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Home My WebLink AboutBLDE-19-005480 a. Commonwealth of Official Use Only E. Massachusetts Permit No. BLDE-19-005480 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:4/1/2019 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) 10 ECHO RD Owner or Tenant CANTARA TODD Telephone No. Owner's Address 10 ECHO RD,WEST YARMOUTH, MA 02673 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: Wiring for new garage. 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- ❑ 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 ❑ 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: DARNELL CAULEY Licensee: Darnell Cauley Signature LIC.NO.: 11662 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:54 CAPTAIN BESSE RD, S YARMOUTH MA 026642805 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 2 4.1,1- 4/al (i C,onunonwea[GI►of�faeeackuseile Official Use Only� • c� Permit No.� � _S`r U in - / 2sparimeni of firs�ervieee _. y . ti .. 7` Occupancy and Fee Checked 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: 3 ;s G I i City or Town of: y &;OaA 1 To the Inspector of Wires: By this application the undersigned gi es notice of his or her_uttp pion to perform the electrical work described below. Location(Street&Number) 1 v E C h v A Owner or Tenant Cad Can kr°. Telephone No. Go h - 36 7-115) Owner's Address Is this permit in conjunction with a building permit? Yes lia No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service I CM Amps OD /3 Lib Volts Overhead In Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work: UJ,re_ x ew C,-c cj E' (p . .. 4- Completion of the following.table may be waived by the lnfor of Wires. No.of Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting g grnd. grad. Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices 6 No.of Ranges No.of Air Conti. Ton` No.of Alerting Devices �j Heat PumpNumber• Tons••.• KW No.of Self-Contained Disposers Totals: __ DetectioWAlerting_Devkes �, No.of Waste — No.of Dishwashers Space/Area Heating KW Local 0 Connectbn 0 Other No.of Dryers Heating Appliances KW SecuNa of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Signs Ballasts No.of Devices or uivalent -r---" • 1� H drom a Bathtubs No,of Motors Total HP Tel Nomm Devices o r q g: w Y aastrg No.of Devices or E�went " UJ6 R: tt a rt 4 `� Q Attach additional detail if desired,or as required by the Inspector of Wires. ®" { —_ 'fti ted Value of Electrical Work: (When required by municipal policy.) k to Start: 31 ��j Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1 A 0( 2IN URANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless �61 w I -< Ch •censee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The _ - igned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. K ONE: INSURANCE (J BOND 0 OTHER 0 (Specify:) — eTrtify,under the pains a�n`d, penalties ofperJtiry,that the information on this application is true and complete. FIRM NAME: c-a l (1S / n e (� LIC.NO.: Licensee: �ar 11 c,,,,,,,,,, Signature ,vrtylr,( C2z 4J LIC.NO.: I i 4,,a 13 (If applicable.enter" t"in the license rum line.) Bus.TeL No.: -7�ci-3k, 6,5 4C- Address: �'� ►e,lo 3e55c line.) yc.sr.«ath /1- 4 °aW61 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 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:$ ,j�^i SignaturetuneTelephone No. /J