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Home My WebLink AboutBlde-19-003064 0, Commonwealth of Official Use Only Permit No. BLDE-19-003064 Ei7 Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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•11/19/2018 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) 23 IROQUOIS BLVD Owner or Tenant TOLLEY JON F Telephone No. Owner's Address 23 IROQUOIS BLVD,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: 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 11 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 ❑ 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. CHECK ONE:INSURANCE ❑ 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: Sean C Rogan Licensee: Sean C Rogan Signature LIC.NO.: 20141 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 MELIX AVE, PLYMOUTH MA 023601280 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:$50.00 1# <</"?/ s `�i ` - OA 1(( oi(s. it --- fu-k, 80cf9f a _ = Commonwealth o`Massachusetts Official Use Only ___ __._„ f.1cra s g g -30 C4 4 =/fl _ • ..Ua arfmant v Permit No. t _ _. P cervices =f = ' 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 OAR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: it r 15/ ifC 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) 3 3r.n y 0,015 evict, �. Owner or Tenant 0n �—�11t,1 I Telephone No. Owner's Address So,--.- Is this permit in conjunction with a building permit? Yes ❑ No . Er- (Check Appropriate Box) i Purpose of Building ®w111 15 Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd❑ No.of Meters t444V•- New Service Amps / Volts Overhead E Und d >':r ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I( kV/( ' UAXor 4 N SVj 1 ,l, , \.L' Completion of thefollowinn table may be waived by the Inspector of Wires. ��,, 1_�t No.oC Recessed Luminaires No.of�J , No.of Ceil.-Susp.(Paddle)Fans Total °` Transformers KVA _ NO. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of-Emergency lighting - \ \ � :a- crud. ernd. � Battery Units Na.of Receptacle Outlets No.of Oil Burners C. FIRE ALARMS INo.of Zones No,of Switches No.of Gas Burners No.of Detection and " Initiating Devices - . 1Ve:of Ranges Total Na of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained 1 Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ 'IF No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Signs Ballasts Data Wiring: - No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: ' No.of Devices or Equivalent — 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: jl/1 51/ir Inspections to be requested in accordance with MEC Rule I0,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 [V BOND ❑ OTHER I certify, under the pains andpenalties o � (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: 5 e R E(tr_S`l`;t;_CI c LIC.NO.:,�1�/� Licensee: Se-"A e �oty =_ (If pp Signature LIC.NO.:r;5736c1 a applicable,enter "esempt t the license number line.) Address: �,✓1Clt ,t f��j/ t�c,p5D1. Bus.Tel.No.: S.2S 3� /3e' J *Per M.G.L. c. 147,s 57-61,security work requires Department of Public Safe Alt.Tel.No.: - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not havethe liabilityLin. No. required by law. By my signature below,I hereby waive this requirement. I am the(check on 0 owner w insurance0 o coverage n y ` Owner/Agent ❑owner's a Signature Telephone No. PERMIT FEE: $ 512