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Home My WebLink AboutBLDE-23-001085 or Commonwealth of Official Use Only � 1 Massachusetts Permit No. BLDE-23-001085 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:8/30/2022 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) 18 WOLFSON RD Owner or Tenant CHASE CARUSO Telephone No. Owner's Address 18 WOLFSON RD, SOUTH YARMOUTH, MA 02664-1346 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&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 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 1 No.of Gas Burners No.of Detection and Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 0 Municipal ❑ 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 Siens _No.of Devices or Eauivalent 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: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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 apovirq/ / RECEIVED hr /l /�1, -' i /�9.t AUG2920227/,� ,'// �/J l_onmaawaaifh off r / _'. aacftl • Official Use Only _ ' =1 DING DEPARTM�tp�T c� 1 1Ja arfmrsf o tiro n • Permit No. Zi�-L '/ BOARD OF FIRE PREVENTION REGULATIONS I Occlpo c'and Fee Checked _ ='r+' ea„blank APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �),Sz t 2.00 City or Town of: YAR UTH To the eator of Wires: By this application the widersigned gives notice of his or her intention to perform the electrical work described below. • Location (Street&Number) t"O t-rr n Owner or Tenant 'r'`' �S Telephone No.Owner's Address Is this permit in conjunction with a building permit? Yes Purpose of Building ❑ N0 ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity 0 Undgrd 0 No,of Meters Location and Nature of Proposed Electrical Work: ` r Co •letion o the ollowin_ table m. be waived. the Inspector o Wirer. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans o.of Total No.of Lumfnaire Outlets Transformers KVA No. of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- "o.o mergency 2 ,tm mod. mod- ❑ Batte • Units - g No.of Receptacle Outlets No.of Oil Burners 1.1 No.of Switches FIRE ALARMS No.of Zones No.of Gas Burners o.of Detection and No.of Ranges Initiatin_ Devices V No.of Air Cond. No.of Alerting Devices No.of Waste Disposers eat Pump amber Tonsns Totals: o,ofet elf-Containe No.of Dishwashers DetectioNAlertin_ Devices Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ Other Heating Appliances , Security Systems:* �� No.of ater No.of Devices or E.uivalent Heaters KW No.o o,of j No.Hydromassage Bathtubs Si s Ballasts Data Wiring: ¢3 No.of Devices or E•uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or El uivalent Attach additional detail if desired or as required by the Inspector ofWires. Estimated Value of Electrical Work: 1 o Work t Start: (When required by municipal policy.)SU o St Inspections to be requested in accordance with MEC Rule l0,and upon completion. C'E COVERAGE: Unless waived by the owner,no permit for the performance the licensee provides proof of liability insurance includingoperation" P coverage or r its substaalntial work may issueunless undersigned certifies that such cover is in force,and has exhibited proof of same to the permit issuingg office.equivalent The CHECK ONE: INSURANCE I certify, under the a' BOND ❑ OTHER 0 (Specify) office. p . ns and penalties ofP r e 'u ts FIRM NAME: I ry,that the information on this application is true and complete Licensee: LIC.NO. (If applicable,enter' s ' Signature exe t"to a license number line.) LIC.NO.: . Address: j .Per M.G.L. c. 1 7 s.57-61,security q ° Bus.Tel.No.. OWNER'S INSURANCE work requires Department of Public Safe D Alt Tel No.; _ S required by law. By WAIVER: I am aware to e License: Lin. No. 71`m signature that the Licensee does not have the liability insurance coverage Ownrr/Agent y gnature below,I hereby waive this requirement I am the(check one ❑ g normally . owner ❑owner's a ent Telephone No. PERMIT FEE: $