The URL can be used to link to this page

Home My WebLink AboutBLDE-21-001623 of_ Commonwealth of Official Use Only Permit No. BLDE-21-001623 rEMassachusetts ` t,7 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:9/29/2020 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) 26 ARLINGTON ST Owner or Tenant COCHRAN THOMAS Telephone No. Owner's Address PO BOX 491, PROVINCETOWN, MA 02657 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A, , 4' • ) Purpose of Building Utility Authorization No. 3 Existing Service Amps Volts Overhead 0 Undgrd 0 �" i e All A t► 1 of New Service Amps Volts Overhead 0 Undgrd 0 rs LWj Number of Feeders and Ampacity // • ' ipii, Location and Nature of Proposed Electrical Work: Remodel kitchen. g d ,....., Completion of the following table may be waived by •,,: of Wires. No.of Recessed Luminaires 3 No.of Ceil:Susp.(Paddle)Fans No.of 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 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 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:* 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: Joseph J Sullivan Licensee: Joseph J Sullivan Signature LIC.NO.: 6455 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 13 PEBBLE PATH, FORESTDALE MA 026441541 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:$75.00 I°14 4 1A, 1,,,,..„,_4,0,4 , Qom-, sou cgs (F--m p sv '/z exit 26g1-- Commonwealth o/Mamachwef Official Use Only ��''77 -4 —( � -v =li .2)epartment o/.}ire Seruiceo Permit No. Co l� _ 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 Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / _ f(v _10 City or Town of: tigliNEW YA R(v i:/'r"t4 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) a 6 4 R / /ju g,-r,N c7/ -e e'T Map Parcel# y—� Owner or Tenant Q r/7 t`ii Ai Telephone No. Owner's Address CoA/ ger PP✓LSo Al EA( c, b t Lk e gag _3 c q-3 7,e6 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building DW.p (1 I J t Utility Authorization No. Existing Service /0 d Amps / Volts Overhead S Undgrd❑ No.of Metersl New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Re 1 tl A i-t(c.kr,v- Aftf AftA Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 3 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 /0 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches C0 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heatin KW Municipal g Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of 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: ,15-0 0 (When required by municipal policy.) Work to Start: /f 5A() 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 (] BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: T f Sv a t Vf)N LIC.NO.:J4(9#53- Licensee: To to Sv/(R✓t9 N Signature 'AgLIC.NO.: /fid Q 3 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 'SOg' I]• 7({.2(ie Address: /3 Pc6 41-1 IP PATI_ F-,kr—ci 1>tr to M14 oat'9llL( Alt.Tel.No.: 50V -539-(gag *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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ * IMPORTANT: A separate permit is required for the installation of smoke detectors. Fire Alarm inspections are performed by the FD having jurisdiction.