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Home My WebLink AboutBLDE-23-003252 Commonwealth of Official Use Only L Massachusetts Permit No. BLDE-23-003252 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:12/12/2022 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) 45 ALDEN RD Owner or Tenant PIHL RUTH G Telephone No. Owner's Address 45 ALDEN RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No ❑ heck Ap ropriate Box) (J Purpose of Building Utility Authorization o. 11399675 Existing Service 100 Amps Volts Overhead 0 Undgrd No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd b. ,.,.:Norof e ers Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service, renovate garage, &add room over garage. 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 ❑ 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 Initiatine 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 ❑ 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Charles K Swanson Licensee: Charles K Swanson Signature LIC.NO.: 12895 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:718 CEDAR ST,W BARNSTABLE MA 026681300 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 I Telephone No. PERMIT FEE: $150.00 �� ,14 12/zti US£ �/ '. ea�f an-Dive. L,-s, Obqf W2'9 - 6 b :O- igew J Rp C F 1 V E D _ /�om ealt 0�el Maa�ach/u�e� Official Use Only C, =*= Permit No. d �`l ' Wiz - t. 2 202 cc77 - DEC 1 e arA ,nt o/.}ire Services _:WIJW Occupancy and Fee Checked —_�_�__ � �,�-�p,� p cy k ` [�d® IRET• EVENTION REGULATIONS [Rev. 6ul1/07] (leave blank) B .__,-_ AP ` ATION 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: t e,-- 7 .) City or Town of: \I: C ( t t\ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. S Location(Street&Number) q A(dc-.v` Pc), 1 e_ ( `� c.t r v,00 ('v Owner or Tenant 12,0(k R ( Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes N No ❑ (Check Appropriate Box) Purpose of Building S',Nile_ Utility Authorization No. C te&tq (.1,z,i'l L Z-S Existing Service 1 bb Amps 1 a0 l 110 Volts Overhead E Undgrd❑ No.of Meters New Service X Amps (20 / Z(4O Volts Overhead a Undgrd ❑ No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 6j 1p 0&—C (s>0,1-„c: I Ec,.,v vu 1`�- `104-.1r ,9 p�'1�- � t Iec. Scat)i c� TO Af �3 i Completion of the following tab a may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle Fans Tf Total) Trr anosformers KVVAA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and n Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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❑ Municipal Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers 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 TelecommunicationsNofDevices or quiv No.of Devices Equivalent OTHER: CC, Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 01 C6C%- (When required by municipal policy.) Work to Start: (1"0 ' 2- 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 l' BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete(. FIRM NAME: ,L..�,,-(e S �Scc`n'D' ' LIC.NO.:/ [(��c7 5 Licensee: Signature �� X.--- \ LIC.NO.: 7) (G (If applicable,enter 'exejp'J?r� T (.0 ��1 pt"in the license number lin Bus.Tel.No.: 4' ?3`?- 0(G Address: -7( 1 f` `Y '1^ *rG�'�- ✓vv=t Alt.Tel.No.: *Per M.G.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)0 owner ❑owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No.