HomeMy WebLinkAboutBLDE-19-003451 y *P Commonwealth of OffrcialUse Only _
/E_ Massachusetts Permit No. BLDE-19-003451
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/07]
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 ALL INFORMATION) Date:12/6/2018
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.
Location(Street&Number) 7 STARBUCK LN Q9-737-7946--
Owner or Tenant MCBRIDE PAUL N III Telephone No.
Owner's Address 7 STARBUCK LN,YARMOUTH PORT,MA 02675-2417
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 panel inlet.
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 KVA
No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting
grad. Rend. Battery Units
No.of Receptacle Outlets 1 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 No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER: I
Attach additional detail fdesired,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: PAUL J VIOLETTE
Licensee: Paul J Violette Signature MC.NO.: 20858
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:18 ANCHOR DR, FORESTDALE MA 026441822 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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$50.00
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8 Occupancy and Fee CheckedS
' � I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
C/
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,4LL INFORMATIOA9 Date: 1)10//87
City or Town of: yar ri o,,,,i-k 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) 7 c-}ic - Ince.,it'
' Owner or Tenant Pa,I rel GhrI'd-e_ Telephone No. SO?-7.37--74H:
Owner's Address C a yl^ e-
is this permit in conjunction with a building permit? Yes ❑ No Q--- (Check Appropriate Box) ,,
Purpose of Building I FA-ri • / o a•r• Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service _ Amps / Volts Overhead❑ Undgrd ❑ No.of Meters _
QNumber of Feeders and Ampacity
--Location and Nature of Proposed Electrical Work: ' =1 S 4,4 i( 6 en +r ekn Ppnz ( ÷-
l F'
{ • I Completion of the following table may be waived by the Inspector of Wires.
1 N "x No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Na.of Total -
co Transformers iCVA
UJ 'I' O AII o.of Luminaire Outlets No.of Hot Tubs Generators KVA
O f v zit a.of Luminaires Swimming Pool Above ❑ In- ❑ No.ol Emergency Lighting
'r/Sin • i grnd. grnd. flatter),Units
� V7
al 1'l_ - o.of Receptacle Outlets No.of Oil Burners FiRE ALARMS No.of Zones
m 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
No.of Waste Disposers Heat Pump Number Tons_,,, MW No.of Self-Contained
P Totals: — Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local o Municipal ❑ Other
Connection
No.of Dryers Heating Appliances 1CW Security Systems:*
rY No.of Devices or Equivalent•
No.of Water TCW 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 covey is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE g BOND 0 OTHER 0 (Specify)
7 cerlijy,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: \Jioc. c rI� C of
( 4j ( cc„1-rtc 1- LTC. O -5-14-
Pot
r�
Licensee: I�p,�,l S V n'o Le_}...fie, Signature Pu,4..-9. J,ec. ' LiC.NO.:
(If applicable,enter "exempt"In the license number line.) Bus.Tel.No.. SC�S"3 e�-1-,t',[7,)'-
Address: ( gr Orn O hot` (Jr: r re l•}cq t& MA- Oa 6 4-4( Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: ' Lie.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 ❑owner's agent.
SignatureOwner/Ag
Telephone No.
PERMIT FEE: $
• The Town of Dennis
Electrical Department Fee Schedule •
FY2017
ELECTRICAL PERMITS •
Residential Units •
New Construction/reconstruction per unit $133.00
Additions/Renovations 0-1200 Sq. Ft. $79.00
Over 1200 Sq. Ft. $155.00 •
Minor alterations/Appliances, etc., to existing buildings $44.00
Septic pumps/air conditioners/generators $40.00
Change of Service • $47.00
Alternative Energy(roof mounted) $75.00
Accessory Buildings (garage, barn, etc., excluding separate meter) $62.00
Temporary Service • $44.00
Additional Meters per unit $36.00
Alarms/Ground/CO • $36.00
Commercial Units Multi-Dwelings (3 or more)
• New Construction/reconstruction per unit $200.00
Additions/Renovations up to 750 sq. ft. • $115.00
750-1500 sq. ft. $155.00
Over 1500 Sq. ft. $230.00
Minor Alterations/Appliances, etc, to existing building $47.00
Septic pumps/air condition units/Generator $46.00 •
Change of Service+ Meters $64.00
Temporary Service $40.00
Additional Meters per unit $40.00
New Service-one meter • $115.00
Alarms/Ground/CO • $46.00
Smoke Detectors per unit $22.00
•
Carnivals/Fairs •
Less than 20 Concession/Rides $73.00
Greater than 20 Concession/Rides $147.00
Other Permits •
Pools-residential/Commercial $62.00
Signs-Residential/Commercial $36.00
Alternative Energy(free standing residential) per unit $53.00
Alternative Energy(free standing comnmerical) per unit $105.00
Building permit amendment(after permit issue) '$34.00
Reinspection Fee CommerlciallResidential .
For work not ready for inspection, incomplete work, incorrect work, $78.00
or failure of inspector to gain access to premises.
•
"Permit issued for work started before permit issued (except as allowed by code for
emergency work)shall be double permit fee.
•
•
Revised 7/2016 •