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Home My WebLink AboutBLDE-19-002324 4 Commonwealth of Official Use Only F Massachusetts Permit No. BLDE-19-002324 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:10/18/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 35 KATES PATH VILLAGE Owner or Tenant ROCHE PHILIP E JR Telephone No. Owner's Address ROCHE MARY L,35 KATES PATH,YARMOUTH PORT, MA 02675-1448 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 0 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: Replacement HVAC. 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- ❑ 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 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 Slots 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 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 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: $50.00 ettl to-bib8 4 i d • Commonw.ae of rr/a:mochas.lb racial Use On); n 1� �• cy� c7 �x 65 Or '+ �� 2rparim.nt of.}in&Mori Permit No. f lJ (� it' �s Occupancy and Fee Checked S BOARD OF FIRE PREVENTION REGULATIONS Rev.1/07] (leave blank) 9 s.9 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK - All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 t;:MR 12.00 (PLEASE PRINT IN INK ORTYPE ALL INFORM4TiON) Date: /D- ($- V City or Town of: ye(`(Mo v I To the Inspector of Wires: Lp By this application the undersigned gives noticeI, of his or her intention to perform the electrical work described below, ' �y 4 Location(Street&Number) c K.4� e. 1 k , Pricer - Owner or Tenant RIZ ll' p 'r int Telephone No. Owner's Address 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❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity _/ Location and Nature of Proposed Electrical Work: to it+� IC9(4OC (4t..1 r C ctS l�ryer/taett o4-1 s AI ,calllRoc\l..A? (well' C.[avary5[.r^ 1 v l Completion of the followingfable may be waived by the Inspector of Wires. No.of Total Ur No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above in- No.of Emergency Lighting No.of Luminaires Swimming Pool amd. ❑ arid. ❑ Battery Units '^t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones -- No.of Switches No.of Gas Burners No of Detection and C Initiating Devices lidTotal No.of Ranges No.of Air Cond. / Tons 2i No.of Alerting Devices No.o[WasteDis Disposers Heat Pump Number1Tons KV No.of Self-Contained F Totals: f I '- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KWLocal❑ Counner al n ❑ lUer HeatingAppliances iCW 0 No.of Dryers FP Security Systems:*No.of Devices or Equivalent (fl No.of Water No.of No.of Data Wiring: 4 Heaters KWSignsBallasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 1 e1No.of Devic soor Equivalent r mgrunt:ILI - e5G Attach additional detail if desired,or as required by the Inspector of Wires. 1'o Estimated Value of Electrical Work: G� , (When required by municipal policy.) I '" Work to Start: /O-(a.... /$ Inspections to be requested in accordance with MEC Rule 10,and upon completion. u cc INSI]RANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless SLI • the!licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The CJ / tindetigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. L'J I r CRECK ONE: INSURANCE tg- BOND 0 OTHER ❑ (Specify:) r„,I ____L ertify,under the p,Pains_�and penal'es of perjury,that the information on this application is true and complete. i `'" FRUGRIG> NAME:ilUr ( 4 K ,t&t‘ �� LIC.NO.: �-(28� Licensee: Signature LiC.NO.: E 3 (o( J (Ifappltcable, ter��'•expt"in the license number lhpI Bus.Tel.No.:OR-7n-0/6 ( Address: 74dar` Cit GO 1 ortt5h- Mitt Alt.TeLNo.: *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. I am the(check one)0 owner 0 owne!r'smen a Sign ure PERMIT FEE:$ b Signature Telephone No.