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Home My WebLink AboutBLDE-23-002330 -- Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002330 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:10/31/2022 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) 62 DRIVING TEE CIR Owner or Tenant HADDEN ANDREW F Telephone No. Owner's Address LOTHROP KENDRA M, 62 DRIVING TEE CIR, 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 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 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 Connection 0 Other: 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: 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 l.ornrnonweati4 o f/YJa6eaclzuoettd Official Use Only , PermitNo•. -_ 2, �3_ ,a {tPubL i 2epartment o 5lre ServGce6 ` ' Occupancy and Fee Checked s BOARD OF FIRE PREVENTION REGULATIONS [Rev, I/07 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECT KCAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12,00 (PLEASE PRINT IN INK ORTYiEAL INFORA 4r R) T�afe;�,_. (� a �a . Cityor Town of: 2 `� �CZ ..h? ct,- r� To the Inspector of Wires; By this application the undersigned give notice of his or her intention to perform the ei trical wfe,or described below, Location(Street&Number).c On, r✓) C • Owner or Tenant, dreLt-) f f .4 ell Telephone No, � _ Owner's Address _ ........�.. a _ TML7' ��_ 7y-5 Is this permit in conjunction with a building permit? Yes — No (Check Appropriate Box) . Purpose of Building -_ Utility Authorization No. • Existing Service Amps / Volts Overhead ❑ Unclgrci___] No,of Meters New Service — Amps / Volts Overhead❑ Undgrd _]. No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work; A, (/ C.% • Completion of the following table maybe waived by the Ins ector of Wires, No,of Recessed Luminaires No,of Ceil.-Susp,(Paddle)Fans No, o VA Transformers KVA ota N No,of Luminaire Outlets No, of Hot Tubs Generators KVA No. of Luminaires u"rvlritittiCtg A`001 Above I� In- d INc.o:'Lmergency Ligntmg zrrnd gl nd Battery Units No,of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones Ct No,of Switches No.of Gas Burners 'No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No,of Alerting Devices V No,of Waste Disposers eat ump ,,,,umk�,er „ans,•,,,,,,,,,,,,,,, I op o elf•Contained Totals; Detection/Alerting Devices • 0 No, of Dishwashers Space/Area Heating KW Local❑ Connecti Municiparon 0 Other No,of Dryers Heating Appliances ICWSecurity Systems:* No,• • of No,of No.of D No,.of Waterevices or Equivalent Heaters KWData Wiring: Signs Ballasts • No.of Devices orE��quivalent No,Hydromassage Bathtubs �No. of Motors Total HP ecommunioations•Wiring; • No,of Devices or Equivalent OTHER; . ... .. . . . Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value o-Fret rival Work; �Q !^ (When required by municipal policy.) Work.to Start; 1 ',}off 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 providbs 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 certI y,tinder the pains,and penalties of erjttry,that the information on this application true and complete, .. FIRM NAME: 0i 1" ; �. 11� 2 a �. p� ) Licensee; - ('Q )1�f Yl PSignature (If applicable,enter "e.etnpt"in the license r as Mit er line,, '`7��t"�"mot "J *LTC NO,: ""1 � Address: j� Y1 U�41 f r la f n t^ r a P:1- O Bus,Tel,No,: *per M,O,L,c, 147,s,57-61,security work requires D partment o'Public Safety"S"License: Alt 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)❑owner Owner/Agent []owner's agent Signature Telephone No, PERMIT FEE,.$