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Home My WebLink AboutBlde-22-001984 Commonwealth of Official Use Only • ., Massachusetts Permit No. BLDE-22-001984 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Re,,v: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:10/6/2021 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) 5 MACKENZIE RD Owner or Tenant Dave Whiting Telephone No. Owner's Address 5 MACKENZIE RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ 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&transfer 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 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: Robert J Sanborn Licensee: Robert J Sanborn Signature LIC.NO.: 1539 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 SAXONY DR, MASHPEE MA 026492209 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 my 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 10/iq/ii Testa p. CILA (Pipg_.rc.fraRe2- v t --r-b et /-�t-lc9 vw) ?-/I 7/2 k RECEIVED OCT 0 I .',..h. Cosusoouvesii sif Ma Official Use Only . , i` ` f_tint�irr►icee Permit No. eZ2-- I 0, BUILDING s''i ., ii Tof Occupancy and Fee Checked ey. `. A =0AR0 OF FIRE PREVENTION REGULATIONS (Re+.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wotic to be performed in accordance with the Massachusetts Electrical Code( C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INF9 MATION) Date: c cP goat v City or Town of: 4 rigid if T To the Inspector f Wires: By this application the undersign gives notice of his or her intention form the electrical work described below. Location(Street&Number) ,�1 j7Ct .i P,C z U Owner or Tenant ,pre'v e c-11-ire. WA;`11-1 r. 1 ( ] 'te ne No. Owner's Address v Is this permit In conjunction with a buildingYes 0 No [E( (Check Appropriate Box) Purpose of Building IIS i�1 erg t . permit? Utility Authorization No. Existing Service /0(f Amps *O hoti/d Volts Overhead[' Undgrd Q No.of Meters l L New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters ."--- Number of Feedersand Ampacity Location and Nature of Proposed Electrical Work: / Sow.L1�rL/0'r1 . .S�hd/6 L. G�E�era�r'Completion of the frdlowingtabk m9 be waived by the Vector of Wires. t!t No.of Recessed 1.anninaires No.of Ctn.-Snip.(Paddle)Fans No. s Transformers KVA 1 No.of Luminai rtie Outlets No.of Hot Tubs ; Generators KVA S Above (� In- No.of Emergency Lighting No.of Luminaires g Pool vrad. grad. Li glittery mitts J No.of Receptacle Outlets No.of OU Burners FIRE ALARMS No.of Zones Z- No.of Switches No.of Gas Burners o.Initiating Devices !t,! No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No of Waste Disposers HeatPuatp Number ITour KW ND ontaimsd Totab: _._.._. f No.of Dishwashers Space/Area Heating KW Local❑ connection� evices Other No.of Dryers Heating APPUa KW 4 No.of or Equivalent No.of Water KW No.of No.of Wig: Heaters Signs Ballasts No.ofDevices or=itssentent No.Hydromassage Bathtubs No.of Motors Total HP 'I' contf Deviceso r& No.of Devices or Etiuiv OTHER: Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (/. 6 (When required by municipal policy.) Work to start /74/aZ a( to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 covvet is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ga BOND 0 OTHER 0 (Specify:) I cen*jy,under dte2ains andienakies ofj, soy,that the informatkin on this application is true and complete FIRM N A o/9 ri .c PA /met i`/el41/4 LIC.NO.: T Licensee: if c - Jrherfr‘ Signature LIC.NO.: ij _ (!f crplicable,enter'"exenrptt"in the license lire) t� Bus.Tel.No.: '�-�-4 q 0/ Address: �to 3�l0 it y Pr filch/ 1' /Mi ' �� Alt.TeL No.r Per M.G.L.c. 147,s.57-61,security work trey hrtment of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 75