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Home My WebLink AboutBLDE-23-000610 Commonwealth of Official Use Only •A '14\ � Massachusetts Permit No. BLDE-23-000610 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:8/5/2022 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) 35 SHELTERED HOLLOW LN Owner or Tenant HUNTER MICHAEL PAUL TRS Telephone No. Owner's Address HUNTER SOOKIE PARK TRS, 35 SHELTERED HOLLOW LN,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 receptacle for mobile trailer. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Ranges No.of Air Cond. Totaln No.of Alerting Devices Heat Pump Number Tons 1 KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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.) y' 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: Paul D Knell LIC.NO.: 19747 Licensee: Paul D Knell Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:PO BOX 229, DENNIS PORT MA 026390229 *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 'PERMIT FEE: $50.00 I Signature Telephone No. RECEIVED G 0 4 2022 a 0/ / l ,tt, Official Use !!/nO�a/y- .. • ,, Permit No. 3 ' O (P/ 0 partments o smoi � � GDEPARTMENr�Ie Occupancy and Fee Checked i•s�®=---: • - . • FIRE PREVENTION REGULATIONS [Rev.1/o7] oe eblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .� Ali work to be performed in accor dance with dhe Electrical Code( ). 27 CMR 12.00 Q (PLEASE PRINT IN INK OR TYPE ALL INFOR !�ON) Date: $ -5- Z 2 City or Town of: ' R l`n O u�Cti To the Inspector of Wires: By this application the undersigned gives noticed1 of his° het intention ilt ' the electrical work described below. ,1 `7 �`1 Location(Street&Number) _3�' .S n e (7 e& I SW jI - -- 7 i'? 'Yl ow vt Owner or Tenant i,\<Q V r Telephone No.5C 77''-3 6 f2 Owner's Address S M e. z• Is this permit In conjunction with a building permit? Yes 0 No Uj._ (Check Appropriate Box) �/ Purpose of Building Utility Authorization No. r Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters '' New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters • Number of Feeders and Ampacity 1 fr \\ Location and Nature of EIectkiad Work: j�S f A-// 5-0 A WV Jogyvv/'e v VI Completion of the following table may be waived by the Inspector of Wires. vt i) No.of Recessed Luminaires No.of CeiL-Snip.(Paddle)Fans fro °f o T otalrmers KVA No.of Lumina6r Outlets No.of Hot Tubs Generators KVA Above In- Mo.of Lrmergeacy Lighting No.of Luminaires Swimming Pool ern& 0 ❑ Battery Units zi No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 7+To.of Detection anti Initiating Devices otalT 1 ti No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.et Waste 'Heat Pump Number anus KW No.of Self-Contained Totals: ( .._ Detection/Ale .., Devices No.of Dishwashers Space/Area Heating KWLocal,-,-,Connect ion 0 Other No.of Dryers HeatingSecurity Appliances KW o.o Sy :* N f Deevk s or Equivalent No.of Water , No.of No.of Data wiring: Heaters Signs Ballasts No.of Devices orgt No.Hydromassage Bathtubs No.of Motors Total HP Tel sof Devices or Bo iiVV t OTHER: d J v .-- Attach additional detail if desIneca or as required by the Inspector of Wires. Estimated Value of�lec cal Work: / (When required by municipal policy.) Work to Start $ S Z Z 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 Er BOND 0 OTHER ❑ (Specify:) I certify,under the pays and w n perj ury,u ,that the information on this application is true and complete. FIRM NAME: / I "111 161A-e,L( LIC.NO.: Licensee: Signature 19-36,,, ,4 K/ LIC.NO.:/9 7 il 7(s (If applicable,enter" in the license roofer line.) 0 Z G7 (Bus.Tel.No.: Address: `-/Y -e t�-,-,w.�d- (c cl W e st.0 ti"w -' V%,-‘✓'r Alt.Tel.No.:SO fs. 9 8 g'-(SStp *Per M.O.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)❑owner 0 owner's agent. Owner/Agent (PERMIT FEE: Signature Telephone No. $