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HomeMy WebLinkAboutBLDE-19-000667 Commonwealth of Official Use Only tr. Massachusetts Permit No. BLDE-19-000667 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:8/1/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below, Location(Street&Number) 13 MACKENZIE RD Owner or Tenant BRYSON NANCY E Telephone No. Owner's Address COLINA JORGE J, 13 MACKENZIE RD,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator. 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 1 KVA 22 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 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 Heating KW Local ❑ Municipal ❑ 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MARK L AVERY Licensee: Mark L Avery Signature LIC.NO.: 13272 Of applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:77 AGNES RD,SOUTH DENNIS MA 026602814 Mt.Tel.No.: *Per M.G.L.c. 147,s.57-61,secunty 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:$75.00 6(iq/tb Ckri 5e 40 N�' 4 9, �1• ts. i 4,1, 0,Or) /�a.4, $I`ts ii p di •� r41;104"0.2.44:• F �t7/l8 e- 27:O1/4-LAI '-gd a er ar '� � 8('•7�x8 � _ A,V Commonwsa� o`///assacatfd Official Use Only ° C? -��( 7, t cy� c7 Permit No. E - Theparimsnl o`Jirs services 11_ Occupancy and Fee Checked �.3get,' BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07 i j (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: August 1,2018 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. a7.-;- ---7",: ILcation(Street&Number) 13 Mackenzie Road y dLner or Tenant George Colina Telephone No. 508-414-7734 IUi m o �ry ner s Address 13 Mackenzie Road _, c� I this permit in conjunction with a building permit? YesNo l—1 II 0 (Check Appropriate Box) lL.!i ake) 11 rrpose of Building Single Family Residence Utility Authorization No. 2289549 )1\1` Existing Service 200 Amps 120 / 240 Volts Overhead n Undgrd El No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters tir ie Number of Feeders and Ampacity ----location and Nature of Proposed Electrical Work: Install 22kW standby y generator and service rated ATS. Completion of the followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tof Traa onKVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 0 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 No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers (feat Pump Number Tons KW, No.of Self-Contained ..._.... Totals: -�� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KVV 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:load sheet attached. Attach additional detail((desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $8,000.00 (When required by municipal policy.) Work to Start:8/6/18 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 0 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Mark L.Avery Licensee: Mark L.Avery Signatu LIC.NO.: 13272 lfapplicable,enter "exempt"in the license number line.) Bus.Tel.No.•sae-esessL Address: 77 Agnes Road.S.Dennis MA 02660 Alt.Tel.No.:n4-9944626 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. ss-002294 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $