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Home My WebLink AboutBLDE-22-001256 #14 Commonwealth of Official Use Only Massachusetts Permit No. BL DE-22-001256 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:9/3/2021 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) 14 MB HARPOON LN Owner or Tenant GRANELLI KEVIN Telephone No. Owner's Address GRANELLI DEBORAH, P 0 BOX 895, BREWSTER, MA 02631 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: Repairs to septic system Completion of the following table may be waived by the Inspector`Gf 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 grn . 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. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting 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 of perjury,that the information on this application is true and complete. FIRM NAME: William F Dougherty Licensee: William F Dougherty Signature LIC.NO.: 13932 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 LOWELL DR, ORLEANS MA 026534841 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 96-1711c6arap_etedZs' iv- 47,54)-2,/ ()1.51. tAvr roe,-*35,- 4q a//1/ _2ECE1VED SEP 0 2 2021 Comnwnusai . B t I L D I N �M E N T /// ac�iudafla Official Use Only By - I n Permit No. (22 -(7-&-1. . i�,.. r s/oart`numi ot..cc-��ire Services I�/ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked V [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code E ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9 2 2021 City or Town of: YARMOUTH To the 1 pe for of Wires: By this application the undersigned gives notice of his or her in ention to jperform the electrical work described below. Location(Street&Number) `11' 1 kyr,/�t Owner or Tenant 'Debbie' i-r s-k-t9 /1 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building ittolh&Avul V J rl'l,vt( Utility Authorization No. Existing Service Amps y/ Volts Overhead❑ Undgrd❑ 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: ' tf'-4704 .1' $r /G[/"'"`'G` a 4,4,2/t it/1k t" 7'tt, • 4(Oil- rig i iv,ce 'f1 L 0 r✓Yvt exA.1 ' boh Completion of thefolowingtable maybe waived by the 1 ector of Wire vo th No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans Transformers KVA No.of tal c�J No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grad. ❑ Battery Units ;t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS (No.of Zones No.of Switches No.of Gas Burners No.orbetection uric ta i,.r Initiating Devices No.of Ranges No.of Air Cond. Toonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number 1'ona KW No.of Self-Contained Totals: } " '.' �' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ MunicicConneother Connection ❑ No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' No.of 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: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of 1 trical Work: (When required by municipal policy.) Work to Start: f,D1/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O RAGE: 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 0 OTHER 0 (Specify:) I certify,under the pains and nahies of perjury,that the information on this application is true and complete. FIRM NAME: i� T Licensee: C L1C.NO.: J , //t/ Signatur �� LIC.NO.: (If applicable,enter' empt"in th is. e num rine.) �z;� Address: � Oi,JQ/� �jlt e p4,,wtf AAA �6..r 2 Tel.No Bus.Tel.No.:772"z2: 7I/ *Per M.G.L.c. 147,s.57-61,security work requires tiepin-Intent of Public Safety"S"License: Alt.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 In owner's a:ent. Owner/Agent Signature Telephone No. p PERMIT FEE:$