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Home My WebLink AboutBLDE-21-005935 '/\ lC Commonwealth of Official Use only Permit No. Massachusetts BLDE-21-005935 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:4/14/2021 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) 52 ELLIS CIR Owner or Tenant SWINDLER JAMES HAROLD Telephone No. Owner's Address SWINDLER MARTHA ROCKWELL, 52 ELLIS CIR,YARMOUTH PORT, MA 02675-1335 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: Replacement NC system&boiler. 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 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: BRYANT K DUNDON Licensee: Bryant K Dundon Signature LIC.NO.: 53109 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:67 TAURUS DR, MASHPEE MA 026493458 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: $75.00 1 11117)1,, 0 LA) 71 147/t A yyyy�� Commonlusah o`///assackuasits Official Use Only �' = cc//�� 7 Permit No. /l�= _ ..CJepariment o/.1i,�..S' . BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,[Rev. 1/07] V (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: G/_ / — 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) se, 5//,� C/ /L (,e.__ Owner or Tenant TT t ( /L, Telephone No. 5 Owner's Address5 ' Is this permit in conjunction with a building permit. Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building ie...e6/d2,-7 f, Utility Authorization No. Existing Service } Amps l?0 /rya Volts Overhead 2 Undgrd 0 No.of Meters / New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity e . 4 Location and Nature of Proposed Electrical Work: Co pe-tc5 s',- el/id ,e,,,/e r. Completion of the following table may be waived by the Inspector of Wires. - No.of Recessed Luminaires No.of Ce�1.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lnmiaaire Outlets No. of Hot Tubs Generators KVA UJ No.of Luminaires Swimming Pool Above ❑ In- No.of tv'mergency Lighting erred. Qrnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones , No.of Switches No.of Gas Burners I No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. / Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons V)W No.of Self-Contained Totals: I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Moannnectikip o Con ❑ Other No.of Dryers Heating Appliances KW security Systems:* \ No.of Water No.of No.of Devices or Equivalent v Heaters KW No.of Data Wiring: Sighs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 4. Attach additional detail if desiret>:or as required by the Inspector of Wires. V Estimated Value of Electrical Work L3o0 ,, ac) (When required by municipal policy.) Ql Work to Start: // Inspections to be requested in accordance with MEC Rule l 0,and upon completion. , INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The less undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CO CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify', under the p ' and enakies o erjury,that the information on this application is true and complete. FIRM NAME: A LIC.NO.: .... ,^� Licensee: — Signaturb ='" LTC.NO.: (� (If applicable.e er"exempt' in I e license tuber line.) Address. S.Tel.No.:` L L. j Per M.G.L.c. 147,s.57-61,security work requires Department e `L Alt.Tel.No. 7 Z OWNER'S INSURANCE WAIVER: I of Public Safety"S"License: Lic.No..-----______ am aware that the Licensee does not have the liability insurance coverage n y S required by law. By my signature below,I hereby waive this requirement. I am the(check oneownerg mtally Owner/Agent0 0owner's a SignatureenL 1-11 Telephone No. PERMIT FEE: $