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Home My WebLink AboutE-19-1589 _• It Commonwealth of Official Use Only 0 kE•�,� Massachusetts PermtNo. BLDE-19-001589 .i9 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1107) 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:9/17/2018 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) 42 HOMESTEAD LN Owner or Tenant COHEN MARK E TRS(LIFE EST) Telephone No. Owner's Address TETREAULT LINDA L TRS,42 HOMESTEAD LN,YARMOUTH PORT,MA 02675 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: 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 11 No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Flattery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Cas 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 I Tons , KW No.of Self-Contained Totals: -Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 HPTelecommunications 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: Charles K Swanson Licensee: Charles K Swanson Signature LIC.NO.: 12895 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:718 CEDAR ST,W BARNSTABLE MA 026681300 1 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:$50.00 &filA 4IVO << a I .\ l.ominona e&of rr/assac�tte _ ..�e7]1 Onl \ 'V apartment cc77 pp Permit No. �` Y 1 �8 \\ __ e3 1Jrparfinrnl oIJirr Jrrotus �1 `� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev, 1/07) (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52712.00 (PLEASE PRI NT IN INK OR TYPE ALL IN FORMATION) Date: g -Iet- I6 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) ya, NpMLtruck b.% Y&>I-^".o71- ;mot r w er or Tenant 141,-,p4 cave V\ Telephone No. ® er's Address W m m �s I is permit in conjunction with a building permit? Yes 0 No j (Check Appropriate Box) I RI ose of Building Utility Authorization No. tet' ai '--�'a sting Service Amps / Volts Overhead 0 Und grcl U V, Service ❑ No.of Meters U�NiAmps / Volts Overhead❑ Undgrd 0 Ni.of Meters W QA...) .her of Feeders and Ampacity ce 4.3 ation and Nature of Proposed Electrical Work: L I't_ I( k&) bent x.Ar. Completion pf thefollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires Na of Cell.-Susp.(Paddle)Fans o.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA `/ No.of Luminaires Swimming Pool Abovegrnd. 0 in-grnd. 0 No.oery Unitsf Bmergency ghhng I tt 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 ToNo.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump Number lions KW No.of SelfContained Totals:I I— I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Municipal ConnectionEl ? No.of Dryers Heating Appliances KW Security Systems:• No.of Water No.ofNo.of Devices or Equivalent Heaters No.°I Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - Na of Devices or Equivalent OTHER: t� co Attach additional detail if desired or as required by the Inspector of Wirer. Estimated Value�to�f Electrical Work: I pw - (When required by municipal policy.) Work to Start 7—(4- (3 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 0 OTHER 0 (Specify:) I certify,under the ifins and penaltiesPf perjury,that the information on this application is true and complete znc FIRM NAME: S cbt�)ot\9Dt LIC.NO.: f Licensee: Signature , .. IC.NO.: 3l0 (If applicable,escr."?aemp '•i he license number ling.) L J s b� Bus.Tel.No.47—'7Z'1- 0/0' J Alt.Tel.No.:_� `Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic. No. tt— 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 t Owner/Agent Signature Telephone No. I PERMIT FEE: $ 50 —I—