HomeMy WebLinkAboutBLDE-21-001978 ‘Altv
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141% Massachusetts Permit No. BLDE-21-001978
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:10/15/2020
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) 9 CHERRY LN
Owner or Tenant VICTORIA DONOVAN
Owner's Address 9 CHERRY LANE,WEST YARMOUTH, MA 02673 Telephone No.
Is this permit in conjunction with a building permit? Yes 0 No 0
(Check Ap• o•riate Box)
Purpose of Building Utility Authorization No. P p. /
Existing Service Amps Volts Overhead 0 Undgrd 0 o.o
New Service Amps Volts Overhead ❑ �
Undgrd 0 o r :, • j.�Ar1
Number of Feeders and Ampacity �I
Location and Nature of Proposed Electrical Work: Install generator. (,,,,,u,
Completion ofthe followingblip,P table maybe wat . t � "�, of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of
Transformers �.,
No.of Luminaire Outlets No.of Hot Tubs Generators 1
KVA 14
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 I 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 AlertingDevices
Tons
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal
Connection 0 Other:
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
Heaters KW No.of No.of Data Wiring:
Siens Ballasts No.of Devics or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
OTHER:
No.of Devices or Equivalent
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 S eci
I certify, penalties o (Specify:)
under the pains and
fperjury,that the information on this application is true and complete.
FIRM NAME: Paul D Foley
Licensee: Paul D Foley Signature
LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 15686
Address:PO BOX 783, MIDDLEBORO MA 023460783 Bus.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.:
OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But
signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. II
PERMIT FEE:$75.00
` " Commonwea�h o//fladsac�etto Official Use E (`f OnlyM
►�__* 1�� / Permit No. 1 6
c , = Apartment el.]ire�erviced
1(=5 Occupancy and Fee Checked
'' Ji 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 Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/07/20
City or Town of: West 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)9 Cherry Lane
Owner or Tenant Victoria Donovan Telephone No. 774-238-0473
Owner's Address Same
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd
g E No.of Meters
New Service Amps / Volts Overhead❑ Undgrd
g ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Supply&instal (1) 14kw Standby 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.TransfKVAormers
No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 14
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
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
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 0 Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of
KW
Heaters Data Wiring:
Signs Ballasts 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: 10,000.00 (When required by municipal policy.)
Work to Start:asap 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 El OTHER ❑ (Specify:)IFederated Mutual Insurance Co. expiration:03.15.2021 I
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Paul Foley Electric Co., Inc. LIC.NO.:A15686
Licensee: Paul D. Foley,Jr. Signature ,c.�—LIC.NO.:34710E
(If applicable,enter "exempt"in the license number line.) 508-946-5613
Address: P.O.Box 308,Carver,MA 02330 Bus.Tel.No..
Tel.No
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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 I
Signature Telephone No. ' PERMIT FEE:$75.00