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Home My WebLink AboutBLDE-23-002890 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002890 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07j 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:11/28/2022 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) 257 PLEASANT ST Owner or Tenant HUBACKER GAIL A Telephone No. Owner's Address 257 PLEASANT ST,SOUTH YARMOUTH,MA 02664 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler 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 1 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/Alerfine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Siens No.of Devices or Euuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Euuivalent 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:168 CENTER ST,SOUTH DENNIS MA 026603744 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 ant the(check one) ❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 N /4 Il/3o(-2,1 K -. (I?= 10pn LIN) 14 Commonwealth of Maecachuectte Official Use Only .--- I, . 23 -2 ,c ,0 ►� L: 2e artment o/3 Permit No. : ;,�,,,�; P irs srvicse Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] ((cave 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: R8 2,2 City or Town of: YA R M O U T H To the Inspector of Wires: By this application the undersigned gives noticef. his or her intention to perform the electrical wor described belo v. ( 1, Location (Street& Number) 0,5.7 �S'�n'�,3 4 . YA 1,ic' - . 50, Owner or Tenant l J I-4 0 Telephone No. . 4 Owner's Address IN) Is this permit in conjunction with a building ermit? Yes ❑ No [ (Check Appropriate Box) Purpose of BulldingC�� +/hc c, 't (;4(çL..... Utility Authorization No. Existing Service f 0 Am s / Voltsverhea Q P d Undgrd No. of Meters l New Service Amps / Volts Overhead E Undgrd [1 No. of Meters Number of Feeders and Ampacity ---zi Loc n and atur of Proposed Electrical Work: Or Lac.‘ (47t Q CEM EAT" V) Completion of the followingtable may be waived by the Inspector of Wires. W No. of Recessed Luminaires No.of Cell:Susp.(Paddle) Fans No. of Total o,/ Transformers KVA '-".1 No. of Luminaire Outlets No.of Hot Tubs Generators KVA �t No. of Luminaires Swimming Pool Above ❑ In- ❑ "No. ofEmergency Lighting _grnd. grnd. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones 1 No. of Detection and •,. No. of Switches No.of Gas Burners Initiating Devices ._t No. of Ranges No.of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers -Heat Pump—Number Tons liCAr 'No. of Self-ContainedTotals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:4' No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: r Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: iiJ0 r (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:) I certify, under the pains and penalties of perjury, that the informal on t ap, ication is true and complete. FIRM N �,,, LIC. NO.: Licensee: t Signature /Wit , __ LIC. NO.:2/2T _ (If applicabl tier " . pt"it"it th us a err -met) . ktc r Bus. Tel No.:Address: .0 . '� Alt. Tel. No.: �` �� *Per M.G.L. c. 147, s. 57-61, security'work requires Depa ment 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. PERMIT FEE: $