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HomeMy WebLinkAboutBLDE-23-004888 Commonwealth of Official Use Only ' f Permit No. BLDE-23-004888 Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked LRev.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:3/7/2023 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) 926 ROUTE 6A Owner or Tenant LEON NARBONNE Telephone No. Owner's Address 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: Wiring for six(6)split heat pumps 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 Initiating Devices No.of Ranges No.of Air Cond. Tot l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 6 Detection/Alerting 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 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: 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: JESSE R LING Licensee: Jesse R Ling Signature LIC.NO.: 15646 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 1200,WEST CHATHAM MA 026691200 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: $300.00 RECEIVED . C,ctrmartucaLtlz �yyj B ry __� of it/• sa�� ( •��� Official Use Only v �� _ t P ,. 't 1 2cparmcnto/5:K c L3 ��tg • z BUILDING DEPART 686Ep,.cy I -_---- BOARD OF FIRE PREVENTIO �•-•-•-- "�u� and Fee Checked � (leave blank) APPLICATION FOR°PERMIT TO PERFORM ELECTRICAL W0 All work ro be performed in accordance with the Massachusetts Electrical Code(MBC),527 CMR 12.00 WORK (PLEASE PRINT IN INK OR TYPE ALL INFORJYL4TION) Date:_-21 -- 23 City or Town of: YARMOUTH Wires: — By this application the unde.-simed gives notice of his or her intention to perform the eleectiitcal orw k described below. Location(Street&Number) (a ct� At- G` Owner'or Tenant I.con n1c e� ..,p Owner's Address tk.� Telephone No. - �5$i Is this permit in conjunction wit a building permit? yes ❑ No (Check Appropriate Box) Purpose of Building �i1 Utility Authorization Na. ,C-----4Existing Service C-Amps (�Volts Overhead UndD d L.. No.of Meters 4 New Service 12-00 Amps 130 /`Zyv Volts Overhead Number of Feeders and Ampacity L'ndgrd No, of Meters F �' Cat' � t c1�VP'k�tJ Location and Nature of Proposed Electrical Work: f- �Cs�h,- !�w``t‘ 'C.b�ar-r[h►�f1r.C� Jac- ©UcG{' VTLQ_ t Completion of the ollrnrnQ table be waived' the Inspector of Wires. No. of Recessed Luminaires (No.of CeiL-Susp.(Paddle)Fans No.of Total Transformers t o.of Luminaire Duties (No.of Hot Tubs (Generators KVA No.o - iaiaaires iSwimmiae Pool Above I In- ,.of 1,,.- •-: a,tma 6rnd. arnd. ❑ ,Battery R•,. m No.of Receptacle . . is (No.of Oil Burners �' F'is - ALARMS No.of Zones No.of Switches ... of Gas Burners o.of Detection and >� ' initiating-Devices (No.of Ranges No_ of Air .. o,• .s No.of Alerting Devices No.of Waste Disposers (Heat Pump Number •-. KW No.of elf ontained III i Totals. 4;, 1Detection/4lertino Devices No.of Dishwashers iSpaceLkrea . :ling KW' �� ocal Municipal ❑ Other No.of Dryers IH� Connection • Appliances , (Seen stems:* No.of ater of No.of• +'ces or E•uivalent I Heaters ' No.of 'Data Wiring: N Signs Ballasts No.of Devices or E•uivalent �^ No. Hydramassage Bathtubs �No.of Motors Telecommunications Wiring; "^NN�iI Total HP No.of Devices or E.uivalent N OTHER: 140 ®C' 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: , E Inspections to be requested in accordance with MEC Rule 10,and upon on. 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 Y undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing ofrice. ent. The CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. i FIRM NAME: `c, L 1 tic)L�GT tki414_tcrs :.NO LIC. Licensee: c�- - 1-4 i= Co (..���{'(-9 Signature -cam . / LIC.NO. 3 L{ (If applicabl enter"exempt"i license�. mben line.) / _ Address �X t�J .C_N'`ZT I-t t`rrot_ O 2��06� Bus.Tel.No.: 6 -re 774k j *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Aft Lici No.. z n 4 - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n— o - required by law. By my signature below,I hereby waive this requirement I am the(check one)[] owner ❑owner's a eat. Owner/Agent 1.11 Signature Telephone No. PERMIT FEE: S