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Home My WebLink AboutBLDE-19-000480 Official Use Only -.� Commonwealth of '> VMassachusetts Permit No. BLDE-19-000480 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:7/24/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work describe low. Location(Street&Number) 32 NEW HAMPSHIRE AVE cC j j Owner or Tenant C Telephone No. Owner's Address 5541.FXING T�°^^ I11A 021A4Qag 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: Final inspection. (Main House) Completion of the following table may b' •4iv.. by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ^� 0 1 Transformer �`r No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergent 1 t, grnd. grnd. Battery Units "°J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Z�'.�'�O No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices :0 No.of Ranges No.of Air Cond. Total No.of Alerting Devices e 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 Signs 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 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: Craig S Killilea Licensee: Craig S Killilea Signature LIC.NO.: 37368 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 FARWELL ST,APT A,NEWTON MA 024601010 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: S50.00 NA- 77-2//S , __-�-_ Commonwealth o////assaults Official Use Only _ _ (g 4 g O >�i==t c� Permit No. _ 1= = 2eparlmenf o f giro�arvicei °�=�-=` ' 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(IvIEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: • By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 301 i'siEL 0 t�t„�,„intAw-c l LA) 10.'rwi al A Owner or Tenant OCt.At..., ,CNA PaC' f-j. Telephone No(. ) 776-: F Owner's Address 1'� h l 5 71 'rk4 f i pi( c ` .m n 3 Is this permit in conjunction with a building permit? Yes [' No F ,� n 11� ❑ (Check Appropriate Box) Purpose of Building 1�--eywA.1i\)" Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity 44*Location and Nature of Proposed Electrical Work: Ai 4-trc.3_n �SS4 tee ,;�� 1-e-v-,i.A. 4 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 INo.of Zones No.of Switches No.of Gas Burners No.of Detection and - Initiating Devices TotalNo.of Ranges No_of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump KW No,of Self-Contained Totals:I Number Tons- �_ -KW Devices No.of Dishwashers Space/Area Heating KW Local Q Municipal 0 Other -4 Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.o f Heaters KW Wiring: - Signs 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: 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 Er 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: l % ‘r i LL pi C-t-ec ,c- JS/ LIC.NO.: Licensee: -ru_Nt,) % i I't L e(er Signature f__-' LIC.NO.: ? 6(1,E: (If applicable, e e 'ersinpt"in the license number line.) Address: i—p•t r✓t)�� 1� h,,, Bus.Tel.No.- J *Per M.G.L. c. 147,s.57-61,security work requires Department of�Pub d Safety S"License: Alt.`T c. No. — OWNER'S INSURANCE WAIVER. I am aware that the Licensee does nor have the liability insurance coverage normally S required by law. By my ' ature be w, I hereby waive this requirement. I am the(check one 0 owner ❑owner's a ent. 7 Owner/Agent d Signature Telephone eel9-77(-, _iok1 i PERMIT FEE: $ 76.2)