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HomeMy WebLinkAboutBLDE-20-004184 Commonwealth of Official Use Only CV Massachusetts Permit No. BLDE-20-004184 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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/ City or Town of: YARMOUTH To the Ins By this application the undersigned gives notice of his or her intention to perform the electrical work describe o . Location(Street&Number) 74 OCEAN AVE Eif n O Owner or Tenant VESCE JOHN JR Telepho j 1, , or,Owner's Address VESCE SHIRLEY M,26 BRIDGE LN,ENFIELD,CT 06082-4938vIs this permit in conjunction with a building permit? Yes❑ No ❑ (Check Appropriate 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: Additional work per attached. / O Completion of the folio Ie y the Inspector of Wires. No.of Recessed Luminaires Na.of Cei1:Susp.(Paddle)Fans N Total Tr o KVA No.of Luminaire Outlets No.of Hot Tubs Generaf O /�KVA No.of Luminaires Swimming Pool Abo e ❑ grnd. ❑ BatteryNo.of Emer Units ncy �// No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 4irr.,.-jp No.of Switches No.of Gas Burners No.of Detection and /A\ Initiating Devices !`UJl Total No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 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 ❑ 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) ❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 1-1/CI Ce 0u t rS 072-0 Commonwealth of Official Use Only f4, -a 41c Permit No. BLDE-20-004184 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:1/ .6 '6 City or Town of: YARMOUTH To the Ins.:. By this application the undersigned gives notice of his or her intention to perform the electrical work describe. . o . Location(Street&Number) 74 OCEAN AVE ..../ t Owner or Tenant VESCE JOHN JR Telepho �• Owner's Address VESCE SHIRLEY M, 26 BRIDGE LN, ENFIELD,CT 06082-4938 O Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate C, 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: Additional work per attached. �Q 4 Completion of the folio .'lee y 4r. the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans N . Total Tr • KVA No.of Luminaire Outlets No.of Hot Tubs Genera 0 KVA No.of Luminaires Swimming Pool Agrnd.bove 0 In- 0 No.of Emer •ncy '_ • _ 84p grnd. Battery Units o No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS . o 4 No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices10 . 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/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 Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens 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: $75.00 lr.6. agoVQ- rc Occ4: ' 4/3`2-0 e ....; 1EETVED JN �tr /� a� / l�ommontutus&of Maedachuealld Official Use Only LlILDINv' , ENT Permit No. '�� 4 4,4 i r cc�� cc77 nn jt _�.._ .d epartmenl ol.. ire Serviced r Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) `- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AAll 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: �a 3 / Z O 2-0 �, City or Town of: YARMOUTH To the Inspector of Wires: �f' By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 71/ 0 cEA A) Al/F.- 0 V 0 Owner or Tenant A t0T N O M y p c t.A j2. /_.(� Telephone No. 19' l" Owner's Address /Is this permit in conjunction with a building permit? Yes ❑ No © (Check Appropriate Box) Purpose of Building Di./e l,:tv(, Utility Authorization No. ?C>7: Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: AbD 4'jle%ctite_ 11;Sc 4t.6HT5 9-outr/ers AT ,z7? .' Hedy q GtrI«I & - ADO 54)13 piA/cc ;/J LAUM,DI&,y 9-_619 rti C_ 41 2) 5&r6-e._r>rcTe_c_'Cor '' Completion of he following table may be waived by the Inspector of Wires. Total ,, No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No f Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.01 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 Detection and Initiating Devices 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Otber, Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin 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 0 BOND 0 OTHER 0 (Specify:) I certnJy,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME:J3A 5"b tr/�r!CP . Cay-Tro—c_TOCS LIC.NO.:A/7/?7 Licensee: l..o'etvvt...(\ co 5-r .( l Signatur ,,., (. w(77LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:372-Yedt-,nb;irt-{ HVA/.JASI S Mo.. 0 2-60 ) Alt.Tel.No.:5O8-7U,, --0007 *Per M.G.L.c. 147,s.57-61,security work re wires 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 I Signature Telephone No. 1 PERMIT FEE:$ ?`j