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Home My WebLink AboutBLDE-19-001668 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001668 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:9/19/2018 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) 14 PHEASANT COVE CIR Owner or Tenant MCCARTHY MICHAEL G Telephone No. Owner's Address MCCARTHY MARY ANN,264 WINDSOR WAY, DOYLESTOWN, PA 18901 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 22 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 Inrtiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: DAVID W SPRINGER Licensee: David W Springer Signature LIC.NO.: 21170 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:70 Bishops Ter, Hyannis MA 026012106 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. I PERMIT FEE:$75.00 / /iet / Kk It 10 u` Commonwealth of Massacksesslfs fficial Use Ont { 1 J .L Se Permit No. i n Apartment o/ rmcsl i- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ‘t? --, -.- [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),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 )to c City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned gives noti a of his or her intention to perform the electrical work described below. Location(Street&Number) Ill Ch elks ckni co ot, yac Owner or Tenant IPAccr5 q nNF fA4Cctcikkk T eleph nb a No. 0 Owner's Address Is this permit in conjunction with a building permit? Yes E No . ✓� .�'" _ � r (Check Appropriate Box) urpose of Building LLI `` � n� Utility Authorization No. l ; ! xisting Service Amps Volts Overhead ❑. Undgrd l > ❑ No.of Meters . I . - Q ew Service Amps / Volts Overhead r ❑ Undgrd ❑ No,of Meters I i • (_ - Number of Feeders and Ampae ty 0 f z Location and Nature of Proposed Electrical Work: ZZ Ce .<__-3"' T Completion of the following table may be waived by the Inspector of Wires. !No.of Recessed Luminaires No.of CeiL-S No.of -_-_. i usp.(Paddle)Fans Transformers KVA Total ---- No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- ❑ 'No.of Emergency Lighting • grnd. Qrnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices I No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW I,4eal❑ Mcip Conuninectioaln ❑ Other No.of Dryers Heating Appliances , Security Systems:* ' No.of Water No.of No.of Devices or Equivalent No.of Heaters ' Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent q Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Elec cal Work 1 C}Q(}`,,� (When required by municipal policy.) Work to Start: � (t� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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:) I certify, under the ins and penalties o perjury,that the information on this application is true and complete. FIRM NAME: CC Ce4 C-i-CR- Licensee: r LIC.Z - - (If applicablenter"exemt"cn thea er line) . O.: 3 L3 "70 ,r �,n, Bus.Tel.No.: Q[al . Address: J "Per M.G.L. c. 147,s.57- 1,security work requires Department of Public Safety"S"License: Alt.Lic. No..' ,, OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage no S required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 Owner/Agental owner 0 owner's a_ent Signature Telephone No. PERMIT FEE: $