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Home My WebLink AboutBLDE-21-005380 o' Commonwealth of Official Use Only tMassachusetts Permit No. BLDE-21-005380 r,. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked te [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:3/19/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 45 MORNING DR Owner or Tenant HUGHES JAY H Telephone No. opt Owner's Address HUGHES RAYMA J,20 MORGAN HOLLOW WAY, LANDENBERG, PA 19350 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate )t , J" Purpose of Building Utility Authorization No. Existing Service 150 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 150 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&add 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 0 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Commonivan&of Maasactaueatie Official use Only � SZs �\N- ` '` c� {� '2-t 1/41/4. �..trpartmsni of gins&rawPermit No,� ^�j o t t S. Occupancy and Fee Checked _` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (1cavC blank) ' ., APPLICATION FOR PERMIT TO PERFORM ELECTRICAL. WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE A INFORMATION) Date: 2 /Y a/ City or Town of: �� To the Inspector of Wires: V By this application the undersigned.gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4' f/iv/J— 2)/e . vr-4. )/ ain r Owner or Tenant _�� / / l � f" f �'��S Telephone No.56/- 9ord_/�� Owner's Address eJ,f} /74)Tt'C AI 4//et 442_le/4 LAVb.Q,v, 0/1G Piet ,' JS7) Is this permit in conjunction with a building permit? Yes Lv No ❑ (Check Appropriate Box) Purpose of Building 4(/..e,_i ,ilt,tii c . Utility Authorization No. el-7- ' & V. J Existing Service lyd Amps /21 kx1%d Volta Overhead Ea'''. Undgrd❑ Na.of Meters /0" New Service /.53 Amps 4,20 /aW Volts Overhead Ey Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /, , fix. sc c..e rt s`w/ lit Completion of thefollowingtable may be waived by the I for of Wires. No.of Recessed Luminaires No.of Ceti.-Snap.(Paddle)Fans N Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ 1vo.at.Emergency Lighting Rind. grud. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones Na of Switches Na.of Gas Burners !No.ofbetection and 11,1 Na of RangesTotal Initiating Devices No.of Air Cond. 'tons No.of Alerting Devices No.of WasteDisposers Heat Pump Number Tons KW 'No.of Self-Contained Totals:1....'� .... 1."" ... Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun y , Cone a ,n 0 Other No.of Dryers Heating Appliances K`�4' Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of ys Ballasts Data Wiring: Heaters S No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required.by municipal policy.) 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 covers a is in force,and has exhibited CHECK ONE: INSURANCE' BONr} 0 OTHER 0 (Specify:) of same to the permit issuing office. I certify,under the and � i/2�/��id o n t complete L l a�a FIRM NAME: penaldes of perjury,that information on t/r' apglicatibdn is true and fele� ti,T C LIC.NO.: o Licensee: Signature �A (If applicable,enter number lines. '�-f� � LIC.NO.: j G� Address: / "elm" t i4,L LtAaP fSWA-11?,1a I04, Bus.Tel.No.: ( �� *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 owe Owner/Agent owner's a cut. Signature Telephone No. PERMIT FEE:$