HomeMy WebLinkAboutBLDE-20-005488 Commonwealth of Official Use Only
,e-siekt.' Permit No. BLDE-20-005488
Massachusetts
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
£Rev.1/07j
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:4/20/2020
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 elec 1 work described eb
Location(Street&Number) 39 BENJAMIN WAY ( )L. (I A k-E-
Owner or Tenant Telephone No.
Owner's Address KARP C -
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: Replace most devices and ceiling f. °
Completion of the following table tam•tl�' v 47)
y the Inspector of Wires.
No.of No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)FansTransfor¢e�' TotaAlNo.of Luminaire Outlets No.of Hot Tubs Generatorsrsr//10
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency ' V
grnd. grnd. Battery Units 0
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zot `/� vvv
No.of Switches No.of Gas Burners No.of Detection and ,VQ' v
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices 7/4
Tons Zif
No.of Waste Disposers Heat Pump Number Torts KW _No.of Self-Contained
Totals: DetectioNAlertine 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: Arthur P Doherty
Licensee: Arthur P Doherty Signature LIC.NO.: 17197
(If applicable.enter"exempt"in the license number line.) Bus.Tel.No.:
Address:372 YARMOUTH RD,HYANNIS MA 026012043 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:$125.00
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��- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Pee Ch
'I...;,,,.t` [Rev. 1/O7] �icavc blank
APPLICATION FOR. PERMIT TO -PERFORM ELECTRICAL
All work to be performed in accordance with the Massachusetts Electrical Code(MEC)i.527 MR. 12.00 .
V) C (PLEASE PRINT IN 7DC OR TYPE ALL INFO.RMATIQ'.7) bate: A r'; /j 7 2 0 2 0
qt.; city or Town of: :_q/� f/�U (2 7��,1 To the Inspector of%es
By this application the undersigne gives notice of has or her intention to-perform the electrical work described below.
Location (Street&Number),3 7 j ,,.1 j c. •. Ld fl,k -
y� e Owner or'Tenand Fes,u 1 DO (d Telephone No.
- Owner's Address -
N. Is this permit in conjunction with a building permit? Yes t . No I 1 (Check Appropriate Box) .
Purpose of Tziiding A c;( t ' n Utility Authorization No.
existing Service Amps I Volts Overhead I I Und d_ gr 1 I No. of Meters•
New Service Amps / Volts Overhead [-I Undgrd Li No. of Meters '
Number of Feeders and Ampacity
•
Location and Nature of Proposed Electrical Work: pv.pter(-p Cc ti i i n� ,FADS ; ,f1c,,Ge._ r 10, T 4v.cam:
.._.� w:7k w •ram Apo N1%se a:�7'� ,Ts 4 L. � 7s RL ► rt n7� 7e,r ga-r+f •
Completion oft*following-table may be waived by the Inspector of Wires.
._ . No.ofd ecessed_Lnminaires - _ :No.:ofGeri_-Sasp-. (Paddle)Fans No. of Total
- -- - Transformers irSTA
v g No. of Luminaire Outlets No. of Hot Tubs Generators . KVA
No.II
of Luminaires Swivair ngFool Above I No. o#k;aiergency E�igll Ing
• grad. grad. Battery Units
No. of Receptacle Outlets No. of Oil Burners IFS ALARMS No. of Zones
No.• + of Detection and
1 No. of Switches ' No. of Gas BurnersInitiating Devices •— -- — - -
Total
x No. of Ranges No. of Air Cond. Tons No. of Alerting Devices
gt. No. of Waste Disposers Heat Pump Number TonsW .No. of Self-Contained
Totals: . _ �._...,.....�...._..........�.. ,DetectioanJAlerting evzces.
N . of Dishwashers - Space/Area Heating KW Local l f Cunzcipai- I I Other
• CoivaectioaQ
II No. of Dryers Healing Appliances Lgecirity Syystems:* !
• 0 i ' No. ofbevices or Equivalent
No. of Water No. of • - No. of
KW
$eaters . Signs Ballasts Data Wiring:
fa , e - No. of Devices or Equivalent
No. ydromassaga Bathtubs No. of Motors Tott41 Telecommunications Wirin .:
No. of.:Uevices or Equivalent
OTkI R: -
•
'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: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURA_NC E COVERAGE: Unless waived by the owner,no permit for the performance of electrical work'may issue unless
the•licenseeprovides 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-pez-nit-issui.Rg o[ ice. -----•• • - • - - - -• - •
CHECK ONE: INSURANCE NI BOND ❑ OVER 1 ( (Specify)
I certify, uncle).the pains and penalties of erj y, that the Information on this application is true and complete. •
FIRMN. : 80.15,di. E1,f c-Tercp( C_L-)r7 c•To c s • LIC.NO.: 4 / 7/9
Licensee: Co/�,�, tree CoS1.c-.f(U _ Suture �t 0,044
of ltcablq enter "exem t" �C � IBC.NO.:
app p fn the license number line.
Address: /03 P1127e 4 .\ Dr tz&e T a rp a f /'f t. 026 1_3 Bus TeL No
'
*per M.G. . o. 147, s. 57-61, security work requires Department of Public Safety
« » _ Alt. TeL No.:�.� -7? <Xx��
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does notthe lliab it • ee coverage noxma]I
Lie.No.
requiredye tla w. By my signature below, Thereby waive this requirement. Tam the (check one Ej Lt.
[] owner's
Signature Telephone No.
PERM7d7E: S
a Commonwealth of Official Use Only
, i- Massachusetts Permit No. BLDE-20-005488
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:4/20/2020
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 Glee e 1 work described elo f
Location(Street&Number) 39 BENJAMIN WAY ft�L, 'Q NI A44-
or Tenant I4 F1 r' 13 Telephone No.
Owner's Address KARP G' = �.."" A " :.'---='!" , ' - • ' :1m .:.
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
4'
Location and Nature of Proposed Electrical Work: Replace most devices and ceiling f.' - _
Completion of the following table m,4 ,"" • •. •y the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ,t,O)
Total
Transfor A
No.of Luminaire Outlets No.of Hot Tubs Generators
8D>
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency A
grnd. grnd. Battery Units 0 6
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zo .. ix
Rir
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 7/4 71
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 ofperjury,that the information on this application is true and complete.
FIRM NAME: Arthur P Doherty
Licensee: Arthur P Doherty Signature LIC.NO.: 17197
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:372 YARMOUTH RD, HYANNIS MA 026012043 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: $125.00
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T =, l- = Apar/meni o f. fa�ervdced
�e != NI BOARD OF FIRE PREVENTION REGULATIONS O 'and Fee Ch-
c ,,.: ,: [Rev.l/o7j (leave blank)
APPLICATION FOR PERMIT TO -PERFORM ELECTRICAL
All work to beperformed in accordaiice'with the Massachusetts ETectricarCode(MEC);52'1 CMR 12.00 -
V) (PLEASE PRINT ININK OR TYPE ALL ZN. 'ORMATIO'a) Date: 4 tor; I /z p Z.;:,
p. to City or Town of: j,4 R, 0 v r To the Inspector of Wires:this application the undersigned gives notice of Ins or her intention to-perform the electrical work described below.
Location(Street&Number),3 7 5e;j G,., : ;u idc3,,f
Owner or Tenant 1:20_U I Do C.J.h Telephone No.
+ ) 1 - Owner's Address .
Is this permit in connection with a building permit? Yes 11 No ❑ (Check Appropriate Box) '
Purpose of Building toe_(l', (19 TTtiity Authorization No.
Existing Service Amps / Volts Overhead D. IIndgrd❑ No.of Meters -
•
New Service Amps / VoIts Overhead❑ Undgrd❑ No.of Meters '
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: •
I yeti.r� Ce:16 nj FflrJS Kt f le,Ce._ 0,5T e,fJ.rv<
w;-- . . • ) ; ♦ J' 1 . r _ e.,r ,T, .
Completion of the following table may be waived by the Inspector of Wires.
Ne o Recessed Luxuinaires _ No,Of -Srisg.(Paddle)Pans No.of Total
- Transformers IVA -
g No.of Luminaire Outlets No.of Hot Tubs Generators KV.A
uv A
Above In-, No,of Emergency Lighting No,ofRu unites - -- Swimming pool grn.d. ❑ grnd. ❑ SatterEmerg - -
TJnits
H' s,
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 •
5 I• - 2 No.of Rangesa is
No.of Air Cond. TonsTotaNo.of Alerting Devices
• No.of Waste Disposers HeatPuxnp I Number„ Tons IKW No.of Self-Contained
Iv. Totals: DetectionlAiertingDcvices
al a I No.of Dishwashers Space/Area Heating KW Local❑ Cep ott [] Other
is V No.ofDryers Heating Appliances IOW Security Sppsteans:'o
. pli No,ofDevices or Equivalent
No.of Water IV4r No. of No.of Data Wiring:
Beaters Signs Ballasts
sly No,ofDevices or Equivalent
No.Hydroxuassage Bathtubs No.of Motors Tota. HP 7i'elecomxnunieations Wiring:
No,of Devices or E,nivaient
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: 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 certiEes that such coverage is in force,and-has exhibited proof-of-same to-the-permit-issuing office:---••-- - • ---
CHECK ONE: INSURANCE NI BOND ❑ OTHER ❑ (Specify:)
Icerhfy,under.&epains artdpenatlttes ofperjray,that the information on this application it true and complete. �r •
FIRMNAl E: B0.p J.� �'gcll.-i call CO3,T7�cfh r5 LIC.NO.: 4/ / /�f
Licensee: Co/z,,,P^ C a 5'T{ ((a _Signature /
Iicabl enter x^"" l�jn LIC.NO.:
�.faPP ' 4 "exempt"In the license number line.) Bus.Teb No.
Address:/03 /,i d 7e.G1, l2r- lik.,NT a rMo;_fl'1 go— O2.6"7-3
*Per M.G.L.o. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.No. 7?f� 0007
OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer not have the liability
required bylaw. �rt3'insurance coverage normally
By my signature below,I hereby waive this requirement, I am the(check one)0 owner Downer's agent.
Owner/Agent
Signature Telephone No. 1 PERMIT E. $