The URL can be used to link to this page

Home My WebLink AboutBLDE-19-002475 p or— Commonwealthof Official Use Only Massachusetts Permit No. BLDE-19-002475 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 (PLEA SE 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 notice of his or her intention to pertomr the electrical work described below. Location(Street&Number) 2 CAPE ISLE DR Owner or Tenant ERICKSON CHRIS A Telephone No. Owner's Address ERICKSON PAULA M,2 CAPE ISLE DRIVE,SOUTH YARMOUTH, MA 02664-5111 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: Air cond.system(IN ATTIC) 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 0 In- ❑ No.of Emergency Lighting Rrnd. 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 ,Initiation 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 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: 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 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,eepNo. PERMIT FEE: $50.00 PeZ 46E— . 11 ( 13(If?j V - \ Colima. yy / u [�ornmmuse&of 1r/aMMachadetbO Official Use On �, • a`tri 2epartment of•7 in Jaroicss r.Permit No( 75 3 = BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07ry and Fee Checked Rev. 1/07] (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /0^ ) 6"'- / W QCity or Town of: YARMOUTH To the Inspector of Wires: . By this application the{mdersigned gives notice of hiMr her intention to perform the electrical work described below. • Q . Location(Street&Number) P.. cc pc 4,5re._ or- S. Yor-wo k * OwneforTenant Ck.r S Eric(CSov� Telephone No. 1 wner's Address C i this permit in conjunction with a building ding permit? Yes 0 No El'' (Check Appropriate Box) m 12 urpose of Building r Utility Authorization No. > N jQ zAmps / Volts Overhead ❑ UndLrd❑ No.of Meters isting Service Eh L nI i t o ew Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters 0 V 12 amber of Feeders and Ampacity • At ` C (jJ O o \ tion an Niture of Proposed Electrical Work: /j2 Ael• Com m_1 leve tii X'S ?C-14-1 Completion of the follcrwinttable may be waived by the Inspector of Weer. No.of Recessed Luminaires Na oCCwl Snsp.(Paddle)Fans No.of Transformers Total No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool • uj 0Batten Units No.of Receptacle Outlets No.of 00 Burners - FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners • No.of Detection and Initiating Devices No.of RangesNa Total of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal Lott 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na of Devices or Equivalent OTHER: d Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of Electrical World Pep - (When required by municipal policy.) Work to Start: /Q-2s---/5- 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 M" BOND 0 OTHER 0 (Specify.) I certtj5t, under the paint and penalties ofperjary,that the information on this application is true and complet FIRM NAME:__CLoge 5 gc�K9ovl LIC.NO.: _ C Licensee: Signatu �LIC.NO.: t CO (Ifapplicable,r,� tempt in the license number line. Address: ( l j/ (m Bus.Tel.No. �'e r� S� /+ PKbc41M4 Alt.Tel.No.�_ lG( j Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. Q 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 ❑owner's a t Owner/Agent .1 Signature Telephone No. I PERMIT FEE: $ Cu.