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Home My WebLink AboutBLDE-22-005436 Commonwealth of Official Use Only lit Massachusetts Permit No. BLDE-22-005436 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:3/29/2022 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) 11 EDDY ST Owner or Tenant Frank Rose Telep e Owner's Address 11 EDDY ST,WEST YARMOUTH, MA 02673 �� Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authoriza ion No. 8531237 Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&add 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 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 Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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 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: JOSEPH P ROSE Licensee: Joseph P Rose Signature LIC.NO.: 21335 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Beverly Rd, West Yarmouth MA 026733559 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 k � 1 Commonweal o/i//aaaachuasita Official Use Only ;�1•<:y 5 2spartmsnt of its Sarvicsa Permit No. 04 3 ' z'1'I'' v Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C, (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3 2 V 9.2 City or Town of: YARMOUTH To the I specfor of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1 t 314( t .. �\\ �,/f/� W` ^Irn®�"a 110 Owner or Tenant cArGh14L. Rd5� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No JL J pp� ) (Check Appropriate Box) Purpose of Building Utility uthorization No. a6 31 a3-) Existing Serviced O& Amps ), O/c 9 Undgrd 1 Volts Overhead ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd El No.of Meters Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: ,- i t�,, U red<, ��CLv .04 `mow, l i\\ 't s4v Completion of thefollowingtable mi be waived by the In vector of Wires. il,. No.of Recessed Luminaires No.of Cell:Sus .(Paddle) No.of ,, p Fans Transformers Total No.of Luminaire Outlets KVA of No.of Hot Tubs Generators KVA t:` No.of Luminaires Swimming Pool Above In- No.of!N mergency Lighting grnd. grnd. ❑ Battery Units `` No.of Receptacle Outlets p No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and i No.of Ranges Total Initiating Devices No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat PumpTh [umber I Tons I KW -No.of Self-Contained Totals:li Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal No.of Dryers Connection ❑ timer zY Heating Appliances KW Security Systems:* No.of Water , No.of No.of Devices or Equivalent Heaters NO °f Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wrong: OTHER: No.of Devices or Equivalent Estimated Value Of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work toted (When required by municipal policy.) 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 rage is in force,and has exhibited proof of same to the permit issuing office. co CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the pains and pen ties of perjury, e ry,u that the information on this application is true and complete. FIRM NAME: pp p Licensees pp� l 4. LIC.NO.: t 33 (If applicable,enter 4exempt"in the`license number line.) Signature LIC.NO.:—�Address: Bus.Tel.No.- *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe Alt.TeL No.: OWNER'S INSURANCE WAIVER: I am aware that Licensee does not have the liability insurance overage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one ■ owner ■ owner's a,ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ .