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
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*" . '!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
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