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Home My WebLink AboutBLDE-23-001401 Commonwealth of Official Use Only AlNi% ' No. BLDE-23-001401 Massachusetts 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:9/16/2022 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) 15 HAYWOOD AVE Owner or Tenant SMEDLEY KENT B Telephone No. Owner's Address SMEDLEY NEUCIMARI B, 15 HAYWOOD AVE, 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 Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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: Sean C Rogan LIC.NO.: 20141 Licensee: Sean C Rogan Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 MELIX AVE, PLYMOUTH MA 023601280 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: $75.00 RECEIVED Commonwealth of Maaaachwiette Official Use Only SEP 15 2' '', " i, r'`�-- >g"' cx Permit No. ?i-j `'` V r �aw is s/vartmant o�Jc7 ira Jorviesa BUILDING DEPA t ` '', ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked B y_ ___ ---- �.• " [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 ‘r (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: cf/ /$/ 2 Z City or Town of: YARMOUTH To the Inspector of Wires: cj By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Ot‘l, Location(Street&Number) /S l/„e W,�oa ,f Owner or Tenant `L1.n T' sr Gri/ t/t. Telephone No. Owner's Address S,w.�.. 7 i ' Is this permit in conjunction with a building permit? Yes ❑ No C (Check Appropriate Box) NV Purpose of Building /)W /l4s Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd C No.of Meters 4' New Service Amps / Volts Overhead❑ Undgrd ElNo.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /Li<kw 614 e��-33i'4Dr/, /Jd,u•/J sly/reA kel Completion of the fol/owin table may be waived by the Inspector of Wires. Q. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of- Total Transformers KVA ;t No.of Luminalre Outlets (., No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. Rind. ❑ Battery Units ,' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices 1-' No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number[Tons I K No.of Self-Contained Totals:I VA Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection El Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' Data Wiring: No.of Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: J//S/.22- 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 provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covers 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 pains and penalties ofperjur,that the information on this application is true and complete. FIRM NAME: SC, /r/tcv c. 1,,L LIC.NO.: ,42°A4/ Licensee: S€4,-1 C R.6.D./ Signature (If applicable,enter"exempt",in the tense numb r line.), LIl. NO.: - �36 Address: 3a �G/ µ_ ,0',� /k� Bus.Tel.No.: S� �� Tel.No.: *Per M.G.L.c. 147,s.57-61,security wo requires Departmen of Public Safety"S"License: Alt.Lic.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's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ l