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Home My WebLink AboutBLDE-22-007300 ; Commonwealth of Official Use Only •I. , Massachusetts Permit No. BLDE-22-007300 5:;§ 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:6/21/2022 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) 68 HORSE POND RD Owner or Tenant KANTROWITZ WILLIAM A Telephone No. Owner's Address 1766 BAY DRIVE, POMPANO BEACH, FL 33062 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) j 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 5/ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade smoke detectors&arc fault receptacles. 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- :INo.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. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 6 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 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 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: John R Hassay Licensee: John R Hassay Signature LIC.NO.: 38186 (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:28 THAYER ST, SOUTH DENNIS MA 026603717 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: $50.00 F3E.i; EI_VED �Wd-c1 F JUN 15 202214 �Atrr yy� Corormonwraah of rr/aeeac!'iaerile Official Use O BUILDING Lit --t,- ccAA '2�/ D0 By ,•A:...Is'-;I✓ 2epariine o`cc77 Serviced - Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:-Jr/LI4.e (S_ ZZ- City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or herintentioa to perform the electrical work described below. Location(Street&Number) G 8 WOv-.e_ 'C,,,j 12,,, (.A.,,e.s YR4"rcd Owner or Tenant (,()1 I(t a,,,� 1</c t f-vD u,/r f-Z Telephone No.°i SLI-2 3 c)_I I 0 1 Owner's Address 5,T,n.i e Is this permit In conjunction witha building permit? Yes ❑ No Ca (Check Appropriate Box) Purpose of Building .D !.. ((l I7L� Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Sery ce Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Faders and Ampadly t-71-0 tom-) Sec-(< Location and Nature of Proposed Electrical Work:J.nS fy[l e (, G,, V.( .1 1� r'o [rt'✓wt �-/4-oL Fw(r IRP��rf-tc(.es(_l4-1'7r-"t-.s b7 re ,je T,. 15_ Completion of thefollowing table may be waived by the Ins cr r of Wires. tli No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans To.of A v4' _Transformers KVA n Na of Luminai a Outlets Na of Hot Tubs Generators KVA Pool Above In- No.of Emergency Lighting d- Na of Luminaires - Swimming sr.& Ern& ❑ Battery Units _ No.of Receptacle Outlets Na of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Cas Burcero -o.of Detection and < Initiating Devices II-! No.of Ranges No.aAlr Cond. Toni No.of Alerting Devices Na of Waste Disposers HeatW Pump Number_Tons .-.K _-No.of Self-Contained Totals: "" Deteetlon/Alertiiy Devices Na of Dishwashers Space/Area Hating KW Local Monkipil Correction 0 Oikt _ SNa of Dryers Hating Appliances KW No. Systems:. D �or Equivalent ' Heaters No.of Water KW No.of No.of Data Wiring: Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Te No. o of u oog Devices EW�galent 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:0-1.4A,C (Z 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 nobles of perjury,that the information on this application Is true and complete. FIRM NAME: HA] /4.4-.55A ( S alu� .t LIC.NO.: License:el t igo t4-df� LIC.NO.: $($'(,t (If applicable,enter" t"in the license number e.) Address: Z5t /Gtti yyp�f(l— S Bus.TeL No:A0 f} *Per M.G.L.c.147,s.57Y>I,securitywor` �C pa t C AIL TeL No.:�2 i - O 8`f 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 Ownredd by law. By my signature below,I hereby waive this requirement. lam the(check one)0 owner ❑owner's agent. r/Signature Telephone No. I PERMIT FEE:$ 50— I C -4 ysl 8-