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HomeMy WebLinkAboutBLDE-19-001141 , , ra Commonwealth of Official Use Only k`® Massachusetts Permit No. BLDE-19-001141 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:8/27/2018 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. Location(Street&Number) 63 OCEAN AVE Owner or Tenant BURKE THOMAS W Telephone No. Owner's Address 63 OCEAN AVE,SOUTH YARMOUTH,MA 02664-5232 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ 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: Install generator and transfer switch. 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 Nb.of Hot Tubs Generators 1 KVA 9 No.of Luminaires Swimming Pool Above 0 In- 1:1No.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 I Numher Tons KW No.of Self-Contained Totals: Detection/Alertine 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 ifdesired,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:) /[_., �,SZy—SC3 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. /� J 7 FIRM NAME: Timothy M Cayton Licensee: Timothy M Cayton Signature LIC.NO.: 28200 tlfapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:251 DAVIS RD,WESTPORT MA 027903439 Mt.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:$50.00 Jt b 4(rrOf3 a _,� t` __._ Commonwedg o`//taaaact uael(d orrc U,s_e Only 151." ry ccyy�� c�77 ��77 Permit No. (((����(111 rn I 5� Theparinranl o`.Yira Jervicat ;� Occupancy and Fee Checked \\ \4 BOARD OF FIRE PREVENTION REGULATIONS iRev. 11/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code(MEC),5 27 AIR 12.00 R TYPE PRINT IN INK OYPE ALL INFORMATION) Date: fi2/? City or Town of: Nath Uvd C - hi 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) 63 OCF�9iv 4t SG) VN/N,�cy�✓ Owner or Tenant c7 lis mat . Telephone No.sha32q/(Oct . Owner's Address 313-/YIh' (� Is this permit in Conjunction wityllt..n building permit' Yes ❑ No L-U (Check Appropriate Box) Purpose of Building p¢/.t• 9s.•(a-'d 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 ' nd Nature of Proposed Electrical Work: lit/SW-at 9. k• w gam 13,E lt,t7. c': tar S . r ' "" .:/1/1) I 1 e 4.. F R/bfit- • 0 W N -• I ui Completion of thefollowine table may be waived by the Inspector of ll'ires. • No.of Total > U -- o. • i cessed Fixtures No.of Ccil:Susp.(Paddle)Fans Transformers KVA q - o. gL :kitingg Outlets No.of Hot Tubs Generators KVA W , Aboveln- No.of Emergency Lighting C1 •.,r. 'P.,, . hting Fixtures Swimming Pool grnd. ❑ grnd. ❑ Battery Units t� 1.1.11.1.1l' pp o. r Ht. eptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones • s No.of Detection and No.ofSw tches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat lap Number 'Tons KW No.of Self-Contained Detection/Alerting Devices • Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Correction ❑ Other Heating Appliances KW Security Systems: No. of DryersNo.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent ' Telecommunications Wiring: No.Hydrontnssage Bathtubs No.of Motors Total IIP No.of Devices or Equivalent OTHER: 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 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 0 OTHER 0 (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:jinn J inspections to be requested in accordance with MEC Rule 10,and upon completion. I certifjy ander the pains and penalties ofperjury,that the information on this application is true and complete. r r 1g Kt LIC.NO.: E FIRM NAME: 'hi Licensee: `Til�tcinj y 14t, C,9 � Signature hi.' f C.NO.: r -- (Ifapplicable,�ftiter "exempt"in the license numb rb ) I Bus.Tel.No.•� `JyWn Address: /�,o, /307 O ! , w6t, - co 9 d Alt.Te).No.: OWNER'S INSURANCE•\VAINER: I am aware thithe 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 onc) ❑ owner ❑ owner's agent. Owner/Agent1'cicphune No. PERMIT FEE: S 60 t Signature