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Home My WebLink AboutBLDE-23-001259 Commonwealth of official use only / Massachusetts Permit No. BLDE-23-001259 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:9/9/2022 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) 1 STABLE LN Owner or Tenant DAVID CIRILLO Telephone No. Owner's Address 1 STABLE LANE, YARMOUTH PORT, MA 02675 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 .ofters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Generator installation. Completion of the following table may b% d 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 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting krnd. 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 T ns 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 ❑ 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: LEON KNIGHT Licensee: Leon Knight Signature LIC.NO.: 20979 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:9 PILGRIMS WAY, BREWSTER MA 026312061 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: $75.00 -f-T-62,Ac,11 ile, ,,,d(i CEIVED ;i;' Commonwsat o yyj // SEP o 8 7"z'' l t /Maddachudattd Official Use Only r;r 1t'�? S Permit No. C..��. I Z- A�.i K epartmsnt o gine ervicsd BUILDING Lit PA ,,";, 1' ;,7 eY BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. l/07] ------ (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: v^ ^n 'Z� By this application the undersigned gives n t 'o'3.or her in or TH ention to perform the elTo the ectrical workect r described below. Location(Street&Number) v. Owner or Tenant Owner's Address Telephone No, Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps p / Volts Overhead❑ Und rd New ervice Amps g ❑ No.of Meters p Volts Overhead❑ Und rd ::: g ❑ No,of Meters and Nature of Proposed Electrical Work: tp. ` Completion o the ollowin_ table m be waived b the bisector o Wires. WO No.of Recessed Luminaires No.of Ceil:Sns . p (Paddle)Fans Transformers ota iv No.of Luminaire Outlets KVA ,, a No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool • '°VQ n- ❑ 'o.o mergency g tng rnd. ❑ nd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones tc No.of Switches No.of Gas Burners `o.o t etec on an' No.of Ranges Initiatin.Devices No.of Air Cond. ota No.of Waste Disposers 'eat 'ump um'er ors ns • t� o e - onta ne No.of Alerting Devices Totals: No.of Dishwashers Detetection/Alertin Devices Space/Area Heating KW Local❑ un cipa No.of Dryers Heating Appliances KW ecur ty Connection ❑ �� `o.o "a er .o o No.of Devices or E'uivalent Heaters ' O.°K Data Wiring: Si ns Ballasts No.of Dvices or E•uivalent No.Hydromassage Bathtubs No.of Motors Total HP a eco of un ons " ring:OTHER: No.of Devices or E 1 uivalent Attach additional detail ifdesired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) 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 0.BOND ❑ OTHER I certify,under the aims and na ties o riot that,the information on this application is true and complete. FIRM NAME: r Licensee: L— LIC.NO.: ,�` t1 9 (Ifapplicableyq rt 'ex pt"in the lice number line. Signature LIC.NO.: 7 Address: C1 Bus.Tel.No. *Per M.G.L. . 147, 7-el.security work re fires epartrnent of Pub tc Safe "5"License: Alt Li No. �� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 3/2-3 required by law. By my signature below,I hereby waive this requirement. I am the(check one owner Owner/Agent ❑ owner's a-er�t. Telephone No, p PERMIT FEE:$ Signature