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HomeMy WebLinkAboutE-19-2927 1a Commonwealth of Official Use Only ` Massachusetts Permit No. BLDE-19-002927 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:11/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 59 NORTH DENNIS RD Owner or Tenant SERIO DEBRA A TRS Telephone No. Owner's Address MALLOR MICHAEL G TRS,59 NORTH DENNIS RD,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. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ 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 No.of Luminaires Swimming Pool Above 0 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/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 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 ❑ BOND ❑ OTHER ❑ (Specify:) /certify,under the pains and penalties of perfury,that the information on this application is true and complete. FIRM NAME: DAVID BALFOUR Licensee: DAVID BALFOUR Signature LIC.NO.: 22363 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 STARBOARD DR, MASHPEE MA 02649 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 `r3 49 . 6-1stsboid £ewsc p Giro t e �) TAM.' c� c7 Permit No. �� —Z Z7 Miea eparLmenf o` ire ervices �te � :1�(_ Occupancy and Fee Checked ---. - BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07 • ,a�,o• ) (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 3 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/9/2018 City or Town of: South 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) 59 North Dennis Road Owner or Tenant Michael Mallor Telephone No. Owner's Address same Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd El No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity r -r iLoration and Nature of Proposed Electrical Work: o z p Install a standby generator approximately 5' w �'ullm '�- Completion ofthe following table may be waived by the Inspector of Wires. rcy, 1 No.of Total of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans I Transformers KVA LLC, '-i i o of Luminaire Outlets No.of hot Tubs Generators I KVA 12 KV11 (� V 7 Above In- No.of Emergency Lighting Z 1 J o�of Luminairesill Swimming Pool grnd. ❑ grnd. ❑ Battery Units t No, f Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers (feat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection HeatingAppliances Security Systems:" No.of Dryers PP KW No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications No fDeiceor Wiring: No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 7800.00 (When required by municipal policy.) Work to Start:ASAP 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 ® 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: Coastal Mechanical LIC.NO.:22363A Licensee: David Balfour Signature Pa Sa9ru._ LIC.NO.:22363A (If applicable,enter"exempt"in the license number line.) (J Bus.Tel.No..506-737-6747 Address: 299 Whites Path-South Yarmouth,MA 02664 Alt.Tel.No.:761-569-5350 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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 ❑owner's agent. Owner/AgentPERMIT FEE: $ 50' SignatureturaTelephone No.