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Home My WebLink AboutBLDE-22-004407 .*0Commonwealth of Official Use Only :--fiA\ .- y:-.- i Massachusetts Permit No. BLDE-22-004407 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:2/8/2022 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) 15 ST ANDREWS WAY Owner or Tenant RESIDENT Telephone No. Owner's Address LUNDEGREN STEPHANIE, 15 ST ANDREWS WAY,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 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator -1 A(r ri,),L, gull 7rAffr' ti 2,75, 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 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices 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 0 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 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: TYLER W PAYNE Licensee: Tyler W Payne Signature LIC.NO.: 22091 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 JANS PATH, HARWICH MA 026452458 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:$50.00 6c il z-2- e-g„ �.x Commonweaarn uw incroaamitNw��... ,t o� ` I Permit Na. '� i 4/i �1 Department of Fire Services Occupancy and Fee Checked E► " BOARD OF FIRE PREVENTION REGULATIONS (Rev.9/051 (leave blank) FOR PERMIT TO PERFORM ELECTRICAL WORK APPLICATION 527 Clv1R All work to be performed in accordance with the Massachusetts Electrical Code(MhC). (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: veb 7, City or Town of: 4t i mex>th 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 et Number) I` � PATO I c i. W � Telephone No Owner or Tenant ;� I ��t'o ti r ✓� Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service I DO Amps IZO / G N, Volts Overhead❑ Undgrd. No.of Meters isollgryies Amps /Volts Overhead❑ Undgrd •_ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: \,t i re c l%i V iC'i±0,7 Completion of the following table may be waived by the inspector of Wit es. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers • KVA No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above In. No.or EmergencyLlgfitmg grnd. ❑ grnd. ❑ Batts)/Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Receptacle Outlets o.o etect on ana No.of Switches No.of Gas Burners Initiagg Devices Total No.of Alerting Devices g No.of Ranges No.of Mr Cond. Tons Heat Pump Number Tons KW 1 No.of Self-Contained No.of Waste Disposers Totals: ;Detection/Alerting Devices Local❑ Municipal ❑ nth No. Space/Area Heating KW Connection the . No.of Dishwashers p se"eurity S�+stems: No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring; Heaters Signs KW Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER; Attach additional detail if desired,or as required by the Inspector of Wires. (WhenEstim required bymunicipal policy.) Wok to artVal:j n�e�ot cal Work: y Work to Start: ll 3 Inspections 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 Bali BOND ❑ OTHER ❑ (Specify:) ,1 I certify,under the `ai�ns and penalties of perjury,that the information on this application is true andLI NOlete. FIRM NAME: �NE .I,�CT�1C-) i NC_. / LIC.NO.:72.*A — ' Licensee: T`N.Et2 'N ' � y NE Signature ,n , (If applicable enter"exempt" in the license number line, Bus.Tel.No: ifi Address: 0.0. SOX wig SOUK 4C,H t N' d2 10 Alt.Tel.No.: talikt114.2 *Security System Contractor License required for this work;if applicable,enter the license number here: 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) ❑owner 0 owner's agent. Owner/Agent Telephone No. I PERMIT FEE: $ I Signature