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HomeMy WebLinkAboutBLDE-21-007443 K % Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007443 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:6/22/2021 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) 66 AFT RD Owner or Tenant SEIKUNAS RICHARD Telephone No. Owner's Address 12 CHERRY TREE LN, KIN NELON, NJ 07405 Is this permit in conjunction with a building permit? Yes ❑ 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 transfer switch for portable 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 KVA No.of Luminaires Swimming Pool Above 0 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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: Licensee: Nicholas McEloy Signature LIC.NO.: 22642 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 Captain Carleton Road, Cotuit Ma 02635 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 QL19g/( (• ( ' Official use Only _- Co , e/Y�►i l to q, G -� c� c� Permit No. E z L 7 �f ")j a r wni o . r+r.Jiralcae . occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ptev.1/07) 0,000 blew APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfiwnred in accordance with the Massachusetts Electrical Code 527 R 12.00 (PLEASE PRINT IN INK OR TYPE A L INFORMATIO Date: („ lr rl 1 City or Town of 0,1410 To the Inspector of Wires: By this application th u undsrsidned giv notice of his her :rondo to the electrical work described below. // Location(Street A Number) ( G /� .t , 0 ' Owner or Tenant f((dlCC if . .( K tkriss Telephone No. ciT 3•(pOO-O/3 Owner's Address Is this permit la conjunction with a building permit? yes 0 No (Cheek Appropriate Box) Purpose of Boikling Utility Authorization No. Existing Sorel:* Amps / Volta Overhead 0 Uadgrd 0 No.of Meters ' Nis r Amps / Yoke Overload 0 Undgrd 0 No.of Meters _._..�. Number of Peden sad Ampaclty © 1 Loci and Nature a P R dal Works ,1 d t 7 r4fl 4r s(, iitc i—dic po-ti-oLhk. (-5,0,i4.e cc, C oftathli nos '+tomf+'obi+bsthe Icrr eWrte No.of Recessed Lumber's No.of Cei4Basp.(Paddle)Fain Tr of KVA No.of Laminsrir Outlets No.of of Hot Tubs Geast*h►rs KVA Above In. No,of tcaA CY > No.of Luminaires Swimming Pool mad, Q Ltd, ❑ Aso thdo No.of Reasptaele Outlets No.of Oil Burners FIRE ALARMS No.of Zones No,of Switches co No,at Gas Boren No. a d No.of Range No.of Mr Cond. Tt No.of A Devices No.of Waste Disposers 'ReT oa _ ,�zNik a r j',�+ !. F No.of Diirhwashe rs Spaee/As'ea Resting KW No.of Dryers 'Heating Appliances KW . ,,� ► . ... .:t. .;►. . ,0.o "a r KW 'o. Dots Whlsg: Heaters r.A �., s ,. Na.Hydraarassags Bathtubs Na.of Motors Todd RP _ ► o i,h"�; 5. ,t OTHER: 00 Attach addfIo nal Matt if dastrt4 err as required by the Inrptctorof Wires. Estimated Value of fora cat Work: (When require by municipal policy.) Work to Start: VE a ( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE V1L Olts 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"coverago or its dal equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of urn.to the permit issuing office. CHECK ONE: INSURANCE MI BOND 0 OTHER 0 (Specify:) I centily,render the pa/xt and penalties gjpe*ery,that the ItOmmatIon on Ole application It ewe and complete. FIRM NAME: Cane Cod Electrical V Lie NO.: 2 42,A LhcNssest 11 j ok Mc B l r o Signature _.....elret, ./'-. Lie NO.: (fappfteabee,toter"sxempt"to the license number fine.) Be.Tel.No.: 5084664146 Address:P.91 Box. 154.4 Marltons MillkMA Q2648 Alt.Tel.No.: *Per M.O.L.c.147,s.57•61,security work requires Department of Public Suety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally �r Ay law. By my signature below,!hereby waive this requirement. 1 am the( one)Q owner ❑(Me.+ . Sigaature Telephone Email: OfflaSeapeeodelectrielsa.com