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Home My WebLink AboutE-18-2462 i. Official CommonwealthI". ftS- of Massachusetts Permit No. BLDE-18-002462 • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 IN INK OR TYPE ALLINFORMATION) Date:10/25/2017 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 described below. Location(Street&Number) 30 WARBLER LN Owner or Tenant ANDERSON MARIE GRACE Telephone No. Owner's Address 30 WARBLER 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator V°//�� Completion of the following table may be<y4jT(by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ' J Total Transforms �< KVA No.of Luminaire Outlets No.of Hot Tubs Generators �j Q KVA No.of Luminaires Swimming Pool Agrnd.bove ❑ In-grnd. ❑ No.of Emergency ' et-iii)Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of + •No.of Switches No.of Gas Burners Detection and Ini Ini. at of De Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 4) Ton, O 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 ❑ 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 Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.ofMotors Total Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,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: THOMAS P SULLIVAN Licensee: Thomas P Sullivan Signature LTC.NO.: 18182 ((applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 WAQUOIT RD, COTUIT MA 026353517 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 ant the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 0 t,' ;$ enectlateur., ,y s6e-urti 914 o df 5.400) ( 0Usf; cooed- art le , 'p`ft ter �) ' //�� e@ I�/�j�V I l• l�ommonwealtt o/ aaeachuaaffa �Offfiiciiaa�l Use Only E ay •i marooned c7 Permit No. 1.:�( D'�6' CO� i Isel o� ue Snits -ti.1S-1 Occupancy and Fee Checked %,''__-7, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave 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: )10 ^„2 5--/7 City or Town of: CIO r n gvd-l]. To the Inspector of Wires: By this application the undersigns gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3D (,O a)p is14MS Owner or Tenant S %t key Telephone No. Owner's Address 5Q1wt O Is this permit in conjunction with a building permit? Yes 1 f7-., No ❑ (Check Appropriate Box) Purpose of Building.1)Ultr ]A yi Tp Utility Authorization No. `,. Existing Service Amps / Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity K. Location and Nature of Proposed Electrical Work: '(j filisrot Ivy. Ci) Completion of the following table may be waived by the Inspector of Wires. � No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans TroosNo. tformers Total KVA (..... No.of Luminaire Outlets No.of Hot Tubs Generators I KVA Z Z Id, No. No.of Luminaires Swimming Pool Generators ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units - 4) 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. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipalnnection ❑ other Co ''nn No.of Dryers Heating Appliances y Security Systems:* V)J No.of Water No.of No.of No.of Devices or Equivalent t- Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications NofDeiceWiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. - Estimated Value of Electrical Work: 9f`53' (When required by municipal policy.) Work to Start:/0 '87—/7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. o LIN URANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless J h licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The 111 Kin ersigned certifies that suchcoverage is in force,and has exhibited proof of same to the permit issuing office. CK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) In` al d rtify,under the pains and penalties of perjury,that the information on this applicat on Is true and complete.d Illc9-4o j NAME: /0 114. S 011 Valk) ^C -PC-1-41-) Lo LIC.NO.: R 1 ift,Z U ..1,-LI ensee: et[,i/}s •., 0 1 ii IR//v SignatuLIC.NO.: C3/Oft ••' applicable,enter"exempt"in the license number line.) Bus.TeL No: . _.._ Address: �� / f. n[/e / el CO/�(>/t s Alt.Tel.No.: ��Sl(l--j-b/6 *Pcr M.G.L.c. 147,s.57-61,securitywork requires Department of Public Safety ty"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/Agent Signature Telephone No. PERMIT FEE: $