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Home My WebLink AboutE-18-4217 4#(20)b Commonwealth of Official Use Only 1 di Massachusetts Permit No, BLDE-18-004217 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:1/26/2018 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) 51 WINTER ST Owner or Tenant SWANSON DAVID B Telephone No. Owner's Address SWANSON SHEREE L,51 WINTER ST,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: Remodel 2 bedrooms,2 bathrooms&laundry. __ _ 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- ElNo.of Emergency Lighting grnd. grnd. Battery links 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. TotalTon No.of Alerting Devices No.of Waste Disposers (teat Pump Number Tons NW 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: ,lleaters Signs Ballasts No,of Devices or Equivalent No.Ilydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail fdesired,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 (Ifappheable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:718 CEDAR ST,W BARNSTABLE MA 026681300 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 ❑ owner's agent, Owner/Agent Signature apt/ TelephoneelrNo. > PERMIT FEE:$75.00 e(11)-0/ (_ .* apt / gni) i/s4es tt cam" "J. S. Cotrarior-wceS Df/ etch L se'LFS • Ofncial Use �y , �/' t DI 27-ire Servicel :eit:=5;1:0:: =Lj�(/• ele aand Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (lczveblank) ....0Nar APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be p_riu",cd in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1100 (PLEASEPRLMTININK OR TYPE ALL WFORhl4TTON) Date: I- '1.- IT City or Town of: ymniouTH To the Inspector of Wires: . By this application the undersigned gives notice of his or her inteutioa to perform the electical work described below. Location (Street&Number) . f L,y ,n) csr. 51 v,„07t1.4por1 Owner'or Tenant ,(�?ock &y4 / L9i(('o,..., S co Telephone No. Owner's Address Is this permit in conjunction with a !molding permit? _Yes te No 0 (Check Appropriate Box) 1 4 Purpose of Blinding R,e e,i(0" it S?rcti tom,: (C/ Utfity Authorization No. — Eris�Service Amps / Volt Overliead ❑, Undgrd❑ No.of Meters V\ New Service Amps / Volts Overhead❑ Undgrd ❑ NO.of Meters SNumber of Feeders and Ampacity • LKatioa and Nature of Proposed Electrical Wort- exy100GTice, a- /* %1,5 &Melfi a [.,:-] ! Completion of the foQowing table may be waived by the Inspector of Wires, Nn. of Recessed Lur+innites INe.of Cer1,�5• addle Fats INo,ofTotal ) TrzasfornsKVA No.of Lnrninaire Outlets INo.of Hot Tubs . IGene ators . I�'VA ' ii„ No,of Luminaires 'SwismingPool Awe ❑ �d_ ❑ 'BatteryUniNo.ca tr�cy `nig .No. of Receptacle Ottletr . No.of Ort Burners IFtRE ALAflMS INo.of Zones No,of Switches No,of Detection andNo.of Gas Buracrs -' IaiEst»t�Devicesi No.of Ranges INo_of Air Cond. Tota 1No.of Alerting Devices No.of Waste Disposers IHeatTotals: DePump I Number Tons KW INo,of Stioetfn/Af-Contained tezertine Devices No.of Dishwashers ISpace/Area Heating KW Ltxz ❑Cl Mumcxpal nnneeticn o Crater No.of Dryers 'Heating Appliances err Security Systems:e No. of Water No.of Devices or Equivalent Heaters KW INo. of No. of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP ITelecommunitations Wiring: Na of Devices or Equivalent O 1 ITER: CC. Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work .4 - (When required by municipal policy.) Work to Start I-2G- (2” Inspections to be requested in accordance with MEC Rule ID,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 it substantial equivalent. The undersigned certifies that such c verage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify.) r certify, under the pairs and pe s of perjury, that the information on this application is true and complet FIRM NAME:e ie CrP+1 /iIC.NO.: J.), Licensee: Signature .. IC.NO.: �3(O ( _ . fapplicable,enter "S5FF��ppt"in the c�ease num/b�er fine Bus.TeL No.1,X= LLG( Address: it'S CrorcAr `j l W r f'AS p yv IC.-, Alt TeL No.: j 'Per M.G.L.c. 147, s.57-61,security work requires Department of Public Safety"S"License: Lie.No. ________ _ 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. T am the(check one)0 owner ❑owner's agent. t Owner/Agent d Signature Telephone No. I PERMIT FEE: $ 1