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Home My WebLink AboutBLDE-20-001709 or Commonwealth of Official Use Only Permit No. BLDE-20-001709 E` Massachusetts "`— 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:9/30/2019 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) 21 GEORGETOWN LANDING Owner or Tenant COWGILL KENNETH F TRS Telephone No. Owner's Address COWGILL LO-LENE M TRS,21 GEORGETOWN LANDING, SOUTH YARMOUTH, MA 02664 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 100 Amps Volts Overhead El Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&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 14 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 ❑ 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 ❑ 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: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 .1--r„,„{_ oi,„„,77--co,/,q„re_._ ote,b, ,(i v/ (9, (cam Jy�j`J lrommonar of 2/lassachu6etts Official Use Only ki [� Permit No. (. L t ` v a+—= - eparf nant o[ Jcrvicts _ ! -' = Occupancy and Fee Checked 75-0-0BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/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: City or Town of: YARMOUTH To the Inspector of Wires_ t. By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. L' r Location(Street&Number) J G>°C�! Owner or Tenant Ke.,� C'o“., ; l s `.7 Telephone No. �I Owner's Address . • r , Is this permit in conjunction with a building permit? Yes .� ❑ Nu �^(Check Appropriate Box) ,r , ` ' Purpose of Building i Fc ,�* Utility Authorization No. Existing Service it,v Amps /�p Volts/o)' Overhead C3� Und ._ .. _. . grd❑ No.of Meters 1 New Service /()D Amps /d 0 /off kt) Volts Overhead❑r'� UndgrdI ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: p.e,p 1 cfc.e._ lgKL' IGott,er' &en'- L,.si�� I6o4 D.F . Se,�t�r �J tl .c Lai-4- ....d-cr r a Completion ortthe following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cetl.zSusp.(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 L:mergency Lighting erred. arrnd. ❑ Battery Units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Ton r No.of Air Cored. No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons I KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers SpacefArea Heating KW Loral D Municipal Connection 0 Other c No.of Dryers Heating Appliances , Security Systems:* v No.of Water KW No.of Devices or Equivalent 0 Heaters No.of No.of 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 Attach additional detail if derirec4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with IviEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless A the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The o undersigned certifies that such c,_o,_v,e�is in force,and has exhibited proof of same to the permit issuing office. 7 CHECK ONE: INSURANCE 1✓I" BOND 0 OTHER 0 (Specify:) I certify, under the p ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: t a k,4- Fl.E,_ -r Lc_ Ll. C._ _ LIC.NO.: O8� Licensee: �- n u•.•. ,, V l e( - ��— Signature t'w.«t!] LL - LIC.NO.: (If applicable,enter6 "exempt"in the license num�b r line) (J Address: __t_p_AviJJ.7sr' Q"tl� f orci'4c.)a Le MA- de 6 q� Alt.TeL No.- �—'��5 ,, '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 liabili S required by law. Bym si requirement. ty insurance coverage n— ormally Y Mature below,I hereby waive this I am the(check one 0 owner ❑owner's a eat. Owner/Agent Signature �1 - Telephone No. PERMIT FEE: $