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Home My WebLink AboutE-18-7055 `+ `. 'f Commonwealth of Official Use Only Massachusetts Permit No. BLDE-18-007055 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked )Rev.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:6/12/2018 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations to kitchen& Wing room. 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- 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 Inittatine 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/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 Watery No.of No.of Data Wiring: Heaters Sins 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 ❑ 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 (Ifapplicable,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,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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 0 61t 'q"318 del ,Vg o/ 7/0115 44111 V n _ ("ammonium of mmaac (h Official Use Only Nr i'kr cc�� c7 pp 6.Permit No. `i l 1JeParlmsnl of.lin Jetviva 7‘10- O _- v.e 1/07] BOARD OF FIRE PREVENTION REGULATIONS / and Fee Checked(leave blank)) APPLICATION FOR,PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: e—(I- ( e City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention tto'perform the electrical work described below. • .$) U Location(Street&Number) ci ttr S7 Ye,rwartin ty,i ( Owner'orTenant & ((ic,,,v $Lo tv Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Nit., ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service_ Amps / Volts Overhead ❑ Undgrd❑ No.of Meters P`7 New Service ___ Amps / Volts Overhead❑ Undgrd 0 No.of Meters ...„7 F[ NirinberII'' of Feeders and Ampacity U w wLNCation and Nature of Proposed Electrical Work: jo04•i-jov,s 'b �t"'t(,cm dnt l (to?^e, & Oki cm F tr 1 Q Completion of thefoll nein&table may be waived by the Inspector of rhes, iJJ a.~-{ j o.of Recessed Luminaires No.of Cell Sasp.(Paddle)Fans No.of Total Transformers KVA V UZ z o.of Luminaire Outlets No.at Hot Tubs Generators KVA o i o.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting errtd. errrd. ❑ Battery Units m =To.of Receptacle Outlets No.of Oti Buiners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners • No.of Detection and - • Initiating Devices - No.of Ranges • No.of Air Cond. Too No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I'c'ons I KW No.of Self-Contained Totals:f Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' LocalMunicipal Q Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: , �,�,�,, C4 Attach additional detail f desired or as required by the Inspector of Wires. S Estimated Value of Electrical Work: u./ • (When required by municipal policy.) Work to Start:& '(hf g 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 thep ins and penalties of perjury,that the information on this application is true and complet FIRM NAME: cg SCJac�° LIC,NO.: (��sTf � Licensee: Signatur4'[ LIC.NO.:ES(O (3 (Ifapplicable,enter"exempt"in the license number line) Bus.Tel.No. 'oirat ]-O G Address: J 'Per M.G.L. c. 147,s.57-61,securitywork requiresAlt.Tel.No.: c.No. — OWNER'S INSURANCE WAIVER: I am are that theL Department Public Safety l ve the liability insurcense: ance coverage n **c 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 al Signature Telephone No. I PERMIT FEE: $