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Home My WebLink AboutBLDE-23-001342 ` Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-23-001342 �-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:9/13/2022 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) 50 CHANNEL POINT DR Owner or Tenant CHARIF LOREN Telephone No. Owner's Address CHARIF SHEILA,50 CHANNEL POINT DR.WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (fie4):::"°, 0oe p� 5tteeBBoz Purpose of Building Utility Authorization <`/��-fY�j Existing Service Amps Vo1W Overhead ❑ UndgrdNew Service Amps Volts Overhead ❑ Undgrd ❑Number of Feeders and AmpacityLocation and Nature of Proposed Electrical Work: Install generator `J / Completion of the following table may be .',44',r` nspector 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 ICVA 22 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. 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 J 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:) 1 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— FE $50.00 C..omnwnwea/h o/ Ma&achu1ett.4 Official Use Onnllyj �' * _o = Permit No. `---Z� J�2 - 1l0= Jipartment ol 3ire �ervicei ititi_ Occupancy and Fee Checked I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) yJ 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 frt I n City or Town of: Yarrnou,}h To the Inspector of Wires: v By this application the undersigned gives notice of his or her intention to perform the electrical work described below. f Location (Street & Number) 5C) Cana nne' c)(vsk • Ve a> Owner or Tenant LO Q.r t. 5h6ka OAQA Telephone No. (Al 9$0- 25eil o Od Owner's Address 50 G hn21 Vp;c\k 'DVwe Is this permit in conjunction with a building permit? Yes ❑ No [A (Check Appropriate Box) d Purpose of Building Utility Authorization No. s Existing Service Amps / Volts Overhead LIII Undgrd ❑ No. of Meters New Service Amps / Volts Overhead n Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Loki(v) o.F 22 KW ref-ilk() Completion of the following table may be waived by the Inspector of Wires. No. ofTotal No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans KVA Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators i KVA 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 of No. of Switches No. of Gas Burners No. In 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 El Municipal ❑ Other _ Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts 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: # 1240 (When required by municipal policy.) Work to Start: 9/12/ 2. 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 covrage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ BOND ❑ OTHER El eci S � P fY ) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: 2o1o�e5 lAectki t C cooking LIC. NO.: Licensee: `fla.(teS K. �J jckfiSoc\ Signature ��' LIC. NO.: 1'.$95 A (If applicable, enter "exempt" in the license number line.) Bus. tel. No.: 5og-?15— 3b83 Address: 2.19 YarmoaNto Qd, R' ahniS M0. 021 CA 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 El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $