The URL can be used to link to this page

Home My WebLink AboutBLDE-19-003257 ✓ ,� A. Official of Official Use Only Massachusetts Permit No. BLDE-19-003257 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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 ININK OR TYPE ALL INFORMATION) Date:11/28/2018 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 cicctncat work described below. Location(Street&Number) 95 WHARF LN Owner or Tenant LEMBREE JOHN A Telephone No. Owner's Address LEMBREE MICHELE D,95 WHARF LN,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes ❑ 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 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 KVA 20 No.of Luminaires Swimming Pool Above ❑ In- a 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 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 Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs I 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 tertiify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Bryant K Dundon Licensee: Bryant K Dundon Signature LIC.NO.: 53109 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:67 TAURUS DR, MASHPEE MA 026493458 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 n 129ke V) ammonwea&c/mpL Ehh Official Use On) ' t!::, apartment of,yin Service! !'Permit No. 43 BOARD OF FIRE PREVENTION REGULATIONS O1/07ryandFeeChecked ;Revl/0 . (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT ININK ORTYPE ALL INFORMATION) Date: // — Z7 — /es--"" City or Town of: YARMOUTH To the Inspector of Wires: By this application the rmdersigned gives notice of his or her intention to perform the electrical work described below. • r Location (Street lc Number) �,��) Grp C w I a .erorTenant )0/7„...7 / P_,....77 w e� awner'sAddress ��` THePboneNo.G/7 poi ‘c-7--I--- � � �/� Gc/%r�.rte' .-e-e-,--e--- �3 Z �_ �a• s this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) w nt 0 i urpose of Building he,tiL Utility Authorization No. o >' 1 z xisting Service Zee' Amps /�o/z yo Volts Overhead ff�� o I Ll Undgrd,� No.of Meters w cJ ew Service Amps / Volts Overhead 0 Und / . _—, gid ❑ No.of Meters :_j311. umber of Feeders and Ampacity 3 CL aocorq Location and Nature of Proposed Electrical Work: C, Jr,�, 5 .!/An / 4,- �. . t [....-41( _ he - 7r/G.r c/ �/ Completion of the followinttable may be waived by the Inspector of spires. No.of Recessed Luminaires Na of Cet7.-Susp.(Paddle)FansNo.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. eincl- Battery Units V No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS INo.of Zones ` No,of Switches No,of Gas Burners No.of Detection and Initiating Devices No.of Ranges Mr Cond. Ton No.of Alerting Devices "1 Na of No.of Waste Disposers Heat Pump I Number (Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Spat/Area Heating KW LocalQ Municipal Connection Oda No.of Dryers Heating Appliances KW Security Systems:* ,�\ No.of Water No.of Na of Devices or Equivalent _ V Heaters KW No,of Data Wiring 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 fdestred or as required by the Inspector of Wires. Estimated Value of Electrical Work /500 (When required by municipal policy.) 1 Work to Start r Inspections to be requested in accordance with MEC Rule 10,and upon completion. t INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless 1 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 F BOND 0 OTHER 0 (Specify.) f cernly, under the p-'ns and enalties o perjury,that the information on this application is true and complete, FIRM NAM" sa , 4.„ ,,,,,, LIC.NO.: ."71 -J Licensee: as c �AI�7� Signature � � LIG NO.: _s5.1.&:4,en: "aem,e"'. the license numb r line) �6 Address. Bus.Tel.No: a� Alt.TeL No.- ___ ___ t N j Per M.G.L.c. 147,s.57-61,securi work sego res Department of Public Safetyo�� V� "S"License: Lic.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)❑owner ❑owner's as"( r Owner/Agent d Signature Telephone No. ( PERMIT FEE: $ 51)