HomeMy WebLinkAboutBLDE-23-001071 ;. - Commonwealth of Official Use Only
(fi Massachusetts Permit No. BLDE-23-001071
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:8/29/2022
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) 7 BENNETT AVE
Owner or Tenant RENAUD THOMAS H Telephone No. . e
Owner's Address RENAUD SUSAN M, 235 PUTNAM HILL RD, SUTTON, MA 01590 /c) , . t /7J
t
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate j .. : -
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 agfI Crc, �`
New Service Amps Volts Overhead 0 Undgrd 0 No.oL'• e) '`_
Number of Feeders and Ampacity `•% ;�, 1 �.•f l J,
Location and Nature of Proposed Electrical Work: Install generator. /. .;c:"'.,'-'
Completion of the following table may be waived by the Insptcto/pf 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- ElNo.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/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ 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: Charles K Swanson
Licensee: Charles K Swanson Signature LIC.NO.: 12895
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:718 CEDAR ST,W BARNSTABLE MA 026681300 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: $50.00
r
Commonwealth o/Mamachuoett9 Official Use Only
'�_*v =!/, cc�� c7 Permit No. �23 (lv `
' 4 gg 2)epartment o�Mire Services
.--_= Occupancy and Fee Checked
-.`!— BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]j (leave blank)
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: ?1Zy I'M
City or Town of: Yasmouklr. 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) -1 3e-\(\pi-4 'AVQ.X\t1/4.02.
Owner or Tenant TOM RY.nAAGQ. Telephone No. 5(78-6014140
Owner's Address i 13e ie k Averiue
Is this permit in conjunction with a building permit? Yes ❑ No F (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 20o Amps / Volts Overhead 1/i Undged❑ No.of Meters
0
`.) New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
VI Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: v..11 0A ki Kv.i csenexAor
c *den:found Condtu+ already inMpetted pec howeounec
Completion o,?the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. f Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators I KVA
,-�. AboveIn- No.of Emergency Lighting
\�/ No.of Luminaires Swimming Pool grnd. r—i grnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. Initiatinnggon Dete and
In Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
P Connection
No.of D ers Heating Appliances KW Security Systems:*
ry No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
' Heaiets KW Ballasts Devices
JtgfS No.of or EijiliVaacui
Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: t 830 (When required by municipal policy.)
Work to Start: 3124122 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 cov rage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE E i BOND El ❑ (Specify:)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: 2o�eS \Aet,�hnn i COD\in ��� LIC.NO.:
Licensee: �,�lAftes K• Swaf\SG(a Signatul .NO.: 12$46 A
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 5bg-115-3083
Address: 2141 Yarmou. tlLdt P arms 02(col Alt.Tel.No.:
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: 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 Cl owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $