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HomeMy WebLinkAboutBLDE-23-002241 Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-002241 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:10/26/2022 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) 121 SETUCKET RD Owner or Tenant LUDWIG JASON A Telephone No. Owner's Address MCCORMICK CHRISTINE, 121 SETUCKET RD,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 tl.of Deters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator y ii 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 20 No.of Luminaires Swimming Pool Above ❑ In- CINo.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 Initiatine 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 ❑ 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: PAUL D FOLEY Licensee: Paul D Foley Signature LIC.NO.: 15686 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 783, MIDDLEBORO MA 023460783 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 l,..ornmanuvaR el/l fawarlruirllr Official Usc Only '4 2zw 2eparlman/Of Coro:caa Permit No. � 3zJ C O >.J BOARD OF FIRE PREVENTION REGULATIONS Occupancy Fee Checked Rev. 1107) leave blank) 4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Alt work in tie performed in accordance with the Massachusetts Electrical Cade MEC) 527 CMR 12.00 'PLEASE PRINT IN INK OR TYPE ALL I FORt.IAT/OAri Date: I( J (g 12 Z City or Town of: Yak—Mpv1M To the Inspector of Wires: rJ ey this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) I( 5 edia,t: ,e:L co 0,_cx, kic._c,Ct.j10"---> Owner or Tenant CVrA.cJtitML Ma-.Cortm:CAC Telephone No.S©1. 6p,-&40? iv J Ow ner's Address Is this permit in conj etion with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building V oMd,e„l Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters _ Co' New Service Amps / Volts Overhead LJ Undgrd❑ No.of Meters aNumber of Feeders and Ampacity �y Location and Nature of Proposed Electrical Work: Supply&install standby generator with trench if &mrpletian of the falowsn table may be waived by the In-rector al N)re,, No.of Recessed Luminaires No.of Ceit.-Soap,(Paddle)Fans o.of Total ./ Transformers KVA 0 No.of Luminaire Outlets No.of Hot Tubs Generators /I KVA No.of Luminaires Swimming Pool Above ❑ In- 'No.of Emergency Lighting grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS Nu.of Zones No.of Switches No.of Gas Burners 'No.ofnetection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat p ,ump umber Tons -KW 'No.of Self-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Q Monnectunicipalion 0 Other • C No.of Dryers Heating Appliances KW el-Flinty Systems:` No.of WaterNo.of Devices or Equivalent No.of No.of Heaters KW Data Wiring: Signs Data No.of Devices or Equivalent No.Hvdromassage Bathtubs No.of Motors Total HP 'TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach aehlitronai c!er,ul if dewed.or as required by the Inspector of tl'u, Estimated Value of Electrical Work: t4,000 (When required by municipal policy'.) Work to Start: ASAP Inspections to be requested in accordance with MEC Rule 1D.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) Federated Mutual Insurance Company I certify,under the pains and penalties of perjury,that the information o. this application is tree and complete. FIRZI NAME.: Paul Foley Electric 1 LIC.NO.:A15686 Licensee: Signature ` , Ef LIC.NO.:34710E it)etppfrc•uble•enter"escarp!"In the license number lint./ Bus.Tel.No.• Address: / requires DepartmentAlt.Tel.No.: *Per M.G.L.c. 147.s.57-61.security work re q of Public Safety"5"License: Lie.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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:S