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HomeMy WebLinkAboutBLDE-22-004384 Commonwealth of official Use Only Y- Permit No. BLDE-22-004384 f€ Massachusetts 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:2/8/2022 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) 117 EILEEN ST Owner or Tenant SOVEK MARGARET G K Telephone No. Owner's Address 117 EILEEN ST,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 100 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: Emergency repair of underground service. Dama•e caused b Eversource _ .. 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- CINo.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 No.of betection and Initiatine Devices No.of Ranges No.of Air Cond. Toot Ts No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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 ❑ 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 my signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 a-pikoz, &_1 0 rES f D8 k Foci - s ' 's‘t0 E 2 711-- r -- 1 ib Z 0yr?t- Ajonric --. l..orxnwnw.altk o/rijaalinelutastits Official Use Only ' B `t Permit No. g'i2" C 3��• ,� sivartimsni ojg S.rvua 1 I .w Occupancy and Fee Checked ._.*+M1 M BOARD OF FIRE 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 TYP ALL INFOR rl TION) Date: 7/&-C a-- City or Town of: y/(yni o ivf,` 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) 117 gf 1 e 3-t 41 Owner or Tenant I v)/,I fQ a,f S( ✓e Telephone No.'77V-dLI,-9Dq-8 :.'. Owner's Address /0 `1 f i teLa.i'1 ,S-j- y.rThD it* AO kik6 ©vu!75 Is this permit in conjunction with a building permit. Yes ❑ No t2t (Check Appropriate Box) . Purpose of Building ,Ye (()pi* /t I Utility Authorization No._EiJ4'SMA.kJ j it%L it aerf Existing Service jot) Amps /O /, {O Volts Overhead❑ Undgrd PKI 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: 3�'IOi G� ��Yytalai G.�j /�L�OQ1/ � �lG�efiL�JG2 .L J Completion of the followingtable may be waived by the Inspector of Wires. Total 11) No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No f Qtr Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grnd. ❑ grnd. ❑ Battery Units '*I 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 1 f No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number,Tons KW No.of Self-Contained N, Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW I,,wa1 0 Municiponnection 0 Other C No.of Dryers Heating Appliances KW Security y f Devices or Equivalent lv No.of Water KW No.of No.of Data Wiring: { Heaters Signs Ballasts No.of Devices or Equivalent '7 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ►rl BOND 0 OTHER 0 (Specify:) .bOWl j✓,a 1- i `Vei j I certify,under the pains and, nalties of pedury,that the information on thla applicadgh is true aid complete. FIRM NAME: j1 uiif. fTJec!fyl'(a r ( ✓ /7 ii Ir./ )/ ,, , O.: f 711 7 Licensee: / Signatu 't I• .. (If applicable.enter"exg pt the license a' ber line j s. e.No.•5QFf-771--' V Address: 5,1 GGf,APt ,umber ti fik d fi aak /- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work req s Department of Public Safety"S"License: Lie.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:$,-Q, DO