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Home My WebLink AboutBLDE-22-002666 op 'N'O l'Ad\ Commonwealth of Official Use Only Ems; 'kt4rw Massachusetts Permit No. BLDE-22-002666 �' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:11/9/2021 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) 35 FINCH LN Owner or Tenant SISSON DRU Telephone No. Owner's Address 35 FINCH LN,WEST YARMOUTH, MA 02673 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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement air conditioning system. 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. 1 Total 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 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 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: GARY L GORDON Licensee: Gary L Gordon Signature LIC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 RECEIVED tr NOV 05 2021n �` / Official Use Onl t-o taws la of Maesaduseatte r.,..ii C1,::,7 DING DEPARTM T cc77� nn Permit No. 17-2 ` � -:',111,`� _------_—__-- a�raPtitrart of-.lips Jirvrese V . .t{,'-' Occupancy and Fee Checked ,_! BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/071 (leave blank) • APPLI CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: N ,_54-' City or Town of: YARMOUTH To the Insp for Wires: By this application the undersigned gives notice of his or her intentio, to perfo " electrical work described below. vLocation(Street&Number) VI Owner or Tenant 0 r t1 i-sem'r i--) Telephone No. Owner's Address ?moi tIs this permit in conjunction th a b permit? Yes 0 No AV (Check Appropriate Box) Purpose of Building Utility Authorization No. QExisting Service/ereAmps 7,24 / Volts Overhead? Undgrd 0 No.of Meters New Service Amps0 / Vous Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 1 _ �i� _ -'4" - - i/ ' .--: Location and Nature of Proposed Electrical Work: W( — �� ' VCompletion o thefollowinlltable m be waived by the Inspector of Wires. W No.of Recessed Luminaires Na of CeIL-Stmt.(Paddle)Fans No.oto �j � Transformers KVA 1-2 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ^tic No.of Luminaires _swimming pool Above - . g Ernd e 0 Ivan- 0 Battery NoofemerUnitsency Lighting `f No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones k..,-... No.of Switches No.of Gas Burners No.In�na Devices 1:.! No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers 'Heat Pump Number Tons ,KW No.of Self-Contained Totals: WY' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Co nisinnecpal tion Other,0 Co No.of Dryers Heating Appliances Kyr Security Systems:1 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Signs Ballasts No.o Heaters Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ,i Attach additional detail ifdesired or as required by the inspector of Wires. Estimated Value of ec 'cal Work: /4911.' (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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 all BOND 0 OTHER 0 (Specify:) I certify,under the pains an, , , , ofperj the in or on on this , ,,,licatl,n is true and complete.A/ FIRM NAME: fey-- _ ,% /dr / LIC.NO.: 7` 5°�lQ Licensee: 9 d/2gee"._____ Signature C.NO.:, '161// (If applicable,enter". "in e license , line.) .— Address: ✓: / "-- / 0 _r r� ,4-Z BAlust.TeL N.TeL goo.. i/ -- *Per M.G. .c. 147, ..5 -61,s-• work requires Department of Public Saf�-S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally O wne required by law. By my signature below,I hereby waive this requirement. I am the(check one)D owner ❑owner's agent. Signature Telephone No. I PERMIT FEE:$