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Home My WebLink AboutBLDE-21-002008 Commonwealth of o200:cialUseOnly (4V4't Massachusetts Permit No. BLDE-21-008 i 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:10/16/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 39 BENJAMIN WAY /� Owner or Tenant PAUL DONAH Telephone No. /e�(/��i S Owner's in Address . B&B�t,4, Is this permit in conjunction with a building permit? Yes❑ Na 0 (Check A,, ,,,,, Purpose of Building _Utility Authorization No. Existing Service - Amps Volts Overhead 0 Undgrd ❑ No.o—c11 earliOrFf, New Service Amps Volts Overhead,❑ Undgrd 0 Na.of Mete.: , O Number of Feeders and Ampacity 41, Location and Nature of Proposed Electrical Work: Permit to close out old permits(BLDE-20-005488)and wire boiler with make-up air system. Completion of the following table may be waived by the Inspector ires. 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- El 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 1 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 ❑ 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD,HYANNIS MA 026012043 Alt.Tel.No.: °Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"$"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. I PERMIT FEE:$50.00 1 Comrnonwoa[h o t 9aeeachueatte Official Use Only 1 i` �:, 2• arfirunt 01 Permit No. - (� .yin Serviced --- .iI Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07]_ lcave blank 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 INFORMATIONI Date:Ocif is; 2-0 2,0 City or Town of: YARM OUTH. 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)J 7/ r,e r1 p AI', ,) i) (� Y4 ram, v7I/ Owner or Tenant PA Lit /Y On r Telephone No. Owner's Address 5ii itit..f 1Is this permit in conjunction with a building permit? Yes ❑ No li (Check Appropriate Box) " Purpose of Building D%/,' /I,it./ Vie--- Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd E No.of Meters ' New Service Amps / Volts Overhead El Undgrd El No.of Meters ' w Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: it; ��(�c�7:v/.) 6 �i a DJ r ✓ S p finer,,,,;-.r AI.,),t3 ice!t--r; A,,,,, 60 ram? —r A, r /4AKe,.-v f 5y7sTC M Completion of die following_table may be waived by the Inspector of Wires. No.Ut No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Trans formers Total n No.of Luminaire Outlets No.of Hot Tubs Generators KVA a -1: No.of Luminaires Swimming Pool Above In- No.of Emergency righting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones .-. No.of Switches No.of Detection and < No.of Gas Burners Initiating Devices ill No.of Ranges No.of Air Cond. Totalo 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❑ Municipal Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Beaten KW No.of No.of Data Wiring: Ballasts Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: I 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: 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 0 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:I A/5',.DIE / Ei�'.<:.7<ir~" . C - r LIC.NO.:A/7/r 7 • Licensee: CO f cii nc.r-, t_,aLSTed t 0 Signature , (j y LIC.NO.: (If applicable,enter"exempt"in thelicense number line.) Bus.Tel.No.:S Oc -716"000 9 Address: 5-7 I`?r 1)f 4 i Ar it/ e (7'I j 0��( Alt.Tel.No.: ' Per M.G.L.c. 147,s. 57-61,security work requi s 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ j CO3 o0