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Home My WebLink AboutBLDE-22-006510 Commonwealth of Official Use Only °Iv Massachusetts Permit No. BLDE-22-006510 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:5/12/2022 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) 7 BENNETT AVE Owner or Tenant RENAUD THOMAS H Telephone No. Owner's Address RENAUD SUSAN M, 235 PUTNAM HILL RD,SUTTON, MA 01590 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install conduit for future generator. 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. Total No.of Alerting Devices 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 ❑ 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 ' RECEIVED ggttA� 4�, _. ..� Co sat'tia Taesacliue.tts Official use of )a PAY 0 9 2022 c-� Permit No. ( Z2—( 91Q V ;7E: 1,s,• ni al�.�`irs�ervicse U1. M= �.o tA Occupancy and Fee Checked . " B D_ i:i `REVENTION REGULATIONS [Rev. 1/07] (leave blank) • v 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: -5 - / c ,-2 City or Town of: " A 12-.r 4%4 u 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) 7 4,,,,,'A,'t J A 1'r Owner or Tenant -l�./c,n AS A AO d Telephone No, 1 -SO 9"V 84/O \i Owner's Address - 4FA,j,Q11- SF. Ai,F i_ti , A,e.MOU`j,.l 17jf) , Is this permit in conjunction with a building permit? Yes Ei No R (Check Appropriate Box) / Purpose of Building /f/M,/r F/e.nl i- Utility Authorization No. Existing Service.,2C,c Amps /,je /;1i/4.) Volts Overhead ,� Undgrd E No.of Meters ¢ New Service Amps / Volts Overhead❑ Undgrd No.of Meters V Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: . NSV/-I// rye /,t) Tj. ,,,;(At A-0 a e Alrl j/it 6'�7/t✓ /=Fi /o,C.. /i g /,::7' ZLti e s, , ,/.j L 11) Completion of the following table may be waived by the Insipector of Wires. No.of Recessed Luminaires No.of Ceil:Susp•(Paddle Fans Tf T) Transformers KVA '" KVA No.of Luminaire Outlets No.of Hot Tubs Generators a No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Batter/Units , `2 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ' . No.of Switches No.of Gas Burners �I+to. Initiating Detectionof and Devices 1 Tot 1 L No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW °No.of Self-Contained P Totals: ..........`...__.......... Detection/Alerting Devices 4 No.of Dishwashers Space/Area Heating KW Local 0 Connection ❑ Other No.of Dryers Heating Appliances KWleenrityS stems:* No.of Devices or Equivalent No.`io Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No,Hydromassage Bathtubs No.of Motors Total HP 'TelecommunicationsofDeesoruWiring: No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /doe,, O U (When required by municipal policy.) Work to Start:5-- ;a1. 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 ':/ BOND ❑ OTHER ❑ (Specify) 6 'Z'(U7 I certify,under theejains and penalties of perjury,that the information on this applicadon is true and complete. FIRM NAME: /I�/(i/1 cid 1-/e&/,e,c' 6,nm ...7n, LIC.NO.:4/67,j/Y Licensee: ///om A 5 4C„r/vd , Signature(' ' et.4 LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel No..-c6'b -SO_N 1%U Address: Alt.Tel No.: *Per M.G.L.c. I47,s. 57-61,security work requires Department 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)❑owner []owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$