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Home My WebLink AboutBLD-23-001281 Commonwealth of Official Use Only i� 4%- Massachusetts Permit No. BLDE-23-001281 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:9/12/2022 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) 1 SEASIDE VILLAGE RD Owner or Tenant MELARAGNI DAVID C Owner's Address 2 DIANA DR,WOBURN, MA 01801 Telephone No. 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 ❑ 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&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 1 KVA 14 No.of Luminaires Swimming Pool Above CIIn- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 I certify,under the pains and penalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: Licensee: JULIAN ROBINSON Signature LIC.NO.: 58376 (If applicable,enter"exempt"in the license number line.) Address: 126 Santuit Road, Marstons Mills MA 02648 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 Gree_ A 9 ((9 iv),"icr G-(-4 ti ufryz-j RECEIVED -..4% _/y� 4i *''EP 0 9 2022 ' ea&7 /��//asdaacauestie Official Use Only : s el.tire Services Permit No. �2?j '� L �C � Be/Aft-biz ° "� � W ►1RE PREVENTION REGULATIONSpm'cl'and Fee Checked Rev.lro7] leave blank 1/4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MC).5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOM Date: lc,Z? City or Town of: YARMOUTH this applicationiy or the undersigned.giv-esi�RMhis or OU her To the Inspector of Wires: C l.ct ' performthe electrical work described below. Location(Street&Number) I S e 5 C Owner or Tenant p c V% l i, c� c, 4 f. Owner's Address Telephone No. Is this permit in conjunction with a building (a� Purpose of Buildingpermit? Yes 0 No �•i (Check Appropriate Box) G et-, e(,- Existing Service (.G 0 Amps Utility Authorization No. 2 0/2 ()Volts Overhead[El Undgrd❑ No.of Meters _ _ norkatiss Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: a s ri-e c- 4- o-� Lou Se 7 Pa..e�c I-ov rtiy►r,� � .ems it et— w1'f L „,letlon, the oil' No.of Recessed Luminaires Na of CeLL = table u' be waived. the In ,: for o Wires. Snsih.(Paddle)Fans Transformers ota No.of Luminrhire Outlets Na of Hot Tubs ICVA Na of Luminaires Generators KVA Swimming Pool ,, ' dve 0o- ❑ 'o.o 'mergency ; ,g zzi No.of Receptacle Outlets No.of Oil Burners Bane units No.of Switches FIRE ALARMS No.of Zones No.of Gas Burners ao i n an, l l tInitatin Devices 4. No.o Mr Cond. Tons No.of Alertin g Devices Na of Waste Disposers , Totals: •'u,,, ,er gasMil "o.o f on:t n , Na of DishwashersDetection/ a i Devices Space/Area Heating KW Local cal un ra , . Na of Dryers Heating ❑ Connection 0 Other Appliances KW Na of ,stems: . Heaters ahters KW ` Data Wiring. o.o `o.o evices or ' ,aivalent o o S, s Ballasts Da Na Hydromassage Bathtubs Na of Devi or ',nivalent No.of Motors Total HP omm s ens " P"_ g OTHER: Na of Devices or ' uivalent Estimated Value of Electrical Work: t5 d Attach ad tional detail tjdesired,or as re uh ed the Work to Start: �� (When required by municipal policy.) 9 Inspector of Wires. INSURANCE C Inspecsons to be requested in accordance with MEC Rule 10,and upon completion. VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless theem licensee provides proof of liability insurance including"completed fined certifies that such coverage is in force,and has exhibited operation" same to thee or its substantial equivalent The CHECK ONE: INSURANCEiipermit issuing office. I cent/JP,jy,under the pains and ® BOND 0 OTHER 0 (Specit�:) FIRM NAME: S. penalties ofperfrttl',that the information on lids application is true and completes l vk G6..Uvp Licensee: , U i`,,,In o 6 li t 6>7 LIC.NO.; 3 7l;—V I dui licess:ble. erg x�^.," gj{numbertu line./ signature. A LIC.NO.: exempt in the 11 e �`'�� *Per M.G.L.c. 147,s.57-61,se �'( ' ro i , Bus.TeL No.• f2‘j INSURANCE qrA work requires Department of Public SafetyAlt.TeL No.: OWNER'Srequired by law. ByNER: I am aware that the Licensee does not have the liability License: insurance Lic.No. Owner/ my signature below,I hereby waive this requirement. I am the(check one a coverage normally Agent Signature Telephone No. M owner ■ owner's :ant. PERMIT FEE:$