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Home My WebLink AboutBLDE-22-000015 Commonwealth of Official Use Only fi Massachusetts Permit No. BLDE-22-000015 *..`"' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical CodeMR1 WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: YARMOUTH Date: /1/2021 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.r of Wires: Location(Street&Number) 36 CRANBERRY LN Owner or Tenant LAMBERT KATHLEEN M Owner's Address 36 CRANBERRY LN, SOUTH YARMOUTH, MA 02664 Telephone No. t p Is this permit in conjunction with a building permit? O Purpose of Building Yes 0 No 0 (Check �p Amps Utility Authorization No. 4, �J �� --- New Existing Serviceee p Volts Overhead 0 Undgrd 0 `�,, , mi hAO Amps Volts Overhead 0 Undgrd 0 , ,Number of Feeders and Ampacity40�,,, ' Location and Nature of Proposed Electrical Work: Install generator&transfer switch. ® , Completion of the following table may be waived by the Ins 4 Wires No.of Recessed Luminaires No.of Ceil:Sus p.(Paddle)Fans No.of Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators 1 KVA 16 No.of Luminaires SwimmingPool Above In- grnd. ❑ grnd. ❑ No.of Emergency Lighting No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices - Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers T i tals: Detection/Alertin, Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: No.of Dryers Heating Appliances Connection KW Securi Systems:* No.of Water KW No.of Devices or E E.uivalent Heaters No.Si� ofs No.of Data Wiring: Ballasts No.of Devices or E I uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E E.uivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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 o , that the information on this application is true and complete. FIRM NAME: WILLIAM R REEVES Licensee: William R Reeves (If applicable,enter"exempt"in the license number line) Signature LIC.NO.: 9241 M.Tel.No.: Address: 175 QUEEN ANN DR, N EASTHAM MA 026510517 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 Owner/Agent ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE:$75.00 r/2 0 ,a,+ / 14 Comnsomeeatth I- ., ,� °lccrT7/aeeachuasffa Official Use Only 1s'�- �[.Jsparimsni ol.}irs Serviced Permit No. � Z 0 6BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/07] leave blank --- APPLICATION FOR PERMIT TO PERFORM ELE TRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code E ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) • City or Town of: u Date: '7 By this application the undersigned:ivYARMhis or OUT!Mention to To the I pector of Wires: Location(Street&Number) perform a electrical work described below. Owner or Tenant , _� _ r rl Owner's Address " �' cM Telephone No. Is this permit is conju on with a }rilding permit? Yes El No A No V]Purpose of Building ( Appropriate Box) �� Utility Authorization No. Existing Service-tom_ Amps / p Volts Overhead Ef/ New rvice �J Uudgrd 0 No.of Meters �---- Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd No.of Meters 1 Locad n and Nature of P epos Electra Work: vi om,etion o the ollowin_ table m• be waived b the I ector o Wires. lb No.of Recessed Luminaires No.of Ceil.-Su `o.o sp.(Paddle)Fans Transformers of No.of Luminahe Outlets KVA No.of Hot Tubs Generators KVA 4' No.of Luminaires Swimming Pool , nd.e ❑ n- 'o.o mergency g ,n No.of Receptacle Outlets d ❑ Batte Units g y No.of 011 Burners aMer' No.of Switches No.of Zones No.of Gas Burners 'o.o n erection an 1 ` No.of Ranges Initiatin_ Devices No.of Air Cond. ota No.of Waste Disposers 'eat 'imp m er Tons No.of Alerting Devices Totals: `u F o e ontam No.of Dishwashers Deton/Alertin.Devices etecti Space/Area Heating ICW Tun cn No.of Dryers HeatingLocai 0 Conn ption 0 Other 'o.o "a er Appliances KW ecurrty ystems: Heaters KW 'o.o No.of Devices or E.uivalent Si s Ballasts Data Wiring: No.Hydrnmassage Bathtubs No.of Devices or E.uivalent No.of Motors Total HP ' e ecommun ca 4 ons "armg: OTHER: No.of Devices or E.uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E tic Work: Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA nless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins ce including"completed operation"coverage or its substantial equivalent. undersigned certifies that such coy is in force,and has exhibited proof of same to the permit issuingoffice. CHECK ONE: INSURANCEq The I certify,under the ins and penaltiesOof errj_',u ,that OTHthe a (Specify:) n this applicati is true and Pe �fY:) ��N � complete: �� Licensee: I/►N e (-- LIC.NO.: �i ��71 r(Ifapplicable,enter' Signatur Address: the license number ire.) LIC.NO.: If *Per M.G.L.c. 147,s.57-61,security work Tres Department b� Bus.Tel No.' / OWNER'S INSURANCE WAIVER: lam aware tDep r tment of dolma not Safety" the License: Tel o. required y law. ByeLin.No. Owner/Agent my signature below,I hereby waive this requirement. I am the(check one) III ownercoverage normally Signature ent • owner's a:ent. Telephone No. PERMIT FEE:$