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Home My WebLink AboutBLDE-22-003865 Commonwealth of Official Use Only `' �� Massachusetts Permit No. BLDE-22-003865OA O� 6 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:1/11/2022 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 GORDON LN Owner or Tenant NAUSET INC Telephone No. Owner's Address 895 MARY DUNN RD, HYANNIS, MA 02601 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 panel,dryer receptacle&re-secure wiring in garage ceiling that was removed. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 Gas Burners No.of Detection and No.of Switches Initiatine Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local 0 Connection HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: Arthur P Doherty LIC.NO.: 17197 Licensee: Arthur P Doherty Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:372 YARMOUTH RD, HYANNIS MA 026012043 *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 0 owner 0 owner's a ent. i/�jni/I �a :c*M signature below,I hereby waive this requirement.I am the(c k on / is = c) 40.rpl`"' G Owner/Agent [b� PERMITFEE: $80.00! p0 __'' _. Signature . r �y}/L/iiv " , ciitu aro& iJt3, 2--t (ec5tA." M'rtr=,�� Agar (pluna._ t A C ii fin...-ell"' RECEIVED JAN 112022 ..,..- tt�� ryy� Official Use OnlyiLDIfvC DEPART ' saitho��/l am Permit No. /ii ��/ N �,.a !i--- cc�� nn . l s arrmeni of gips,Jarvicse x. _ l; -.0 Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/0777 ^'J.�,,. J (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 qsj YP(PLEASE PRINT IN INK OR T ALL INF"O�RMATION) Date: /all/�4l ~ City or Town of: OY j j�i,.'W To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 lcrdon L- . Owner or Tenant e )410i I If P C � Telephone No.1 1 L(J `7-4J-227 Owner's Address 3 tv L.AAL �1/14 L. 114 Ail 172e,75 '� Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building ( f e rc t(IA Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters �, Number of Feeders and Ampacity .� Location and Nature of Proposed Electrical Work: i e t t !mod re,Secua'ik j lurid -iv r-Pr Completion of the follow ngtable may be waived by the Inspector of Wires. vst No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total ,t P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool gird. ❑ gird. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices t k€ No.of Air Cond. Total No.of Alerting Devices No.of Ranges 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 0 Municipal Connection 0 Other HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent I eiecommunications Wiring. No.Hydromassage Bathtubs INo.of Motors Total HP 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: 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 o e to the permit issuing office. fsm CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) � I certi under the pains and narltiesi of perjury,that` the information on this pp icatx� '', is true a complete. FIRM NAME: ZiA, .St 6 G 1 t°f�YiUArt l ' Y1 it DL1. a Si Signature/ .;!- , /L.. - i-737 Licensee: �-r�,�.�P. � .T .No.: sow�7 � (If applicable,enter"exept t"in the license nu r i(-- Di fnb�i f A yy O) • It.Tel.No.: Address: 57 [�1G�TeGG.- b►� OSj T/`I N�TI *Per M.G.L.c. 147,s.57-61,security work requ 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)0 owner 0 owner's agent. Owner/Agent Telephone No. ( PEN DT FEE:S O• 0D l Signature