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Home My WebLink AboutBLDE-21-001779 Commonwealth of Official Use Only 1. ,t Massachusetts Permit No. BLDE-21-001779 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:10/6/2020 City or Town of: YARMOUTH To the Inspector of 1 Wire,,5,791.-2,52--- !0 / ?/ By this application the undersigned gives notice of his or her intention to perform the electrical work described below. !! (� Location(Street&Number) 7 LILY POND DR `-7 ( - 252..- ri(5t Owner or Tenant JOHN NORTON Telephone No. Owner's Address MA Is this permit in conjunction with a building permit? Yes 0 No 0 (Chore A prapiete Box) Purpose of Building Utility Authorization No.'•14f4117 '~- _ Existing Service 100 Amps Volts Overhead 0 Undgrd L3 , y " New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&install generator. 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 1 KVA 16 No.of Luminaires Swimming Pool Above ❑ In- ❑ 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. 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 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: William J Hogan Licensee: William J Hogan Signature LIC.NO.: 40076 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 ARTHUR ST,WHITMAN MA 023821101 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 2Q ' 6[2t 14S la Ike S' Ur.cA ) i of it z , (P2414,omob-Et (- ifs-( 1?) 6g1 l 14 C.omewswraai oil Matisse Official Use Only ', c2 � c7 Permit No. n 1 '19 rta+r Occupancy and Fee Checked 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(M .527 CMR 12.00 (PLEASE PRINT IN INK ORsTyPE ALL INFORMATION) Date: q I Z Z O City or Town of: Y4ctrnot) -4 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 d:Number) .3- L t1 - h i' —0R'1 k)G Owner or Tenant ?or A3 1/..1/2.0 n Telephone No.361-2�77-q0"il Owner's Address S A m E Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building Utility Authorization No.)4 IW [ 14 Existing Service I CO Amps 1.0/a.90Vols overhead Undgrd 0 No.of Meters I New Service 2 co Amps GO /2cL 0 Vols Overhead g3 Undgrd 0 No.of Meters _/ Number of Feeders and Amy 3 — 2-00A Location and Nature of Proposed Electrical Work: upr,.R,s„tre,_ k Zoo Aryl S c,2 V 1 G( t.. arso 54 Ant $11 Gen-cdcaA-out. Completion of thefall table few be waived by the I r ofWires. vl li� No.of Recessed Luminaires No.of CeiL�.(Paddle)Fans No.of S Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA ' G (=N. No.of Luminaires g��g Pool Above ❑ In' ❑ Na.of cry Units Lighting gild. genes. Battery Units -) No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Na of Detection and Initiating Devices 11-i No.of Ranges No.of Air Cond. Toonat No.of Alerting Devices No.of Waste Minoan Totals: Pump Number Tons_ KW _ No.of Self-Contained DetectiodAkrfing_Devkes Miniicipal No.of Dishwashers Space/Area Heating KW Local 0 Connectors 0 Other No.of Dryers Heating Appliances KW Securitf 'or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent _ No.Hydroasaasge Bathtubs No.of Motors Total HP Telecommunications W No.ofmm �t 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: 1 )01 ) 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 ❑ BOND 0 OTHER 0 (Specify:) I certjfy,under the pains and penal ies of perjury,that the information on this application is true and complete FIRM NAME: LIC.NO.: Licensee:L)u1\t ci ea 1A01,*11 Signature r LIC.NO.: • p (If applicable,enter"exempt"in) a license line.) Bus.Tel.No.• i' ' 2.10Address: IS S4- (k) � nn van MA (7 l Z Alt.TeL No.: 11101 ' • r •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. true below,I hereby waive this requirement. I am the(check one))owner 0 owner's agent. Owner/ ^ Signature Telephone No. d S). I PERMIT FEE:$ c10