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HomeMy WebLinkAboutBLDE-23-002326 a \iI Commonwealth of Official Use Only 41% Massachusetts Permit No. .BLDE-23-002326 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:10/31/2022 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) 115 OCEAN AVE Owner or Tenant JOHN RINKLIN Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 60 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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. Ton l 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 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 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: Timothy M Cayton Licensee: Timothy M Cayton Signature LIC.NO.: 28200 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:251 DAVIS RD,WESTPORT MA 027903439 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 ` It T' J 5-6 dO ' R. eC _ 1T FD ////`/ // m �on rrco lcuea/t o1 adJachudettd Official Use Only e-,0G- iiidiOCT 28 202221epartment ot}ire �ervice� Permit No. "'2 -� )— - Occupancy and Fee Checked 6-1- F1 PREVENTION REGULATIONS [Rev. 1/07] (leave blank) By -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Code(ME ),5 C 12.0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: l el . ra City or Town of: y,7mo'c /Z A To the Inspector of Wires: By this application the undersigned gives notice of his or hefintention to perform the electrical work describe below. Location(Street&Number) /l cy,i / /")1/i, f� y, 947 o Owner or Tenant L �/ Lf �� � Telephone No. Owner's Address gi � ' Is this permit in conjunction with a building permit? Yes n No ` (Check Appropriate Box) Purpose of Building n�- gl�lj D�'�ie'( Utility Au horization No. Existing Service ae Amps 0°/,7 L cVolts Overhead W Undgrd n No.of Meters j New Service t 0 C Amps ids /2hh&Volts Overhead" Undgrd U No.of Meters j Number of Feeders and Amp acity Location and Nature of Proposed Electrical Work: Cj'- ,PZ�' /c`� cG ,r7"NP_- mac ` I l GEC' ,.A" J©7 l �7 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.o1 Emergency Lighting grad. 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. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ion Other No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of Devices or Equivalent 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 OTHhR: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of lectric Work: - (When required by municipal policy.) Work to Start:jQ 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 cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:in c y A 0��v7 t ' �y, LIC.NO.:Cjd� j� Licensee: ✓ 7/7l#1 ' jy r CI Signatur�' < (If applicabp liter"esgmp "in t ae nun r to LIC.NO.: Address: ('. C air/ n /� od7 - Bus. Tel.No.: �Q�r5 `ram Tel.No.: *Per M.G. . 147,s. 57-61,security work requ es Department of Public Safe "S"License: Alt.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. I PERMIT FEE: $ I