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Home My WebLink AboutBLDE-21-001937 Commonwealth of Official Use Only toc Massachusetts Permit No. BLDE-21-001937 -. 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:10/14/2020 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) 117 PAWKANNAWKUT DR Owner or Tenant JOHN AUBIN Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations&changes to residence that was raised up. 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: MICHAEL D HOLLISTER Licensee: Michael D Hollister Signature LIC.NO.: 10071 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:85 N DENNIS RD,S YARMOUTH MA 026641017 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:$125.00 • 40 i.l- d� !//27/ ca)44n�Z lj,,wh c T Go-175 csrevic coArA/Z> •J * (45-VOV1 Y TV '/2v42( je �i C(f9/2, � - Commonwsa[th oI maddaehrweid Official Use On17,1 `'' • _a -', c�r� c7 Permit No. ` — L 39 2sparimse t o�}in Services Occupancy and Fee Checked D BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) U ` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK XAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),,527 CMR 12.00, (PLEASE PRINT IN INK OR E ALL INFORMATION) Date: /a 113 J ,7c ZCity or Town of: f ertito -r-L4- To the Inspector of Wires: r, By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) / r 7 -PA W t_l p, U'T 4. Owner or Tenant Q),}Ar Az t ,/ Telephone No. '141 .12.Zill SOwner's Address 1 Is this permit hi conjunction with a building permit? Yes ritk No 0 (Check Appropriate Box) Purpose of Building 10 - Utility Authorization No. tI Existing Service Amps pd1'z feo Volts Overhead 0 Undgrd p No.of Meters ( I New Service t l Amps I /✓ Volts Overhead `I p ❑ Undgrd 0 No.of Meters J Number of Feeders and Ampadty AV T i -i--iiitt.rp TTS I me(„, &1,,,, A ,V 1 Location and Nature of Proposed Electrical Work: f, r-c(,I i t 6 -re ciS -- ..) k, 0674 L_ic g'd ®,fr eir aI -2.ele vi Completion of the following table maybe waived by the Inspector of Wires. h 3is No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total : Transformers KVA J, n.i No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires gig Pool Above ❑ In- ❑ No.of Emergency Lighting g grad. grad. .Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 5/ No.of Switches No.of Gas Burners eta oThetection and ' Initiating Devices 1' No.of Ranges No.of Air Cond. Tom No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW i 4o.of Self-Contained Totals: `��_..____...___._.. Detectlon/Alertig Devlces + No.of Dishwashers Space/Area Heating KW Local❑ Municnneipactioln 0 Other C No.of Dryers Heating Appliances KW ur o p of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices orEquivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDevices r No.of Devices or Egaiv � t _ OTHER: Attach additional detail if desirea or as required by the Inspector of Wires. Estimated Value of E ectri al Work: ad," (When required by municipal policy.) Work to Start: 20 Ins 'ow to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C 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 te BOND 0 OTHER ❑ (Specify:) I cerdfy,wider the pains and penalties of perjary,.tirt the information on this application is tare and complete FIRM NAME: 1/14 t Ci#4 _ 1? S ?t LIC.NO.:/al 71 - 13 Licensee: OA t .• Signature ( LIC.NO.: (If applicable,enter"exempt"in the license number li ) J 1 Bus.Tel.No.• 77 to t .S P ii Address: V r irl(. t� �d is �t / Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires 1 ,.rMi‘t of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coe normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner._ owner's agent. Owner/AgentPERMIT FEE:$ SignaturetuneTelephone No.