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HomeMy WebLinkAboutBLDE-22-006363 (\CA Commonwealth of Official Use Only to i. Massachusetts Permit No. BLDE-22-006363 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:5/4/2022 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) 61 OUT OF BOUNDS DR Owner or Tenant CAFFREY PATRICIA E Telephone No. Owner's Address 61 OUT OF BOUNDS DR, SOUTH YARMOUTH, MA 02664 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 ❑ Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 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 1 KVA 30 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 Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 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: Scott D Morris Licensee: Scott D Morris Signature LIC.NO.: 18338 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 1264, HARWICH MA 026456264 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 j Telephone No. PERMIT FEE:$100.00 6(q I KZ (M7 GA.s 4 AJ r Mae(?) Commonwealth of Massachusetts Official Use Only r 1 - t Permit No. R E ,t : � E 0 Department of Fire Services ZZ Occupancy and Fee Checked MAYy�"' 022 OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) __ ___ APPLI ATION FOR PERMIT TO PERFORM ELECTRICAL WORK BUILDING D E PA RTM E Ndll work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ay. CEASE Pier- 7N INK OR TYPE ALL INFORMATION) Date: 05/03/22 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) 61 Out of Bounds Drive Owner or Tenant Partyka Telephone No Owner's Address Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Rough and finish wiring for 30kW standby 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 ❑ In- No. of Emergency Lighting grnd. gmd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Tot No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons JKW No.of Self-Contained Totals: r Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: 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: 05/03/2022 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 o same to the permit issuing office. CHECK ONE: INSURANCE N BOND 0 OTHER 0 (Specify: I cert , under the pains and penalties of perjury, that the information • is application is tr and complete. FIRM NAME: SDM Electric,Inc. LIC.NO.: 18338A Licensee: Scott D.Morris Signat / / (If applicable,enter "exempt"in the license number line.) ` It�� IC.NO.: 38090E Address: PO Box 1264 East Harwich,MA 02645 Bus. el.No.:Alt. Tel.No.: 7508 74 430 4014 *Per M.G.L.c.147,s.57-61,security work requires D:•. - t of Public Safety"S"License: E ail:scottmorr s@sdmelecctrriic.om OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally re- quired by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ I ` SDM Electric, Inc. P.O. Box 1264 East Harwich, MA 02645 Phone 508-430-4014 Fax 508-430-4015 Request for Electrical Inspection Town of: Yarmouth Date:May 3,2022 Date of inspection requested: May$2022 Owner: Partyka Job Location: 61 Out of Bounds Drive Electrician&phone#:SDM Electric,Inc.508-430-4014 Permit#and date of issuance: Type of inspection:p Trench(time trench will be open) X Rough Wire (THROUGH BASEMENT UP TO ATTIC FOR GENERATOR) Service Final Other Someone will be present X No one home,O.K.to enter (BULKHEAD UNLOCKED) _X Special Instructions: Please contact 508.430.4014 or 774.353.6902 with inspection results. Please fax any corrections to 508.430.4015