Address: Uf�lt H" d`�' ''mil ��iV'ovol/ t�j'7 Bus.Tel.No.: /LL// j "Per M.G.L. c. 147,s.57-6I,securitywork requiresAIt.Tel.No.: Gl Department of Public Safety" 'License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n— o ally required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner 0 owner's agent. Owner/Agent 1 Signature Telephone No. [PERMIT FEE: $ �