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Home My WebLink AboutBLDE-23-001586 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001586 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:9/26/2022 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) 31 SIERRA WAY Owner or Tenant DALY JOSEPH F Telephone No. Owner's Address DALY CHRISTINE, 31 SIERRA WAY,WEST YARMOUTH, MA 02673 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: 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 18 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. 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: Robert A Young Licensee: Robert A Young Signature LIC.NO.: 10833 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:220 HIGH ST,REAR,TAUNTON MA 027803540 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: $50.00 l ommonrvea h oI///a9oachu9et I Official Use Qnit =* = 23 -�S�1p Permit No. \_ t-=t aCJepartmznt o f.ire Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: 9 / i Jam. City or Town of: '1aVrif1011�T v\ To the Inspector of Wires: By this application the undersignedgives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 31 S(e v-c Way Owner or Tenant CtrtSkc n.e_,.. Date Telephone No. 3.537•(0(,�q Owner's Address S AvA e_ ` Is this permit in conjunction with a building permit? Yes No X (Check Appropriate Box) Pu pos•.a is l •2ag stdein'he Ut, ,ut , _ l ty-�_li�_r:zatii�n No. Existing Service Amps / Volts Overhead Undgrd No.of Meters _ New Service Amps / Volts Overhead I I Undgrd ( I No.of Meters Number of Feeders and Ampacity `Location and Nature of Proposed Electrical Work: R+orrvi5 V1 , i%elSicitl O v d Wsv'..., owl `g , Atnevicerne • Gcv�.vakor is tocu.{-e i ovn teft suit_ 'DC hous-e_. �ekind 1/41 '< <-Q-• Completion of the followin table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators k KVA I g No.of Luminaires swimming pool Above n In- r—i No.of Emergency Lighting wl. ., nes ,� 1 i i ARMS No. i i w V i , , No.o Detection and Initiatin g Devices i Ranges ' ' ' ' Totalons No.of Alerting Devices + 1 , ' '' No.of Self-Contained Q Totals: Detection/Alerting Devices t + Municipal _ Local❑ Connection E Other No.of Dryers Heating.Appliances KW Security Systems:* No.ofW Water Yo.of No.of -__— No.of Devices or Equivalent Heaters KW Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Q.- 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: 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 ❑ BOND ❑ OTHER ❑ (Specify:) Expires 4/13/2023 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Young Electrical Svc. Inc. LIC. NO.: A10833 Licensee: Robert A. Young Signature,;' -',, :, `,_..k. ``., -, •._-•tIC:NO.: 24869-E (If applicable,enter "exempt"in the license number line.) $iis.Tel.No.:. 508-823 0279 Address: 220 High Street- Rear Taunton. MA 02780 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 50