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Home My WebLink AboutBLDE-20-005628 • ,,. Commonwealth of Official Use Only 1-* Massachusetts Permit No. BLDE-20-005628-7411 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:4/30/2020 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 electrical work described below. Location(Street&Number) 57 DRIVING TEE CIR Owner or Tenant ANGELOU CHRISTOPHER Telephone No. Owner's Address ANGELOU CATARINA, 53 FAIRVIEW AVE, READING, MA 01867 /� Is this permit in conjunction with a building permit? Yes 0 No 0 (Check • 1 ,L .riat40 �7r►j Purpose of Building Utility Authorization No. J Existing Service Amps Volts Overhead 0 Undgrd 0 `. :p 4114 411?"- New Service Amps Volts Overhead 0 Undgrd 0 No.of 4r ' Number of Feeders and Ampacity ' Q Location and Nature of Proposed Electrical Work: Microwave circuit, receptacle for range, &receptacle for dish washer. (THOMAS McCAFFERTY) Completion of the following table may be waived by the Inspec , 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- o No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones 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 Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 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: STEPHEN D WILKINS Licensee: Stephen D Wilkins Signature LIC.NO.: 36023 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:250 UPPER COUNTY RD, DENNISPORT MA 026391402 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 U 11A ( I 1-24 r i\J/A 7/t Le(2-0 kg. ilr , sk � (w 11 A ---7/772_0( Commonwealth o/Massa-Jul-setts Official Use On iv- c� glee No. L — (O 248 =�� apartment oi...Y•lee Services Occupancy and Fee Checked \,7...- --'-:.." BOARD OF ARE 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ----2e7-21 City or Town of: YARMOUTH To the Inspector of Wires.• • By this application the pndersigned gives notice of his or her intention to perfo-rn the electrical work described below. Location(Street&Number)_51L Zr i U l to e (l (c^6 Owner or Tenant 1-kb,,iy\aS U , la ea cll A' Telephone No.I _3_0_:35.6ci `f 0 Owner's Address ,5 Kell Lane 1 A1A nS 1 f.ld, /NI. O0Uyk Is this permit in conjunction with a building permit? Yes ❑ No 'z (Check Appropriate Box) Purpose of Building ( J) (✓k\,l fl Utility Authorization No. Existing Service 10d Amps (aQ/,;0 Volts Overhead g. Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i , V 1 Q , k i l_ "4•I i s. Cik lw 1r 0 • -. Completion of the following table may be waived by the Inspector of fres. 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 arnd._ grad. Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones 1 No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges INo. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No,of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW QMunicipal OhLoConnection ❑ ter U No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of V Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: � OTHER: No.of Devices or Equivalent 1y' Attach additional detail if desired or as required by the Inspector of Wires. Q Estimated Value of Electrical Work: (When required by municipal policy.) (V) 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 certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE E' BOND 0 OTHER 0 (Specify:) 7— 7—2a .._ I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: cj , to/!r't/z), t, \le,: vvS (04�J'.� LIC.NO.: 3 Licensee: 57 ',iG-i -----____ Lr �? . KS Signature ,�,0� �+�,,/_-.f LIC.NO.: (If applicable,enter"exempt"in the license number line.) Address: 2 So l i �� ` .r �` Z�aD ��hV pl�jziBus.Tel.No.:-.5 j l: -& T [/1A4 4— All Tel.No.: 7$0� J *Per M.G.L. c. 147,s.57-61,security work requires 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 normmally S required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 ownero Owner/Agental 0 owner's a eat Signature Telephone No. PERMIT FEE: $ 50. '"^