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Home My WebLink AboutBLDE-22-001953 Commonwealth of Official Use Only f Massachusetts Permit No. BLDE-22-001953 4,.--' 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:10/5/2021 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) 8 CRUISER LN Owner or Tenant Phil Curran Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Che A 1 propriate BnjtJ Purpose of Building Utility Authorization No. 3068 •L -= ?:a r..,, Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 60 Amps Volts Overhead 0 Undgrd ❑ No.of Meters C50 11.4`4 Al kj g— Number of Feeders and Ampacity _ i s.41 u j —23 Location and Nature of Proposed Electrical Work: Temporary service. 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- o No.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 Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton l 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 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 Ballasts Data Wiring: Heaters Signs 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: Daniel 0 Wilkey Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST,SOUTH DENNIS MA 026603744 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 1S gee /�/� `� e uk , 4 � Official Use Only / c� Permit No. (9 53 A_ t: ;' Occupancy and Fee Checked LU\, ev ,�'� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) C ;I I w o '* " PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 01 o (PI A b E PRINT IN INK OR TYPE ALL INFORMATION) Date: OCT, y aoa f W City or Town of: (}T not)-� To the Inspector of Vires: (e B}� g:pplication the undersigned ives notice of his or her intention to perform the electrical work described below. • .n(Street&Number) ' 11,.Z U55 X Lc' . 4-i yA vino(H4,\Owner or Tenant J or;nr' "\r V lit t CA),TAS Telephonee No.3 -53y q-9 373 7 Owner's Address Is this permit in conjunction with a buildin .permi Yes El No ❑ (Check Appropriate Box) Purpose of Building )n5• t-AM t' W F 111 Utility Authorization No.31)(0'6,5? )cd l Existing Service Amps f/ Volts V Overhead❑ Undgrd❑ No.of Meters New Service Amps [2_0/ O Volts Overhead El Undgrd D No.of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ' �19 `�( e •J' e_� h iki os- +;or1 I/ Completion of the followingtable may be waived by the Ins ctor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TTotal Trans formers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices g Tons No.of Waste Disposers HeatPuNumber Tons KW DDet oectf�n/Alle�tng ming Devices No.of Dishwashers Space/Area Heating KW 14cal❑ Municipal ❑ otller C No.of DryersHeating 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 Telern No.of Deof Devices i Devices sr Wiring: or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1100 - (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 111, BOND 0 OTHER 0 (Specify:) 1 cerfy,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NA E: LIC.NO.: Licensee: „1 a Signature ,1 71 / • LIC.NO.ti30/ E (If applicable,enter"exempt"' the license bei lure. Bus.Tel.No.- Address: 1'.O Y�c �p7 14Ac(,.) 1.os( PIA A. Alt.Tel.No.: D O *Per M.G.L.c. 147,s.57-61,security work !.vires 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 50