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Home My WebLink AboutBLDE-22-005751 Commonwealth of Official Use Only L Massachusetts Permit No. BLDE-22-005751 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:4/8/2022 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) 714 ROUTE 6A Owner or Tenant OLOUGHLIN JOSEPH V TRS Telephone No. Owner's Address OLOUGHLIN ALMA C TRS,2'HAROLD ST, HARWICHPORT, MA 02646-1517 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Install 6 receptacles(710 ROUTE 6A) 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 PoolAbove ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine 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 ofperjury,that the information on this application is true and complete. FIRM NAME: SIMON D BABA Licensee: Simon D Baba Signature LIC.NO.: 53025 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:568 SKUNKNET RD, CENTERVILLE MA 026322738 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: $80.00 Q v .14 Commonweal o j)9aeaachuealta Official Use Only ,.:= iii S"7 '"•B"-:i7t c� c7 nn Permit No. � C --sa'.; h 2spartmed ol.. ire Serviced �l all Occupancy and Fee Checked _.,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 WORK r W O R K v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: y — Z Z City or Town of: YARMOUTH To the Inspector of Wires: I illBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. 14) Location(Street&Number) 4.1- I4 710 Owner or Tenant . • !k .. <;ll C Vire Telephone No. o� r G Owner's Address � Is this permit in conjunction with a building permit? Yes 0 No [Pr (Check Appropriate Box) Purpose of Building Utility AuthorizationUndrd No. S Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters N Service Amps / Volts Overhead❑ g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: AO Six e(e /1Ccy , - eis tri tA Completion of the following table may be waived by the Invector of Wires. l�. No.of Recessed Luminaires No.of Cell:Sus . •of Total elp (Paddle)Fans Transformers KVA �t No.of Luminaire Outlets No.of Hot Tubs Generators KVA A No.of Luminaires Swimming Pool Above ❑ In- lNo.of Emergency Lightinggrnd. grnd. ❑ Battery Units No.of Receptacle Outlets L No.of Oil Burners t FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Tota III Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Teat Pump I Num_b_er}Tons I KW 'No.of Self-Contained Totals: Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑ Monnectiounicipal Cn ❑ other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Noof No.of Devices or Equivalent . Heaters ' Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring; No.of Devices or Equivalent OTHER: Estimated Value of Electrical Work: 6/00-G e Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start: u (When required by municipal policy.) / "/ —22. 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete ,A yh FIRM NAME: Ot, 36,1) 530 2 S E LIC.NO.: Licensee: 5; Signature _ LIC.NO.: -2 27 1 y (/f applicable,enter"exempt"in the license number line.) Address: 2...qi p1 Lt,.wile}- (G,eve Ce!,,.}r.M R P Q 024 Si- Bus.Tel.No.:77y OZ.SL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I