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Home My WebLink AboutBlde-21-004055 o. ,/1��(' Commonwealth of Official Use Only 2 Massachusetts Permit No. BLDE-21-004055 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:1/22/2021 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 electrical work described below. Location(Street&Number) 8 SKIPPER LN Owner or Tenant HASSETT PETER J Telephone No. Owner's Address 8 SKIPPER LN,YARMOUTH PORT, MA 02675 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: Renovations to basement area. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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 8 No.of Oil Burners FIRE ALARMS No . Zo i • ..- +,,\ No.of Switches 6 No.of Gas Burners No.of Detection d • .\' Initiating Device- 1, tei, ..<', No.of Ranges No.of Air Cond. TonTotas No.of Alerting De .es G� `, ; " No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained �0, . �� \:-,,,,,,.- 2 Totals: Detection/Alertine De s \ �,. No.of Dishwashers Space/Area Heating KW Local ❑ MunicipalPI Connection G Ot'_ ' 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:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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: $75.00 Reldra,41e1-45fr ''?"/I W-74 ig irri\ML 1 ?/?..,( t _ __ Commonwealth of//lassac ftss Official Use Only i :. ' Zepari`ment of,_yirs Serviced Permit No. C..Z� — O5� .�+__ BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07cy.and Fee Checked [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: //(ME ,s i OAR 1 z.�o YARMOUTH �' City or Town of: To the Inspec or of Wires: By this application the tamdersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) V S r,r *,_,r L./] - Owner.or Tenant Pe ..l e.-S-C e 4 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Purpose of Building / /4ln _ PP Priate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑, Und grd❑ No.of Meters New Service Amps / Volts Overhead❑ Undg rd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: O L 4 )j 6-1- A-rex, l/ Completion of the following table may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of CeiL-Snsp.(Paddle)Fans No.of Total Transformers KVA _ No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- "Ivo.of 1!mergency Lighting ernd.. rrnd. 0 Battery Units No.of Receptacle Outlets V No.of Oil Burners FIRE ALARMS [No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiating_Devices No.of Ranges Na.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number(Tons I KW No.of Self-Contained - Totals: I Detection/Alerting Devices J No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection 0 °ther No.of Dryers Heating Appliances KW Security Systems:* ' No.of Water No,of No.of No.of Devices or Equivalent --S Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - •J� No.of Devices or Equivalent OTHER: Estimated Value of Electrical Work Attach additional detail if desirer4 or as required by the Inspector of Wires. (When required by municipal policy.) -43 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 A the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverge is in force,and has exhibited proof of same to the permit issuing office. 7 CHECK ONE: INSURANCE BOND ❑ OTHER I cent)", under the pains andpenalties o 0 (Specify:) W' � 1 C.`� 1 I ` / f perjury,that4_,ic the information on this application is true and complete. FIRM NAME: V o /t .) -I„ Licensee: f ( 3-- \''p L 4-4,� Signature �j�� (If applicable,enter "exempt"in the license number lime) """� LIC.NO.: �T Address /$ A,., l,�r �� prDrtii � (� arn4 01Ct' Bus.TeL No.:__�'6E3a_ltr,j u "Per M.G.L.c. 147,s.57-61,security work requiresAlt.TeL No.: 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 S 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. I PERMIT FEE: $ I