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Home My WebLink AboutBLDE-22-005152 Commonwealth of Official Use Only fi �1 Massachusetts Permit No. BLDE-22-005152 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:3/16/2022 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) 38 POWHATAN RD Owner or Tenant Kevin DeCoteau Telephone No. Owner's Address 38 POWHATAN RD, 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Permit to close out expired permit#BLDE-20-003420 dated 12-16-19. 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 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices TNo.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 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: Charles K Swanson Licensee: Charles K Swanson Signature LIC.NO.: 12895 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:718 CEDAR ST,W BARNSTABLE MA 026681300 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 FA.Prt (24 %m I 1 A Commotuvealg -; t' Official Use Only +�-:� �.parimeni o`.7irr services Permit No. S Ste/ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( ((PLEASE PRINT IN INK OR TYPE ALL INFORMATION) ( EC).527 CMR o0 City or Town of: Date: 3 (6- 2 2. �y this application the undersign�, _ YARMOUTH To the Inspector of Wires: Bn 'es notiggof hisG A.. to erfnn„the electrical w described below. �.ocatbn(Street&Number) � Ndc,J�11,'„` rix __ Owner or Tenant • ` - • Ci � Owner's Address W Telephone No. Ia this permit in conjunclop with a building Purpose of Building ISG 44;>( permit? Yes �� No.0 (Check Ap ropriate Box) Utility Authorization No. 1:: Misting Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampadty ❑ No.of Meters Location and Nature of Proposed Electrical Work: b, 141,0 'teflon, the ollow : table m, be waived No.of Recessed Luminaires No.of Cell.-Sn •o.o the In for o Wires. all.(Paddle)Fsoa Transformers o ev No.of Luminaire Outlets No.of Hot Tubs KVA �' No.of Luminaire!: Generators KVA Swimming Pool 8ve o n- 'o.o 'mergency n o.of Receptacle Outh:bd• ❑ Butte Units ng .1` No.of Oil Burners FIRE ALARMS No.of Zones c No.ofSwitches No.of GasCu Burners `o.o �^ 12 r Initiadn Dev Devices No.of Air Cond. o Tons No.of Alerting Devices o.of Waste Disposers 'eat ump `um 1 r ons • " ,o.o Totals: --- _._,.- Detection/Alerrtin Devices No.of DishwashersSpace/Area Heating KW Local anm No.of Dryers Heating Appliances Connection 0 ��+' '.o.o �a r KW y : o.o KW No.of Devices or ' 1 Bivalent Heaters o.o Data WI No.Hydromassage Bathtubs S ring: ices or '1 Bivalent No.of Motors Total HP e ecommun a; .ns " g OTHER: No.of Devices or ' .uiva7ent Estimated Value of Electrical Work: Attach additional detail IA/mired,or as required by the Ins �Ie `2� (When required by municipal policy.) Work to Startapector of Wires. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the the licensee provides proof of liability insurance including"co nC coverage of electrical work may issuentThunlee undersigned certifies that such co a is in force, ��operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE and has exhibited proof of same to the permit issuing office. I certify,under tree ins andpeva/des o D 0 OTHER ❑ (Specify:) FIRM NAME: �, ,t S fb�a that the Information on!lies /kation is true and conrptd Licensee: , LIC.NO.: Of applicable.ear Signature 1t/� Address: r♦ i /g►I�license yLrberltnaJ LIC.NO.: �(O (� *Per M.G.L.c. 147,s.57-61,security work Publicment of � L C Baa.Tel.No. — /G I OWNER'S INSURANCE WAIVER: I amaware that en �not have the liability insurance cAlt.Tel. overage n / Lie.No. required by law. : si Lure below,I hereby waive this requirement. I am the(check one / owner ■ owner's a•Y gnsnt Telephone No. PERMIT FEE:$ �t