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Home My WebLink AboutBLDE-21-003796 Commonwealth of Official Use Only I. ----N Permit No. BLDE-21-003796 kri— ,% Massachusetts : .' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:1/8/2021 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) 418 HIGHBANK RD Owner or Tenant IRISH CRAIG S Telephone No. Owner's Address IRISH NICOLE M, 19319 LA SERENA DR, FORT MYERS, FL 33901 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check • .propriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ i i n r. New Service Amps Volts Overhead 0 Undgrd ❑ N i ,�, A Number of Feeders and Ampacity lip Location and Nature of Proposed Electrical Work: Wiring of 800 square foot basement area. a1/2, Completion of the following table may •' a ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of i al Transformers 3 A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Light ng.�.3 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 0 Municipal 0 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 Siens 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 ❑ 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 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 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 fezfr1/4.3cal c! (I f / a 14 t.,.omnwnweanh o`cc�!//aeeachuoet Official Use Only 1 apartment o� Lira�arvica6 Permit No. �� :!] Occupancy and Fee Checked '' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 3 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ///p/o2-e.2-/ N City or Town of: )1 G(,f n4,D u,441 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) 1-118 /4IG�{hbarn k / c &id-h /a-rv'bt o IAA Owner or Tenant �i'&1 ..✓i Sh ��l! Telephone No.q7g-�i8-(R 93D - Owner's Address L/ 11�i'ly /� hbam k_ �p(• ,c0(.L414Liciptcti--A /t/l/9" 4 �4'4" V ---Q Is this permit in conjunction with a building permit? Yes No C (Check Appropriate Box) Purpose of Building reS(/j{.al-t et, / Utility Authorization No. Existing Service Amps / Volts Overhead C Undgrd No.of Meters V) New Service Amps / Volts Overhead❑ Undgrd C No.of Meters Number of Feeders and Ampacity 1 f Location and Nature of Proposed Electrical Work: f i Ki Ia-F FO0 9' f l-- B�e /1 -r Completion of the followingitable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of T ota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting -47 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 ,c Initiating Devices ' No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local Ti Municipal ❑ Other p Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications quing• No.H y g 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 ❑ OTHER 0 (Specify:) D o W/t(n� Di/vi I I certify, under the pains and nalties of perjury,that the information on this application is true and complete. FIRM NAME: 80y.I de- I P,G Imo-( Co✓1 GL& rS / LIC.NO.: 4/7f q7 �4641,,,( P b0her .-, LI .NO.: Licensee: • J✓ Signatu > — (Ifapplicable,enter"exempt"in the lice se lmberrline. '�'�Bu; e1?No.:5 8 77/-70270 Address: 57 ►vtd Ter,fr r w l, epar es ill/t /,!,/ AxA- ea 67 Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Dtment 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 [PERMIT FEE: $ 7 j D 0 Signature Telephone No.