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Home My WebLink AboutBLDE-23-000330 Commonwealth of official use only ti..`, P141 Massachusetts Permit No. BLDE-23-000330 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•7/21/2022 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) 117 NOTTINGHAM DR . 4 C -4 U!Vi sEA Owner or Tenant --LEZZISVOlgre. Telephone No. Owner's Address Lam, 117 NOTTINGHAM DR,YARMOUTH PORT, MA 02675 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 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. To 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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. 872 -CHECK ONE:INSURANCE ❑ BOND ❑ OTHER ❑ S eci 6'r7i 3g56 ( P fY�) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Charles Picard Signature LIC.NO.: 23310 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 414 Raymond Road,Plymouth MA 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 a r_ Signature Telephone No. u PERM „ _. tatA\Val .4---Of 01`iptar 2/2-1 17)7- &". i (-1)-( 1.272-- (ceTww5- 4515. - 30/27_,) e / 4:B/ i/2' ' UJ NU cd 1 i atrench . FECF1V_'ED Inspet oo ., JUL 20 202� al Maseaclusseth Offte:lal u� ��® 1 e�.tw Permit No. �3 • .II_DING DEPARTMENT Occupancy and Fee Checked ` :____BOAS OF-FIRE `EVENTION 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 c5 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-/ r- a A City or Town of: YarA., ,✓4-1\ 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) 11 1 N 'o k4-:n��o.,r. c Dr-;w Owner or Tenant Je C 14,,..,61,c. Telephone No. o2oa-a5i-53d0 Owner's Address 117 N.0-H;v.b l........ Dk-Nre y-r-0-s,./k 1. v Is this permit in conjunction with a permit? Yes ❑ No Ea" (Check Appropriate Box) Purpose of Building Utfilty Authorization No. q� Existing Service too Amps (Qo /d`fo Volts Overhead❑ Undgrd® No.of Meters .1 New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters �y Number of Feeders and Ampaclty V Location and Nature of Proposed Electrical Work: Jd:n? 1tftir.e.aat' -1-r.�.‘secr. s*..�-cl. a,L - Completion of dujoIlowing a o may be waived by the hector of Wires. TU G No.of Recessed Luminaires No.of Cell.-Snip.(Paddle)FansPrO TotalTotalTransformers KVA CA No.of Luminaire Outlets No.of Hot Tubs Generators 2 KVA pi -t- No.of Luminaires Swimming Pool turd Above ❑ I find. ❑ Battery units g No.of Remade Outlets No.of Oil Burners FIRE ALARMS No.of Zones . No.of Switches No.of Gas Burners No.o[DetexKion � Initiating Devices ta 11` No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Wade Thyssen Heat Pump Number Tons _,KW ._'N1o.of Sdf-Contalned Totals: _ Detectlon/,l�Devices No.of Dishwashers Space/Area Heating KW Local 0 Mnn 0 Other Connection No.of Dryers V Heating Appliances KW Security of or Equivalent No.of Water W No.of No.of K Wig: Heaters Signs Ballasts D No.of Devices orEquivalent No.Hydromassage Bathtubs No.of Motors Total HP T mu�cetlwof Devices oror Eot�t OTHER: Attach additional detail rdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3,o*o (When required by municipal policy.) Work to Start: 7-iS-.a j. 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 forte,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE g BOND 0 OTHER ❑ (Specify:) I cal)",ander the pains and penalties ofpa/ar!,that the information on this application is nwe and complete. FIRM NAME: C. d.-r„N r i c..e l Ele44-nit::c-n LIC.NO,: Licensee: C1w ks 411►lrt." R...ra- Signature G 1:2-- LIC.NO.: a 3310—fit (If applicabk,enter..exempt"in the license nwnber line.) Bus.Tel.No.:617-Ina-3/f 5(, Address: cf/'1 12. n..I. RI. ?iv-oukl. mule All.Ted.No.: *Per M.G.L.c. 147,s.57-61,security work }sires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$