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Home My WebLink AboutBLDE-18-002258 f Commonwealth of Official use only !E' !►i 0 Massachusetts Permit No. BLDE-18-002258 _ _____1 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:10/16/2017 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 describe w. Location(Street&Number) 24 BUCKWOOD DR Ok Qp Owner or Tenant READ PHILIP W Telephone No. Owner's Address 24 BUCKWOOD DR, SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 2240078 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: Upgrade service and 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 TransNo.of Total o , O KVA No.of Luminaire Outlets - No.of Hot Tubs Ge r o /KVA No.of Luminaires Swimming Pool grnove Ab0 In-grnd. o No. . *'40 4::' d. Batte `wry No.of Receptacle Outlets - No.of Oil Burners - FIRE ALA' (fes` �,[\.O No.of Switches No.of Gas Burners No.of Detection a Y 43 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 ❑ Municipal 0 Other: 68 Connection ` No.of Dryers Heating Appliances KW Security Systems:* No,of Devices or Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eauivalent 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Shawn M Ricard Licensee: Shawn M Ricard Signature LIC.NO.: 40451 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:27 BAYWOOD DR,ORLEANS MA 026534815 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: $75.00 .-17-CANSCIS t Cctbdfr 00// '>07 va [/ yf�y . ` - — l.ommor.wcc Sh of tt tai6a Ot-natal use Only c� PamitNo. `-�l ZZ t �an'� �JcparLncnE>{}M s'�r C\ `1 as = Occupancy and Fee Checked \\1 BOARD OF FIRE PREVENTION REGULATIONS jltev wij ' Ili a blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetb Electrical Code(MEC),527 C1YDt 12.D0 PLEASE PRINT ININK OR7YPE ALLINFORM417019 Date: (0116/1 CP� City or Town of: YARMOUTH To the Inspector of Wires: l . By this application the\ndersigned gives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) vi ( woo ADr Owner'or Tenant CA p)) RteA Telephone No. F. Owner's Address W ^�!s Is this permit in conjunction with a building permit? Yesr' I` �t 0 No �{ (Check Appropr ate Boz) pos �Q Purpose ofBulla'mg ! teStcDFn1 tK‘ UtAltyAuthorization No. p�p1y00�$ 1 (w Existing Service /O'O Amps /Not /J4b Volts Overhead p� W •- f Y� Undgrd❑ No.of Meters I V t�—V�-`��z New Service JOo Amps /Jo /d`(o Volts Overhead® Undgrd❑ Nd.of Meters / W �J • o Number of Feeders and Ampacity • �m . Location and Nature of Proposed Electrical Work: SQ.t.iLa Op nukes_ GQnftpbbr k 5k,ru.943i. +u .q --_ — _ Completion of the follo"mm,table may be waived by the Inspector of Wbvs No.of Recessed Luminaires 'No.of Cert Srsp.(Paddle)Fans Transformers INA No. ofLnminafreOutlem INo.of Hot Tubs 'Generators • KVA • Na.• of Luminaires ISRir}+mfag Pool Above In- No.°I r.IDergeacy Lapsing . arnd. =incl 0 IEattervUaits No. of Receptacle Outlets . . No.of Ori Burners 'FERE AL.4RMS 'No.of Zones No.of Switches No.of Gas Burners No.of Detection and - — • Inftiatina Devices No. of Ranges !No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers IHeatPump I Number Tons KW No.of Self Contained Totals: Detection/Alert:az Devices No.of Dishwashers ISpace/Area Heating KW LocalMaaiapa! ❑Connection 0 Other No.of Dryers (Heating Appliances KW Security Systems:` No. of Water ISigns No, of No.of Data Woef vices or Equivalent Heaters Ballasts Na of Devices or Equivalent No. Hydromassage Bathtubs INo.of Motors Total HP 'Telecommunications Wiring: Na of Devices or Equivalent O 11daR Attach additional detail(tired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start ID/I y)!- Inspections to be requested in accordance with MEC Rule 10,and upon completion. .INSURANCE COVERAGE: Unless waived by the owner,no petit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or it substantial equivalent The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: NSURANCE 0 BOND 0 OTHER 0 (Specify) r certify, under the pains and pent/nes of perjury,that the information on this application is true and complete. FIRM NAME: Shlawn 7(,et..f9 6/<el' LIC.NO.: Licensee: S Ab& n Q i C $ 'O 9i TIC NO Signature —�— .:Et/O'/S (If applicable.cater "¢enryt•'in the license member line.) �--� Address: s5\ �yw o,co Or OP I.Q s •'Mt. Bus.Tel.No.: e1 h log 1 J Per M.G.L. C. 147, s.57-61,security work requires Di art lent of Public SafetyMt Tel.No.: ep "S".License. Lie.No. OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage n� opany— Ow�ne d by law. By my signature below,I hereby waive this requirement I am the(check one)❑ owner 0 owner's agent Signature Telephone No. I PERMIT FEE: S