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HomeMy WebLinkAboutBLDE-22-000318 �• 0..40 Commonwealth of Official Use Only 1 i ` Ort Massachusetts Permit No. BLDE-22-000318 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:7/19/2021 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) 164 DRIFTWOOD LN Owner or Tenant FINE TOBE TRS Telephone No. Owner's Address FINE JAMES, PO BOX 962, DENNIS, MA 02638 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 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: Generator Installation w/25'trench 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 24 No.of Luminaires Swimming Poolg bovernd. ❑ gr nd. ❑ No.of Emergency Lighting 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 AlertingDevices Ton No.of Waste Disposers Heat Pump I Number I Tons 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 KW No.of No.of Ballasts Data Wiring: Heaters Signs 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: 09/20/2021 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 S eci I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: RANDALL C AGNEW Licensee: Randall C Agnew Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 17492 Address:381 OLD FALMOUTH RD, MARSTONS MILLS MA 026481555 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$75.00 I TQc\af0 9/2l124kZ ak ‘ .1.06-c 7/30/24 e _._. 0 c\V)W Commonwealth of Official Use Only >< Massachusetts Permit No. BLDE-21-001057 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) City or Town of: YARMOUTH Date:To Inspec020 By this application the undersigned gives no ice o is orher m en ion o pe orm e e ec ica work described below.r of Wires: Location(Street&Number) 170 DRIFTWOOD LN Owner or Tenant FINE TOBE L TRS Owner's Address FINE JAMES BOX 962, DENNIS, MA 02638 Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) ps Utility Authorization No. Existing Service Am New Service Volts Overhead ❑ Undgrd ❑ No.of Meters Amps Volts Overhead ❑Number of Feeders and Ampacity Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: Generator Installation w/30'trench Completion of the following table may be waived by the Inspector of Wire: No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of No.of Luminaire Outlets No. No. formers A 22 of Hot Tubs No.of Luminaires Generators 1 KVA Swimming Pool Abovernd. ❑ In-rnd. ❑ No.of Emergency Lighting No.of Receptacle Outlets No. Batte Units of Oil Burners No.of Switches No.of Zones No.of Gas Burners No.of Detection and No.of Ranges No.of Air Cond. Total Initiatin. Devices No.of Waste Disposers Heat Pump NumberTonsons No.of Alerting Devices Totals: KW No.of Self-Contained No.of Dishwashers `-Detection/Alertin Devices Space/Area Heating KW No.of Dryers Local 0 Municipal 0 Other: Heating Appliances Connection No.of Water KW Security Systems:* Heaters KW No.of No.of No.of Devices or •uivalent Si ns Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E•uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E•uivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: 09/29/2020 (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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE � that such 0 BOND 0 OTHER 0 I certify,under the pains and penalties o (Specify:) FIRM NAME: /perjury,that the information on this application is true and complete. RANDALL C AGNEW Licensee: Randall C Agnew Signature (If applicable,enter'exempt"in the license number line.) Address:381 OLD FALMOUTH RD, MARSTONS MILLS MA 026481555 LIC.NO.: 17492 Bus.Tel.No.: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety OWNER'S INSURANCE WAIVER:I am aware that the License does not have the"liability insurance coverage normally required by1 signature below,I hereby waive this requirement.I am the(check one) qaw.But ❑ owner 0owner's agent. Signature Telephone No. - --1Zwr._ti / PERMIT FEE:$75.00 f 64 /0 //2D kg.