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Home My WebLink AboutBLDE-19-002466 y► a CSI Commonwealth of OfflcialUse Only EE` Massachusetts Permit No. BLDE-19-002466 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:10/25/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ice o is or cr to en ion m c c cc n , w- described below. Location(Street&Number) 12 LUELLEN LN I,4 u L LS Owner or Tenant GARCIA FRANCIS Telephone No. Owner's Address GARCIA CECILE M, 12 LUELLEN LANE, WEST YARMOUTH, MA 02673-2562 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: Replace distribution panel,upgrade grounding, &install manual generator switch. 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. Batters,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 • Initiating 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/Alerting 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 Water KW No.of No.of Data Wiring: IT Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No,of Devices or Equivalent OTHER: A 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: Michael D Hollister Licensee: Michael D Hollister Signature LIC.NO.: 10071 (If applicable,enter"exempt"in the license number tine.) Bus.Tel.No.: Address:85 N DENNIS RD,S YARMOUTH MA 026641017 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 lo/n('(9 a if3 0- lmorsth ofaatfOf ciay e 01 12.14 \ J- � Permit No. (Si7 isi apartment o/yin Service! �� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. Iro • (leave blank) APPLICATION FOR�PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ,527CMR 12_ -t ' EPRIM'ININK ORTYPE ALL INFORMATION Date: ao o W E' w City or Town of: YARMOUTH To the Inspector of Wires: `. gy s application the undersigned gives notice of his or her intention to perform the electrical work described below. • q of L W tion(Street&Number) I 'Z LvtQCctr L�}sS pi.er or Tenant ?rq..0 L ► E P4 l3•- Telephone No.3 9 ei 49 O t— • 'er's Address f w 00 -Is i is permit in conjunction with a building permit? Yes 0 No 51 (Check Appropriate Box) t it ' 'ose of Building ¢�oseaC a Utility Authorization No. 2 3 a 2 3 ' Lt f ting Service job Amps /7d IZ.0 Volts Overhead.0 Und p i grd2y Na.of Meters j New Service _ Amps / Volts Overhead 0 Undgrd ❑ NO.of Meters Number of Feeders and Ampacity 2 9PL -c's- Fre Psr'eter_- e 9 0 sit AWOL c Location and Nature of Proposed Electrical Work: in g,N - k) G ntnuw.d 2.0 n c f ¢ L.er.�afrb-- i+'vTZ�rrC ss-srzsy+s. '1� on et7 J Completion of the followingJable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cert-Buse.(Paddle)FansNo.of Total Transformers KVA _ Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA L No.of Luminaires Swiaming Pool Above d. 0 Ba0 In- Nottery.of hmergencyUnits Lighting Erred. grn a No.of Receptacle Outlets No.of Oil Burners FRE ALARMS INo.of Zones No.of Switches No.of Gas Burners • No.of Detection and (-�, Initiating Devices V No.of Ranges No.of Air Cond, Toa No.of Alerting Devices No.of Waste Disposers Heat Pump Number (Tons KW No.of Self-Contained L.) Totals:1 I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' l Q Municipal Connection 0 Other No.of Dryers Heating Appliances Security Systems:" No.of Water No.of Devices or Equivalent Heaters KW No,of No.of Data Wiring Signs Ballast No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: • f Attach additional detail Ifdesirec4 or as required by the Inspector of Wires. Estimated Value of Electrical World 'Zee (When required by municipal policy.) J Work to Start: /0//9//8 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. kit CHECK ONE: INSURANCE El 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:_4/114, f. Z p 14 O LL� LIC.NO.:_20311/2 a Licensee: 01rf ¢ Signature j/� LIC.NO.: (If applicable,enter"ex t in mbe line.) slot//� ,Bus.Tel.No.:_ 1 _ 9 Address. ri5lt�7�1 J 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety _ : Alt.TeL No.: o. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability Lin.insurance c Q 0wa coverage normally er/ law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent jtOwner/Agent SignatureTelephone No. I PERMIT FEE: $ 50—I