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Home My WebLink AboutE-19-3546 Commonwealth of Official Use Only FLA Massachusetts Permit No. BLDE-19-003546 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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/WINK OR TYPE ALL INFORMATION) Date:12/11/2018 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 electrical work described below. Location(Street&Number) 70 BENJAMIN WAY Owner or Tenant BRADY RICHARD B Telephone No. Owner's Address BRADY SUSAN H, 70 BENJAMIN WAY,WEST YARMOUTH,MA 02673-2575 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 14 No.of Luminaires Swimming Pool AbovIn- CINo.of Emergency Lighting gill! ❑ grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and initiating Devices No.of Ranges No.of Mr 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 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: 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 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 ✓i4�SLQ MJi.2Jk • emus°.°. ntora&of t// uchal & __.• a',.'. ,se Only = im epartmsn11 an Jewiu! Petmit No. 4IOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07) . peeve blank) 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: / r/ City YARMOUTH �� — �( O or Town of: To the Inspector of Wires: By this application the undersigned gives notice of is or her intention to perform the electrical work described below. • Location(Street&Number) 7C) n �il (Jt fr-s Der or Tenant V l ve i.e.' r4�y / Telephone No.� w ?OI er's Address "717 �/' �u TG�Gr r/7 i, .r 9 I o IQ Isl is permit in conjunction with a building permit?/ Yes 0 No � (Check Appropriate Box) .. : iaP rpose of Building �psrr (� UtilityAuthorization No. !!t' .-r '� i � U I'7 E 'shag Service /CC/Amps mus 2 eyoVolts Overhead Undgrd❑ No.of Meters / 1 u J ,� I o N w Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters •-Number of Feeders and Ampacity ,_ _Location and Nature of Proposed Electrical Work: r til:../ d r Completion of thefollowing;table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Celt-Strip.cusp.(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 7 gmd prod. I Battery Units 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 No.of Air Cond. Ton 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 HeatingKWMucip ' L0�0 Connectini ?col n other No.of Dryers Heating Appliances Kr Security Systems:* No.of Water of No.of Devices or Equivalent No. Heaters KNNo.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 fderlred or as required by the Inspector of Wires. Estimated Value of Electricgl Work /cod (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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify, under the pa'.. and enalties of�jury,that the information on this a•pikerion iv true and complete_ FIRM NAME- /Le LIC.NO.: /v Licensee: .411: e, Signator —iamirr LIC.NO.: S 3/d ci (If applicable.ent., "exempt e license number i a) Bus.Tel.No.- Address: d J *Per M.G.L.c. 147,s.57-61,security worE-requir�Dep`artnent of Public Saaffety"S�e: Alt.Tel.c.No.`�'-�-�'`=f-eG/C OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n - required by law. By my signature below,I hereby waive this requirement,iam the(check one)0 owner 0 owner's agent Owner/Agent _I Signature. Telephone No. ( PERMIT FEE: $