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Home My WebLink AboutBLDE-19-006723 or Commonwealth of Official Use Only (i' j Massachusetts Permit No. BLDE-19-006723 `�"s� 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:5/29/2019 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) 62 CARVER RD Owner or Tenant ROBICHAUD GERHARD M Telephone No. Owner's Address ROBICHAUD VIRGINIA K, 58 CARVER RD,WEST YARMOUTH, MA 02673 7 bq Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A Purpose of Building Utility Authorization No. , Existing Service Amps Volts Overhead 0 Undgrd 0 ,:0 ers' New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. 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 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: 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. /[n CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) 6-06-'/4Z-75 ZLe I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Alexander S Beaton Licensee: Alexander S Beaton Signature LIC.NO.: 53370 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 JOANNA DR, FOXBOROUGH MA 020353024 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: $180.00 %zstille. &&%0 + 7D& - 5 CLoc,t cest: -- Airs Po4cief 3 lg.le )d i/(e 9 7/2_0( ct .. Commonwealth.o/Vaiiacitu.detts Official Use Only '� ;jgy= / c�r� Permit No. � -�Q ;� 2epartment o`give Serviced ., 1 j=s� 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: 527/19 City or Town of: west 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) 62 carver rd Owner or Tenant milibrook modular homes Telephone No. Owner's Address 2255 providence hwy walpole ma 02081 Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 200 Amps 120 / 240 Volts Overhead® Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire 200A overhead service to new modular home.Make factory connections,install basement lighting,wire hot water heater,forced hot air heat/AC.Rough/finish family room ceiling and hang interior/exterior lighting. Completion of the followingjable may be waived by the Inspector of Wires. No. otal No.of Recessed Luminaires 4 No.of CeiL-Susp.(Paddle)Fans Tranof TVA Trsformers 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. Initiatingon Detectionand Devices No.of Ranges No.of Air Cond. i Total g Tons 13 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Olther Connection No.of Dryers Heating Appliances KW N Secuof DevSyste cores or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 1 3580 Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring No.H y g No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $6,850.00 (When required by municipal policy.) Work to Start:528/19 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 ❑ (Specify:) Utica First#5121956 Exp,11/05/2019 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: alexander beaton Signature ,,r, LIC.NO.: MA-53370-B (If applicable,enter "exempt"in the license number line.) Bus.TeL No.. 508-942-7524 Address: 14 Joanna dr foxborough,ma,02035 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: 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $