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Home My WebLink AboutBLDE-23-000898 4::-r'- Commonwealth of official use only Massachusetts Permit No. BLDE-23-000898 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:8/18/2022 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) 8 PAR 3 DR Owner or Tenant BETTS BRUCE Telephone No. Owner's Address BETTS DONNA, 8 PAR 3 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 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 14 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting rnd. 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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: Francis D Jones Licensee: Francis D Jones Signature LIC.NO.: 13534 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 11 INDUSTRIAL DR, MATTAPOISETT MA 027391311 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: $80.00 Commonwealth, �,a---_,,, o /�Jao6aclau6eEo Official'Use Ouly yt € 2epartrzanl o� lre.� Permit Na, G --6 69 -;:i er viceb t „y BOARD OF FIREPREVENTION REGULATIONS Occupancy and Fee Checked APPLICATION FOR PERMIT I/07) (leave blank) MIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 52 CMR 2,00 (PLEASE PRINT IN INK OR T f E L INFORMATION) Date; I Cif or Town of: �. GL,'1 ,• , � Z -� By this application the undersign L L- To the Inspeotol^of Wines; giv otice of hishis._2 her ilite+1ion to�r�fyn the efectricai work descibed below, • Location(Street&Numb r). Cif IL Owner or Tenarif ;� L,! � _' _ -- _._ l}lam --.elep .� Owner's Address -- �-��-- Telephone No � Is this permit in conjunction with a building Purpose of BuiIdino t2 permit? Yes I No (Check Appropriate Box) Existing Service "� `--~ -----m• Utility Authorization No, Amps / Volts Overhead �- 1+?e Service AmpsUndgrt*I___J No,of Meters Number of Feeders and Amp �--•sity��•��_Volts Overhead 0 Undg rd� _ No,of Meters Location and Nature of Pro p osed Blectricai Work: __ i 4.2 - Completion o the follow in table ma be wcrtyed Gv the Ins ector o/Yl�fr es, 00 No,of Recessed Luminaires No,of Ceil,•Susp,(Paddle)Fans p No, of L�uninaire Outlets _.� Transformers KVA No• of Plot Tubs No,of Luminaires -14} Generators ZyA o. fL_Luminaires _ Swimming Pool d El lm d._ _--i Batter e _Unitsrgoncy �g i ng rt . No,of Receptacle Outlets rnd' r'nd Batter No,of Oil Burners _. __________. -��_��-' No, of Switches �"-�- - - FIRE ALARMS No,of Zones - ---d _ ._ No,of Gas Burners " o'o refection an. R t No,of Ranges- - ---- Initiatint Devices No.of Air Cond, ° _- No,of Waste Disposerseat Tons No.of Alerting Devices amp um er 'ions Totals; „•,,,,,,,,,•.,,,,.,,,•„•,,..,,•'a .....�7et 0 0 - ontame. No, of Dishwashers Detection/Alertin; Devices Space/Area Heating KW Tuniee a No, of Dryers - Heating Appliances ._��.�._ Local[� Conne pion ❑ Other o,.o ater KW edurity stems;x Heaters • IOW o,o 0 o No.of Devices or Dguiyalenf Si as Ballasts Data Wiring: N°.I�ydl'nmpcgage BatlitU)s _i No,of Devices.or E uivalent jNo, of vlotors 'Total HP Te+ecommunioations• 'icing'; 'OTHER; '""•.---e.-^-� No,of novices or D uivalent Estimated Value of Electrical Work; �' --^ 2_- attachrequitonul detail(cipaled Or as r by the Inspector of Wires. Worlc.to Start; � ,..� (When required by municipal policy,) INSURANCE CO�i� Inspections to be requested in accordance with MEC Rule 10,and upon completion, RAGE; Un1ess waived by the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent,the owner,no permit for the performance of electrical work may issue unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office, CIIL�CIC ONE: INSURANCE q valent, The I eerd�Jy,tinder the pains ttnd penalties 0 OTHER [] (Specify;) FlRhtl ,tin er i f erIttry,that the information on this application true and complete, Licensee. �-(L� ?`l�(� '�°� (!'fir 24 � 1 1. .� �'..G:�-----�-._.._ LTC,NO; ' Signature '(11 c+ppttcab'le,enter `°e•enrpt"in the license ratan en line,, `� 1 �,LIC,NO,; 1 Address; f '`Pee M,G,L,c, 147,s,57-61,security wont requires b part se;o•Public Safety s"Li .Alt,1311s,Tel,No,. • O er M,O,S INSURANCE WAIVER: lc Safet- �. se: Alt,Tel,No I am aware that the Licensee does not have the liability insurance coverage no----orma1ly required by law, By my signature below,I hereby waive this requirement, I am the(check one Owner/Agent k one)❑owner Signature ❑owner's a ent, "___ _" Telephone No,______________ ____t7,l_, ,,i1,t