The URL can be used to link to this page

Home My WebLink AboutBLDE-22-007067 o - Commonwealth of Official Use Only ft Massachusetts Permit No. BLDE-22-007067 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:6/7/2022 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) 964 WEST YARMOUTH RD Owner or Tenant NARBONNE LEON D JR Telephone No. Owner's Address 964 WEST YARMOUTH RD,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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement panel 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- ❑ 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/Alertine 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: Matthew R Aboody Licensee: Matthew R Aboody . Signature LIC.NO.: 13735 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:79 KINGSWEAR CIR, SOUTH DENNIS MA 026602664 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 IA 13 to Davi 6N) a J 61 Z7 - (Suc /a tr,t/v s) C�6c (01(7/ 77L RECEIVED JUN 06 2022 C ea ah.e{Maeeaclueelt �ia SINOfficial UseOnly G DEPARTMENT Permit No. "706,7 • k, p.41 gips )es • ,, —AGM? o�gn —cacao -; 11.1- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] peeve blank) 0 C--) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M .5 7 CMR 12.00 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: (, -7___--2— .. "Z C City or Town of: YARMOUTH To the Inspec or o Wires: k1By this application the undersigned gifetino,tcit ofh' or her intention to the electrical work described below. Location(Street&Number) 0� . AR.M o`U 1(4�D , J Owner or Tenant L C O IN)�lfltvO1J a Telephone No. UOwner's Address S A WIC. 7— Is this permit in cont on Pith a building permit? Yes 0 No Ila (Check Appropriate Box) P Purpose of Building FS i DE tJ Ge_. Utility Authorization No. Q Existing Service(O b Amps /240 Volts Overhead[ Undgrd 0 No.of Meters I • ]Yew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of ' , , , Electrical Work: CORN)GC- l %N ,L. l Ftzo rn C P6. To �1L CuTL R —, rA ' Completion of thefollowing table may be waived by the Infor of Wires. U No.of Recessed Luminaires No.of Ceti.-Susp.(Paddle)Fans No.of Total Transformers KVA 4\.. No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of t,mergency Ltgnting Tic No.of Lnmioaire: • Swimming Pool ttrnd. ❑ tmtd. ❑ Battery Units 's! 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 11-1 No.of Ranges No.o Air Cond. T t No.of Alerting Devices No.of Waste Disposersons Totals: Pump Number Tool ,�.KW. No.of Self-Contained Totals: "" Deteetion/Alertlng.Devices No.of Dishwashers Space/Area Heating KW Local 0 Munnnectidp[oa al 0 Other Co No.of Dryers Heating Appliances Kw Security Systems:1 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of ► . or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunica i ns Wiring: No.of Devices or Egaiv ns OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o E Work: (When required by municipal policy.) Work to Start: 2.- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless 11 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The nJ undersigned certifies that such cov�is in force,and has exhibited proof of same to the permit issuing office. ` CHECK ONE: INSURANCE IRV BOND 0 OTHER 0 (Specify:) I eerie,under the ins andRIna/des of perjury,that die Information on Ms application is true and k, ,. , FIRM NAME: H 6600 ' CL -T 21 C. Licensee: MAT AT r A130c.o uk Signature _ (/fayplicabk.enter'_ t'in the lke,e number ) Bus No.: 7 5 -- F 4 —y S Address: —I°t i1, G5UJ VZ-C► VeN' " a u L o 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. I PERMIT FEE:$56,--