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Home My WebLink AboutBLDE-20-006474 or Commonwealth of Official Use Only �E` ` Massachusetts Permit No. BLDE-20-006474 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1 107] 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:6/30/2020 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) 68 WILFIN RD Owner or Tenant PRIANTE ROBERT F Telephone No. Owner's Address 138 ALLERTON RD, NEWTON HIGHLANDS, MA 02461 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 ❑ f. •ters New Service Amps Volts Overhead 0 Undgrd 0 4..., &•.:)1 v4Number of Feeders and Ampacity N Location and Nature of Proposed Electrical Work: Security system&cameras. e 0 , Completion of the following table may be i A t s or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of i 1 Transformers (,, No.of Luminaire Outlets No.of Hot Tubs Generators 4 No.of Luminaires Swimming Pool Agrnd.bove ❑ In- ❑ No.of Emergency Lighting 7/ grnd. Battery Units el 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:* 3 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: Thomas J Lee Licensee: Thomas J Lee Signature LIC.NO.: 172 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 CAPTIVA RD,WALPOLE MA 020812042 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: $45.00 _ - Common�veah o`//la�tacelta Official Use Only ar * (.115:21-l0 -40474 E'1 c� c7 p Permit No. �!— Thepartment o`.girs Jerviced =i(_g 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 Codi EC),527 C 1 2.00 6(PLEASE PRINT IN INK OR TY E ALL INFORMATION Date: Ac 11 `).d City or Town of: To the Inspector of Wires: By this application the undersigned ives`notic f his or h"r intention to perform the electrical work described below. Location(Street&Number) 6W( 1 Al I/,r Owner or Tenant 'D be.r4- ry1A+e Telephone No. 617-71 1O -7c- 7 Owner's Address Is this permit in conjunction w h building permit? Yes ❑ No (Check Appropriate Box)� Purpose of Building 1C„tj� ( Utility Au horization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Panel/keree� b 4av r Can'.ea3- Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: Traa onSusp.(Paddle)Fans Tof TVA sformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above i—i In- ❑ No.of Emergency Lighting grnd. 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 Tons No.of AlertingDevices 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 ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WaterKW 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: 1// 02 2 - (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 El BOND El OTHER 121- pecify:) .!.•/t ".'./"a I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: AZT GG C 08A ADT .recei_crele LIC.NO.: /72 Licensee: 7o nief f, z,K Signatu( t: LIC.NO.: /7 2 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:NI•V97• 2 77. Address: 02ler A.,/ear ./.;s•.:t......,g4 16/4/t1,...,.. MA 02 ter/ Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. Do /7 7 9 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)El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Li c