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Home My WebLink AboutBLDE-17-003696 .,1 a � • Commonwealth of OlrcialUse Only Massachusetts Permit No. BLDE-17-003696 �`" BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked I Rev.I/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:1/18/2017 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) 9 TOWN HALL AVE Owner or Tenant HENEGHAN JAMES 0 Telephone No. Owner's Address HENEGHAN COLLEEN A,114 TALCOTT RIDGE,SOUTH WINDSOR,CT 06074 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service and install recessed lights Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lumi,taire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In• ❑ No.of Emergency Lighting grnd. grnd. Batter'Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Smite hes 2 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 Ileating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of R ater KW No.of No.of Data Wiring: Heaters Sians 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,ores 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 OTIIER ❑ (Specify:) !certij',under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Stephen D Wilkins Licensee: Stephen D Wilkins Signature LIC.NO.: 36023 (If applicable.eater"exempt"in the license number line.) Bus.Tel.No.: Address:250 UPPER COUNTY RD,DENNISPORT MA 026391402 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.1 am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 ems(%6,,X Cb 73,4 1/8 } APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .OP AU work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 y► 44-- (OFFICE USE ONLY) _= TOWN OF YARMOUTH By YAtTTACHEESC Fee. PERMIT NO. �I (— (0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /--(S .10/7 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) 9 To,,',, Al P J rz Owner or Tenant cjprivseg d, tiFI9heY/4 Telephone No. Owner's Address Is this permit in conjunction with a building permit? ❑ Yes ONo (Check Appropriate Box) Purpose of Building J—Oe_1 \`tYt) Utility Authorization No. Existing Service /OD Amps /ao /.2.44, Volts Overhead[ Undgrd 0 No.of Meters C New Service 4 00 Amps I ) I2 Volts Overhead Undgrd 0 No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed electrical Work: 9 UJ : t' C. H i4 AA-4-) 1ce—Cri Se PrI, , S Completion of the following table may be waived by the Inspector of Wires 'No.of Total No. of Recessc4Fixtures 8 No. of Ceil:Susp.(Paddle) Fans Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA Above en In- No.of Emergency Lighting No. of Lighting Fixtures Swimming Pool old. grnd. Q Battery Units No. of Receptacle Outlets 1 No. of Oil Burners FIRE ALARMS No. of Zones _ No. of Detection and No. of Switches • No. of Gas Burners Initiating Devices Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons KW No. of Self-Contained No. of Waste Disposers Totals: } ' Detection/Alerting Devices Municipal No. of Dishwashers Space/Area Heating KW Local Cl Connection 17.1 Other HeatingAppliances KW Security Systems: No. of Dryers PP No.of Devices or Equipvalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No. H dromassa a Bathtubs No.of Motors Total HP Telecommunications of Devices or EWquivalent y S No.of Devices Equivalent Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may be issued 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 gl BOND 0 OTHERE) (Specify:) 7 - 7-1 7 (Expiration Date) 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. I certify,under the pains and naltie of rjury,that the information on this application is true and complete. FIRM NAME: 5 TEQ,�f,'J, i I Id,: K.S. LIC. NO. 3 a o a,. Licensee: Signature ....":7Z--40,2/�' LIC.NO. _ :)e93. (If applicable, enter"exempt" in the license numbs line.) /� Bus.Tel. No.: P4eff� Address.ASO u-P19ERCJ vi Ty 'Zr U 4,1,`-7,1 O�14Y1If-ea_37 Alt. Tel. No.: Y a I Se'(c OWNER'S INSURANCE WAIVER:I am awire 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 Q owner's agent.0 Owner/Agent Signature Telephone No.