The URL can be used to link to this page

Home My WebLink AboutBLDE-19-003066 Commonwealth of Official Use Only Er Massachusetts Permit No. BLDE-19-003066 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/071 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:11/19/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 24 NIAGARA LW Owner or Tenant NAGY MICHAEL T Telephone No. Owner's Address NAGY BARBARA,24 NIAGARA LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ 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: Install generator. 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 1 INA 16 No.of Luminaires Swimming Pool ove I ❑ - ❑ No.of Emergency Lighting Abgrnd. grnnd. 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 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: Heaters Stens 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:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: SEAN C ROGAN • Licensee: Sean C Rogan Signature LIC.NO.: 20141 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:30 MELIX AVE, PLYMOUTH MA 023601280 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:$100.00 We§ '((Ii ('g l ‘J \ - l..amTOntl�sPAN Of ma /O�f't�1ci USC O l 66,/ U UU =.`e�= JJopwon ai/lin&micas Permit No. 1 �/Q(Q(p �j Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. UV]Y ----- 1- . (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance wit the Massachusetts Electrical Code(MEG).$27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL 1NFOR16177019 Date: IMS/IS' City or Town of: YARMOUTH To the Inspector of Wires: V . By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Q Location (Street&Number) 29 NI t4 Ipr(, Gr & 8� Owner or Tenant Tnnts 0.115//14 Telephone No. U Owner's Address Sore. �j • Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) JJ N Purpose of Building pwt/l/n< Utility Authoriution No. LtL�J Existing Service Amps J 1 Volts Overhead 0 Und [Td❑ No.of Meters ... New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters i Clr_s,,, lia of Feeders and Ampacity • W yoar 'on and Niture of Proposed Electrical Work: /b kw (e cn pr- Q4L L'A .tee( . ,r , a j (rms � I — au`�\. Completion ojthe fallow;:,:table maybe waived by the Inrpector of Wires. d Recessed Luminaires (Paddle) • No.of KVA V O No.of Ceil.�S addle Fans Transformers Total Ill 1._...._14 ly'a.o Luminaire Outlets No.of Hot Tubs Generators KVA a!t--_a _ Luminaires Swimming pool Above In- No.ui Emergency ilghtmg ern& 0 crud. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones - No.of Switches No.of GasBurners No.of Detection and ' • Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump Number J KW No.of Self-Contained - Totals:I I Tons ! Detection/Alerting Devices No.of Dishwashers Space/Area Hearin KW' Municipal Heating Loel0 Connection 0 Offer No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters K� No.of Data Wiring - Signs Ballasts No.of Devices or Ec univalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications irtW 'ng: No.of Devices or Equivalent OTHER - Attach additional detail 0"derired oras required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start II//s//1( 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: INSLTRANCErr 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: Sat? [1tctl+lc me LIC.NO.:/lZON/ Licensee: Sete c.pieta/ Signature LIC.NO.:ESl9L'% (Ijapplicabfe,enter "exempt";:the license number line.) Bus.Tel.No.:5JT( h / Address: 3, litho? Au.. Pipalr, riA 02340 j •Per M.G.L.c. 147,s.57-61,security work requires D Alt.TeL No.: epartment of Public Safety"S"License: Lic.No. ii— 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,!hereby waive this requirement. I am the(check one)0 owner 0 owner's a ent Owner/Agent d Signature Telephone No. I PERMIT FEE: $