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HomeMy WebLinkAboutBLDE-20-001211 Commonwealth of Official Use Only 1E. t Massachusetts Permit No. BLDE-20-001211 _ 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:9/4/2019 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) 25 SIERRA WAY Owner or Tenant CAMPBELL WILLIAM JR Telephone No. Owner's Address CAMPBELL NANCY J,25 SIERRA WAY,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(11 Kw w/16 circuit switch) 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 ❑ 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 1 No.of Gas Burners No.of Detection and Initiatine 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 Siens 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: EUGENE J EMERSON Licensee: Eugene J Emerson Signature LIC.NO.: 20136 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 1122,ORLEANS MA 026531122 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 / k.,1 t((uo vo fir"StAler.- aux SAE ict ) 9/�011 q Qc (e(ze ci Ae mateeireek el m err etiw.lt. Offal Use Only Occupancy.) \ , BOARD OF FIRE PREVENTION REGULATIONSand Fee Checked cJ _ , [Rev. �] (laa,►e mask) • .•••• APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK - All wort to be paranoid is aeemdaooe with the hieenchrieetes CMElectrical Code(MEC).527 C 12.00 i (PLEASE PRIM•IN INK OR TYPE ALL INFORMATION) Date: 9/4/2019 / City or Town of: Yarmouth To the Inspector of Wires: f By this application the undesigned gives notice of his or her 6riantion to perform the electrical work described below. t.eeatls.(Street&Number) 25 Sierra Way Owner or Tenant William Campbell JR Teethes,Ne. 2 Owner's Address 95 Sierra Way 0 Is this permit la ayu.etlws with a buidlng plink? Yes ❑ N. ® (Cheek Appropriate Bei) Purpose of BMA% Home Utility Adhersaden No. V Modes Saralee 100 Amps 120 /240 Vella Overhead® Undgrd❑ Ne.of Meters 1 E New Service Amps / Vdb Overhead 0 Uadgrd 0 Ne.of Meters Number of Peden mad Arapadty Cr) ` Logatb.aM Nature erilFseell E.drrieaWeelu Install 11 KW Generac generator with 16 circuit ., automatic transfer switch v; Coatvbalon efthe +r8 alp be waived b,the hetiertor of Wires. No.of Recessed I.amhsaires No.stCd4 ra3.sp.(Paddle)pens Tra•ets ens KVA No.of Landnalre Onfists Ns.of Het Tubs Genenbrs KVA No.of Lambdas Swimming Pool Miffs ❑ he' ❑ m' h' � end, WAllattsrr UMW No.et Reeeptada Outlets Ns.of 01 Boners FIRE ALARMS IN..of Twin Ni. Pli et 3.,4 Ur 'Mai No.oas Brain '_ilia Devisee 11-` Ns.et Ramps No.of Ab Crud. TTOtal Ne.of Alerting Devices No.et Weise Dl po.a's l 1 Number-TrieeMI :W Pie..rse1FC d t No.et Dl kwaehms Spam/Ana Heade' KW Lam ❑ - 0 Mr et Ne.of Dryers Heating Applauds KW Ns.of i - or EadvaM.t Ne.of water KW Ns.of Ne.of :atai=triz' Heaten S EaOa.b m . Ns.Hydrometer Bathtubs Ne.of Motion Total HPNa of Dallis w OTHER: Attach ethitioad detail t/'deifird or as required by the Itapecar of Wtres. Estimated Value of Electrical Work: (When required by uamicipal policy.) Work to Start: 9/4/2019 Inspections to be requested a exordium with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Union waived by the owner,no permit for the perlbrtll.noe of daariesl work may issue unless the licensee provides proof of liability insurance including"oentpleied operation"coverage or its substitute!equivalent. The imdasigaed certifies that such coverage is in force,aid has exhibited proof of aurae to the permit issuing office. CHECK ONE: INSURANCE © BOND 0 MIME ❑ OW** I cams&aasda aft.pins awdpeanihs ells*at Oa iyb*stkm at dirk app&taltsw b one and rompilirk FIRM NAME: Emerson Electrical Construction Inc LIC.NO.: A20136 f.fosu.ee: Eugene Emerson Spears LIC.NO.:`�E38135 q (�J q,pI ,M Nearer the timber lbeal ..WTel..NN...:Ara q.38 Address: PO Box 1122 Orleans. MA. 02653AIL '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 an aware that the Licensee does not hove the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)0 owner ❑owaer's aunt Owner/AgentTdmeme Nei. IPERM1TFEE:55000