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Home My WebLink AboutBLDE-21-006546 0 I t01 Commonwealth of Official Use Only L. Massachusetts Permit No. BLDE-21-006546 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:5/12/2021 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) 130 CROWELL RD Owner or Tenant TEXEIRA JOSEPH P Telephone No. 'Av` Owner's Address TEXEIRA PATRICIA, 301 WILLOWGATE RISE, HOLLISTON, MA 01746 c( - Is this permit in conjunction with a building permit? Yes 0 No 0 (Che -_; Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement panel&install 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 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 ❑ 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 Data Wiring: Heaters 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: (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: MICHAEL YOUNG Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 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 signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 --- CO at W;7 s(`ize l - f (/z° 124 .314 t,.owuuontvea!#o/Maditiockksaits Official Use Only // r, ' �. t er-7� .9 t ^ � 2eparimenl o� t , Permit No. — heir ewicea �' 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 Code(MEC), 27 C R 12.00 (PLEASE PRINT IN INK OR TYPE A .! INFORMATION) Date: $ 7 o?/ City or Town of: ), ,126V- i To the Inspector o Wires; By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1► Location(Street&Number) /3p G° oAJ#jam ,,e, Owner or Tenant j / )O / /4 xE•f64- Telephone No. g a''f347oz Owner's Address �7,0/ L //eJJ6', Stk.- /. /l,6 ") Is this permit in conjunction with a building permit? Yes 6No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 57799 kV R.. 'R Existing Service,,7di Amps /A l�'�v Volts Overhead❑ Undgrd[''No.of Meters / New Service Amps I Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty Location/ and Nature of Proposed Electrical Work: 7 27�,v fa .A S• t. /. ,,,i %6 71-L) arvi S kit Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceti-Snap.(Paddle)Fans No.of l V Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of l mergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS 1No.of Zones • No.of Switches No.of Gas Burners No.of Detection and Initiating Devices i I,I No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers 'Heat Pump Number Tons _ INN No.of Self-Contained Totals: e" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Munidpal Connection ❑ No.of Dryers Heating Appliances KW 'Security Systems:* No.of No.of Water KW No.of No.of Data Wiringvicea or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Egnivdent 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: Inspections to be requested in accordance with MEC Rule 10,and INSURANCE COVERAGE: Unless waived bythe owner,noupon completion. 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 cqooeettaa�e--iis in force,and has exhibited proof of to the CHECK ONE: INSURANCE t . BOND 0 OTHERpermit issuing office. I rer+dfy,under the and penalties o 0 (5pecifY:) "'`��f'".� •� d'/1.1-e{L �`�/ d/ pe fperjary,t the information on this application is true and complete. FIRM NAME: 0 v,.0/- ri'/ev( 4 J 17Li e, Licensee: � LIC.NO.: �a�i`�,,�. Oi of jr Signature IC.NO.: 27 99 9.f (If applicable,enter"exe p n th li ense nu nber line.) ` Address: / Z �L � r � ,yin Bus.TeL No.: �-/ y-if y. y� *Per M.G.L.c. 147,s.57-61,security work requiresc ` S"` Alt.TeL No.: ety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that Departmenten 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/Agent owner's a ent. Signature Telephone No. PERMIT FEE:$