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Home My WebLink AboutBLDE-21-007010 �. Commonwealth of Official Use Only fenPIN1 Massachusetts Permit No. BLDE-21-007010 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:6/3/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 37 KELLEY RD Owner or Tenant Jesse Allen Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 ( , �,� `� Purpose of Building Utility Authorization No,. .3 ln"' Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ :s ' . .. C^►"'LC Q New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters 0/ pL l Number of Feeders and Ampacity /\1V 0 Location and Nature of Proposed Electrical Work: Replacement service. V"` 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. 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 ❑ 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: John P Antone Licensee: John P Antone Signature LIC.NO.: 32046 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 JONES RD, MARSTONS MLS MA 026481045 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 07611 //c/p, . ' ` M R i�R� r 3a ''_ L..o ntvea[th of adeac�tie ffic�ialf Use Onl ^ !1 1/4 -� I Iri e7 Permit No. 1/4 m of el ire Serviced 1 i 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)v 527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6 A....?/) 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) 3 7 I4c//y �,6 . i f' 1/1—rive ' Owner or Tenant JeJJ k— 4// �/ f Telephone Not5-68Pt 2.5 '5 Owner's Address Is this permit in conjunctjny with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building it -/A en 7"/*/ Utility Authorization No.2 3 7a Va Existing Service/OD Amps /2d /07 Ye:Woks Overhead EV. Undgrd❑ No.of Meters / New Service /GO Amps /d0 /0.1.10Volts Overhead[Undgrd❑ No.of Meters / Number of Feeders and Ampadty o? — /G O i'Vd O/C" 4X` • Location and Nature of Propos04 �� Electrical Work: /J77Ic, j v/ - l v) Completion of thefollowinntable may be waived by the I ctor of Wires. t� No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of tal T.. Transformers KVA C..1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- Ni).of Emergency Lighting vd. �rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Detection and No.of Cas Burners Initiating Devices I m•1 No.of Ranges No.of Air Conti. 's'ofni Tons No,of Alerting Devices No.of Waste Disposers Heat Pump Number Toms K17V No.of Self-Contained Totals:I"` :� ".""� """""' Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Loci Municipal ❑ Connection ❑ Ot6er No.of Dryers Heating Appliances KW Security%ystems:* No.of Water KW 'No.of No.of Data Wi Devices or Equivalent ng: 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 lectri al Wo /8Q0 (When required by municipal policy.) Work to Start:3-3 0703./ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE 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 0 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties o perjury,that the inform° n on this a tic on is true and complete. FIRM NAME: LI//VI/ A/7 A//' LIC.NO.:.3,2 0 Y Licensee: [_10 /) fil)/71 Aie"-- 5lgnstu LIC.NO.:1G"2,3.)0 V1p (/f applicable.enter"exempt"in the e'nytnb l/'l I SiTO�/i/ r/�S fy Qus.TeL No.: 6" Address: 0O `L./ 116 /4 6 4 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Dep t 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$