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Home My WebLink AboutBLDE-23-001796 T-E�, N`� v Commonwealth of Official Use Only Anly '` Massachusetts Permit No. BLDE-23-001796 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:10/5/2022 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) 4 ORCHID LN Owner or Tenant CHILDS MATTHEW L Telephone No. Owner's Address CHILDS HEATHER A,4 ORCHID LN,WEST YARMOUTH, MA 02673 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: Install 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 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ,Detection/Alertine 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 Eouivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: RICH M MELVIN Licensee: Rich M Melvin Signature LIC.NO.: 11476 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 REARDON CIR, S YARMOUTH MA 026641207 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 L.,ommonweatth o/muds '':coatis Official Use Only i. ��,t c� 3—V`79 (� B .. �)a nL Permit No. tM. part e ° ies Serviced v' 'w Occupancy and Fee Checked v • �_ . 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(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TY E ALL INFORMATION) Date: /p/y - Na City or Town of: fl t?-Wlo VH i To the Inspector of/ Wires: qo By this application the undersign gives notice of his or her intention to c' perform the electrical work described below. T rt Location(Street&Number) O 1 ( ,.....11 h3-l� t- %rti 64-d J--It N. Owner or Tenant "'ill-- 61416 0 5 Telephone No. cab $79 f�79 • �I Owner's Address 9 Is this permit in conjunction with a building permit? Yes ❑ No EV (Check Appropriate Box) NI lib 1 Purpose of Building 'Dt.)J CC-C..i .5 Utility Authorization No. Existing Service Amps / Volts Overhead❑ Uudgrd❑ No.of Meters 2 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: J Li kzu b L t-... ga t g t d�lr Completion of the followingtable may be waived by the 1nsyec for of Wires. No,of T 3 No.of Recessed Luminaires Na.of Cell.-Soap.(Paddle)Fans slat Transformers KVA c No.of Luminaire Outlets No.of Hot Tubs Generators /y KVA -i `e: No.of Luminaires Swimming Pool Above ❑ In- ❑ No.or Emergency Lighting irnd. grad. 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 i'' No.of Ranges No.of Air Cond. TotaTons 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 Muonnicneipalctioa 0 other C No.of Dryers Heating Appliances KW Security Systems:* Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications irin : No.of Devices or Equivalent OTHER: . e,D Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: "tU'O (When required by municipal policy.) Work to Start: A5)' p 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 I BOND 0 OTHER ❑ (Specify:) ///Sc e-- ..2.5. I cet#fy,under the ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /6,i/ 1 lC t.',i.) eC-ere17.t61 LIC.NO.: //(I7 ,6 Licensee: /Zj L f4. AA ls-w t A Signature &c/o _ LIC.NO.: // 4/7 4 e (If applicable,enter"exempt"in the license number line. Bus.Tel.No.. 5-es.s-zkvi 4 0 Address: - it) G .orrfrie-w Rod tatz- e/e- /OM of.Aotyv Alt.Tel.No.: *Per M.G.L.c. 147,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)0 owner Ej owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$