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Home My WebLink AboutBLDE-22-002139 Commonwealth of Official Use Only j Massachusetts Permit No. BLDE-22-002139 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:10/13/2021 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) 45 LOOKOUT RD Owner or Tenant LEVINE ROBERT P Telephone No. Owner's Address LEVINE AMY GORRIGAN, 45 LOOKOUT RD,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Add recess lights and plugs in porch room. 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 Initiatine 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: 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 ❑ (Specify:) '�f CiL- I certify,under the pains and penalties of perjury,that the information on this application is true and complete. l 6 l r" A3 '� 1 1/— 5 FIRM NAME: MATTHEW ABOODY Licensee: MATTHEW ABOODY Signature LIC.NO.: 22360 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:79 KINGSWEAR CIR, SOUTH DENNIS MA 02660 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: $75.00 e ►�I /� t 0//,r�/,_.4te /o1-t= / /Lk 4 'i)l'7t wi..1 VW r� STvJ iw t`c�p Ctcl�p T'J CX ttt�Z — /=Y>< /`-1J1 ioCy -i +N2 44 --1 r-e-K---ri7 h-r Pic/VS_ f-- ,! �'� QQ!! // �- Commonwealth el 7YJadeachueette Official Use Only N Q `r": �k„..%"i —. i Ti cc77 Permit No. 1-Z2 Z/ 9 CO I! , epartment o`.}ire Serviced W 1 1' Occupancy and Fee Checked v z BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) �� . APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK X m 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/I,l; 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) `Ji6-L l‹..0 yCs' CD Owner or Tenant L,iyj Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service /60 Amps /2.. /Z IIVolts Overhead❑ UndgrOD No.of Meters i New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 42 ')t.e4 r'1%G(ss 4 pi vG g PD tom- ge"ottit , Nri Completion of the followinktable may be waived by the Inspector of Wires. 11: No.of Recessed Luminaires No.of Ceil: Fans Snsp.(Paddle) No.of Total 1' Transformers KVA Ct No.of Luminaire Outlets No.of Hot Tubs Generators KVA f.,�j a No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. rnd. 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 l t' No.of Ranges No.of Air Cond. ors 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❑ Connection Municipal ❑ �er No.of Dryers Heating Appliances KW Security Systems:* No.No.of Water Heaters KW No.of No.of Data Wiringvices or Equivalent 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: 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 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: t /J1J'D( ELF c% _T" , LIC.NO.: ZZ3 649 A Licensee: Sign LIC.NO.:Zz3 C0/. (If applicable,a ter"eexempt"in the li nse krumber ine. Bus.Tel.No. 89-8-5'4'-4/7 35 Address: �l/ /,,+ 6E �r� Vime 5 ,t4% 020 Alt.Tel.No.: *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. I PERMIT FEE: $