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Home My WebLink AboutBLDE-19-002328 " / e ,. .� Massachusetts,8 Commonwealth of G 111\ n 1PerttritN°. BLDE-,9-002 use only BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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 perform the electrical work described below. Location(Street&Number) 138 CAPT NOYES RD Owner or Tenant ROBICHAUD STEPHEN D Telephone No. Owner's Address 138 CAPT NOYES RD,SOUTH YARMOUTH,MA 02664 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: Replacement HVAC,split NC,&water heater. 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 grind. 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. 2 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 1 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 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 ❑ (Specify:) I certify,under the pains and penalties ofperfury,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"5"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 81 1ofS1/48 bt /r �t' ty� Official Usc Only • g &C ., l.ommonwea<'th o�it/aeeaa�iwafL7 EIS- 7'� 2� 1P414,761 a. c7 �i Permit No. ` (� n 2)oparlmeni 0/.}in Strvices to Occupancy and Fee Checked pn BOARD OF FIRE PREV•ENTION REGULATIONS [Rev.1/07] (leave blank) 3 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 .fR 12.00 s\.) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Jo— (2- (er City or Town of: Vot i i k To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. dLocation(Street&Number) 13 "pCGpIstv&t4 ft Wye Owner or Tenant 6j I rArc n CO becks r Telephone No. Owner's Address ' t�yl Is this permit in conjunction with a building permit? Yes 0 No E. (Check Appropriate Box) , Purpose of Building Utility Authorization No. i ,Existing Service_ Amps / Volts Overhead 0 Undgrd❑ No.of Meters _ j New Service _ Amps / Volts Overhead 0 Undgrd❑ No.of Meters Stl Number of Feeders and Ampacity Location and Nature ticticProposed Electrical Work: •re__ tu. 4 i t c..ciQ. '. Sk •1 (6vy9rnc'c.r I JJ am- 63' SPtt '. C. gystw+ ( Gees Woi G9cret ec,ter, LjCompletloosftt of the fallowin>itable may be waived by the Inspector of Wires. UJ No.of Recessed Luminaires No.of Cell:Sns . FansNo.of Total P (Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA -t No.of Luminaires swimmingPool Above ❑ In- ❑ No.of Emergency Lighting t t nd. grnd. ,Battery Units `•l 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 Total Cr No.of Alerting Devices 1U No.of Ranges No.of Air Cond. 2 Tons ID No.of Waste Disposers Heat Pump Number.. Tens___KW _ No.of Self-Contained P Totals: Detection/Alerting Devices 0No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other 11 nnConnectnicipion V J A luuces Security Systems:* No.of Dryers Heating pp KFV No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Beaten / KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total AP Telecommunications Whing r,� W �__ .• , No.of Devices or Equivalent It.1 co OWER: •- U o v a Attach additional detail if desired,or as required by the Inspector of Wires. coEsti�triat Value of Electrical Work: //CO - (When required by municipal policy.) ill }t ,Work to' tart: /0 17—f 2' Inspections to be requested in accordance with MEC Rule 10,and upon completion. Iv' fr_INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless C3 )Ot:khe I cen�sce provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The LU f unde sigi;ed certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CI CHECK NE: INSURANCE [ BOND 0 OTHER Cl (Specify:) rcertify nder the pains and penalties of pedury,that the information on this application is true and completer r FIRM NAME: C...1" -e-Gr( &Datil Sore LIC.on��'^' LIC.NO.:f r(e�17 Licensee: Signatur \ LIC.NO.: �S Cd (If applicable.,epptLer" .ren t' in thelicense numbegine) Bus.Tel.No. •: - at—a l.6 Address: Z(2S C r 1- (2115GM5145� j Alt.TeL No.: *Per M.G. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: f am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,11 hereby waive this requirement. 1 am the(check one)0 owner 0 owner's age OwSignature Telephone Telephone No. PERMIT FEE:$ `}