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HomeMy WebLinkAboutBLDE-23-002972 l Commonwealth of Official Use only _. �' (A/ Massachusetts Permit No. BLDE-23-002972 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:11/30/2022 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) 9 PHEASANT COVE CIR Owner or Tenant MCCABE JOHN H Telephone No. Owner's Address MCCABE LESLIE R, 130 COOLIDGE RD, WORCESTER, MA 01602 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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&transfer switch. 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers .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 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: William R Reeves Licensee: William R Reeves Signature LIC.NO.: 9241 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 175 QUEEN ANN DR, N EASTHAM MA 026510517 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. I PERMIT FEE: $75.00 I 0 1 b ) Ac/a i 2/4(n- e- 6r,4/531lw gild A-ilk. I L/icg/2z_ 0 .:,) - /3y/#L e x ys .i i' :/. 70z.y3 '� __ F ' F1VE ® _ —_CI nwsatpt o f hueatte � �.��" `,�„ �V 10 O 2022 aeeac Official Use Only ll cc77 �n7 -Q�/�j _,7aa, : ` e srunent of-rips-"evokes Permit No, j L 1' / if J *" . '!r NBO�#t®Off-" ItRE 'REVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/07] leave blank ��� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO All work to be performed in accordance with the Massachusetts Electrical Code(M C),52 CMR 12.00 R K (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: YARMOUTH T Date: 2 To the By this application the undersigned iveT� ' his lion to perform the ele ep lect ark destor of cribed below. , Location(Street&Number) f ) V . �J Owner or Tenant � � �- Telephone No, _ _ °, Owner's Address 6 Is this permit in conjun with a uilding permit? Yes 0 No Purpose of Building (Check Appropriate Box) Existing Service *^�.,' Amps Utility Authorization No. p / Volts Overhead❑ Undgrd❑ No.of Meters E. New Service Amps / Volts Overhead Number of Feeders and Ampadtywe ❑ Undgrd 0 No.of Meters Location and Nature of Pro osed Electrical Work: Com letion o the ollowin table m be waived b the In ector o Wires. ; No.of Recessed Luminaires No.of Cell.-Sus .Nil p (Paddle)Fans °•° ota No.of Luminaire OutletsTransformers KVA No.of Hot Tubs Generators KVA 4` No,of Luminaires Swimming Pool o.o rnergency g ng �1 Receptacle °d e ❑ ° d• ❑ Bette Units No.of Outlets No.of 011 Burners `': FIRE ALARMS No.of Zones �.. No.of Switches No.of Gas Burners o.o etec on an 111 No.of Ranges Initiatin Devices No.of Air Cond. °a No.of Alert Tons ing Devices eat ump um er ons o.o e onta ne No.of Waste Disposers Totals' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ un c p No.of Dryers Heating Appliances KW ecu ty Cstenmestion � o.o a er o•o No.of Devices or Equivalent Heaters it VV' °•° Data Wiring: Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP e ecommun ca one r g OTHER: No.of Devices or uivalent Estimated Value of E tri 1 Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start: •-b� (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E: 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 covera 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 ains and penalties of pedury t ,t the Ip ormatfon on I ••application is true and complete. FIRM N E• �; eP - .t T'�(tJ Licensee: � � � % L LIC.NO.: / 1 1- C C Signature �.JJ/_= (ifapplicable,e " mpt the license number Ii e.) �-� LIC.NO.:`Q�r Address: �v,� 6Bus.Tel.No. a j *Per M.G.L.c. 147,s.57-61,security work requires Department of Public , 44-Safety"S"License: AILLic'•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/Agent • owner's a:ent. Signature Telephone No. PERMIT FEE:$ 10.0.1 /goO 00 —/ Jiro(' coo - —30,30 taco° 3r= 2.4 70-00 s-boo rboo /84its- N\