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Home My WebLink AboutBLDE-23-003843 0``� Commonwealth of Official Use Only 2 Massachusetts Permit No. BLDE-23-003843 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked VRev.1/071 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/N INK OR TYPE ALL INFORMATION) Date:1/16/2023 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) 39 BENJAMIN WAY Owner or Tenant PAUL DONAH Telephone No. / Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check App e� Purpose of Building Utility Authorization No. , O Existing Service Amps Volts Overhead 0 Undgrd 0 AY e New Service Amps Volts Overhead 0 Undgrd 0 No.of Mel s^0 Number of Feeders and Ampacity �\ Location and Nature of Proposed Electrical Work: Permit to close out expired permits:E20-5488&E21-2008. //tip //\�, Completion of the following table may be waived by the Mope Ares. No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans No.of Total v Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above � Iii- CI No.of Emergency Lighting grnd. grad. 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 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 ❑ 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 Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD,HYANNIS MA 026012043 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:S50.00 _ vim/ ' /'( CA) C..L-- //( rJ '��Aby Commonwealth of Massachusetts Official Use Only ,-_ _ in Permit No. ed-2:4-3 - 3 gi-f _op__' '�_= Department of Fire Services -'- Occu arc and Fee Checked b. e ==�=i4/ = gratARD OF FIRE PREVENTION REGULATIONS Rev. 9 05 y �.;_� (leave blank) V ape 3 0APPLE k TION FOR PERMIT TO PERFORM ELECTRICAL WORK v``uiN� c,r,.,rc % »,c_ Al work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 B - , :.' I IN INK OR TYPE ALL INFORMATION) Date: Def c_e m bey- 301 Zo` p. BY City or Town of: i/Ap</v)aatilf: To the Inspector of Wires: B this a lication the un r i T v y pp de s gd gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 3 7 (94, t1 A Mi ; At -t y vt/, �/� , rpia V ' Owner or Tenant FA i,) ) J J Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes n No E (Check Appropriate Box) Purpose of Building ?NI Q //,,AJC— Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd No. of Meters New Service Amps / Volts Overhead n Undgrd n No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: rr /4L f o ( 4 j/ o iu F< r-j-v ;i c Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans T Tot 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 Total No. of Ranges No. of Air Cond. Tons 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 1 Local n Municipal ❑ Other Connection HeatingAppliancesKW Security Systems:* No. of Dryers pP No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or E s uivalent 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 E BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Si ( CI - 6 m ( b -frig ,r . NO.: A/ 7/ j 7 Licensee:Ak11-/A f bobs n- Signatu a , A►'----- . NO.: (If applicable, enter "exempt",in the license/u �mber line.) Bus. Tel. No.: Address:3-7 Miit' Tie.<7ii b id, /.4r ''i0 cfi 11 Ii/q . 0 2, 1v 7_3 lir Alt. Tel. No.:.-0E— 7.2.6-000 *Security System Contractor License required fdr;this work: if applicable, enter the license number here: PP 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. PERMIT FEE: $ 50 H