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Home My WebLink AboutBLDE-19-001996 Commonwealth of Official Use Only a ' Massachusetts Permit No. BLDE-19-001996 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 'Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perforated in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12,00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:10/3/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm electrical work describe Location(Street&Number) 33 HIDDEN ACRES AVE ( A Owner or Tenant SWIDER THOMAS W Telephone No. Owner's Address SWIDER CARMEL A,33 HIDDEN ACRES AVE,WEST YARMOUTH,MA 02673 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: 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 16 No.of Luminaires Swimming Pool Above ❑ In- ❑ 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/Alertine 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 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:) �D 17 A • I ��✓7Q I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: John Barros Licensee: John Barros Signature LIC.NO.: 12168 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:164 EAST ST.FOXBORO MA 020352253 Mt.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 " •A l..ommonweatth o`/r/amachauaeiil fficial Use Only ��—v�4q t f ifs. `l ccyy�� c7 Permit No. 1 Ile— 8 2eparimani o ..Vire Services Mil-( S Occupancy and Fee Checked " s, BOARD OF FIRE PREVENTION REGULATIONS `" ,. [Rev. 1/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU 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: ?-JS'-/S' City or Town of: Yfe.tno 07-f1 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) /7l AI)z A) /3efak-5 AVAr Owner or Tenant 294/C,t✓ Lfircza Telephone No. r/%h/--(47-.cls Owner's Address i_S�j7i a Is this permit in conjunction with a building permit? Yes ❑ No EV (Check Appropriate Box) Purpose of Building tee-5 Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: to/Rd N 6 n Kinu PR7D2 Completion of the following table m be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers Total Transformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators /6 KVA No.of Luminaires Swimming Pool Above ❑ In- • ❑ 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.o f AlertingDevices 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 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: 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 d BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information 'n this application is true and complete FIRM NAME: '• ' "6k5 _O n)"AAr /,yLIC.NO.: A2/65 Licensee: %ft,v Jen/P./205 Signature _re. LIC.NO.: .&y806 ((applicable,enter"exempt"'in the license number line.) Bus.Tel.No.• 4: -5 . - //8 Address: / ) e- T' -' ad ..•<• fl - •. • Alt.Tel.No.:.;O@ a 602 r sf55' /7 *Per M.G.L.c. 147,s.57-61,security work requires Departmfri of Public Safety"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)0 owner 0 owner's agent. Owner/AgentPERMIT FEE: $ ,5-0SignatureTelephone No. al