The URL can be used to link to this page

Home My WebLink AboutBLDE-22-003200 Commonwealth of Official Use Only �',E. ,I Massachusetts Permit No. BLDE-22-003200 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:12/6/2021 /\ 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. <e v{� Location(Street&Number) 57 MID-TECH DR Owner or Tenant Bayside Electrical Contractors 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. 7262242 Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.of M New Service 400 Amps Volts Overhead 0 Undgrd 0 No.of M /,/ , Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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 To No.of Ranges No.of Air Cond. Ton 1 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 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: 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 Commonwealth el rr/aseraiiae.Ete Official Use Only �• •:t ccyy ��77 Permit No.�22.. 3-2 {'c) • . ?,, .2 partmenl of Sire Services m ' 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: /3///01D - , City or Town of: arYVL'I)IA I To the Inspector of Wires: By this application the undersign gives notice of his"orr�her intention too p�erform the electrical work described below. Location(Street&Number) 57 &Litt Tech by 4vLS- �aJ'flh [LL 1 Owner or Tenant , c i(e. CI erfrl(.fl.J I I)✓)-f-raLtD Telephone No.�tF-77/-7�7C Owner's Address c7�Y]1,1G(Tecfr DK W?,S+yG,YYu /5 4/ 0s 473 Is this permit in conjunction with a building permit? Yes El No (Check Appropriate Box) Purpose of Building (.d VYMillGYL4((-17 Utility Authorization No. 7,2 ,/43 iy(2. Existing Service;.,1.OO Amps l.,/.0 /)40 Volts Overhead❑ Undgrd�Xyl No.of Meters _I__New Service 406 Amps J. / 110 Volts Overhead❑ Undgrd 1� No.of Meters •_, Number of Feeders and Ampacity / [" . Electrical and Nature of Proposed Eleccal Work: Up9r e ,Se/]/1 a( rt 7') Q. �CQ. u(Y t- f0 ,t 01a uG ;1,0 Completion of the following table may be waived by the Inspector of Wires. lbNo.of Recessed Luminaires No.of Cd1.Susp.(Paddle)Fans No.of Total V. Transformers ICVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA r1 Above In- No.of Emergency Lighting d- No.of Luminaires Swimming Pool grad. ❑ 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 Detectionand s• InitiatingngDDevices I4i No.of Ranges No.of Air Cond. Tons Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Po Totals: ....................._._. .. ..._... Detection/Alerting)ev►ces No.of Dishwashers Space/Area Heating KW Local❑Connie ction ❑Omer HeatingAppliances KW Security Systems:* No.of Dryers PPNo.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent ommunicatins Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices oor 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:) ! Ql,yf1N6 d- O'/Vel l I certify,under the pains and�naities of perjury,that the information on this appficatiu is true and complete.^ /� FIRM NAME: EULCsi(de i le(1(iCu( LDlif"I� I. C.NO.: A17f97 Licensee: ✓ Signatur (if applicable,enter"exempt"in the licens umber line.) r "714.T , o.'SOR-77/'7270 Address: S 7 YLti d TP.' 11 ( Osf" If)Y)YIDki4) AA(} O5Lb73 &Alt-Tel No.: *Per M.G.L.c.147,s.57-61,security work 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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/AgentPERMIT FEE:$eD.00 SignaatureureTelephone No.