The URL can be used to link to this page

Home My WebLink AboutBLDE-20-006321 a Commonwealth of Official Use Only At -. Massachusetts• Permit No. BLDE-20-006321 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:6/22/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto the electrigal work described below. Location(Street&Number) 112 ROUTE 6A e-((— /4FVj.,M Owner or Tenant Telephone No. Owner's Address bildiroGARINAR#9144412 ROUTE 6A,YARMOUTH PORT, MA 02675 4 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A• 'r.4 , , Purpose of Building Utility Authorization No. O k-,Existing Service Amps Volts Overhead 0 Undgrd 0 V'. A New Service Amps Volts Overhead 0 Undgrd 0 No.o ea /OW" Number of Feeders and Ampacity , re- Location and Nature of Proposed Electrical Work: Wiring for conversion of porch to 3 season room. Completion of the following table may be waived by the �,7. Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Aboe ❑ In- ElNo.of Emergency Lighting grndv. grnd. Battery Units 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 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 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: Steven E Tullock Licensee: Steven E Tullock Signature LIC.NO.: 20114 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 RUTH ST, HARWICH MA 026451674 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 .)ce 6123 ' ;-- 14 Commonweal f Mamaciewseits Official Use Only i ' r� cc�� c Permit No. e 21 s It y 2 tpartmsnt of..tint -gyp auricle 1+ Occupancy and Fee Checked ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1107] heave 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: J.-LA(1t 17, 2 020 City or Town of: YperAnue kir► 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) I(7. M a:n Stet.t Lb4) Owner or Tenant LiksAett ,,,,h; Nei l Lorvidie ,,, Telephone No. ow-13p_6723 Owner's Address Sawa. Is this permit in conjunction with a building permit? Yes [gi, No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ct,,,, ga.,9 ?7CLh .r„ tavrred 3 ass„ e-ooen w:kh h w:r:nq 'o (mit J Completion of the followingtable may be waived by the lnsnector of Wires. 4.1' No.of Total No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans Transformers KVA it '� No.of Luminaire OutletsNo.of Hot Tubs Generators KVA r: No.of Luminaires Swimming Pool Above In- No.or Emergency Lighting ‘t g grnd. ❑ grnd. ❑ Battery Units .,J 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 t ' No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: Detection/AlertingDevlces No.of Dishwashers Space/Area Heating KW Local 0 Mannectionicip ❑ Omer Con No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , 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: 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 [J BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: vg T„l lock LIC.NO.: tot IV-A- Licensee: 44-4ve Twl I oc k Signature.j-f.e.4. Tt — LIC.NO.: Of applicable.enter"exempt"in the license number line.) Bus.Tel.No.•1of-to2.-3316 Address: Alt.TeL No.: *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 normally required by law. By my 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:$