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Home My WebLink AboutBLDE-23-001711 Commonwealth of Official Use Only G Massachusetts Permit No. BLDE-23-001711 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:9/29/2022 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) 24 THEATRE COLONY LN Owner or Tenant SAVANAH LUKE Telephone No. Owner's Address 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&transfer switch. 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 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/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 ❑ 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 J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 (--4 nC4 o pioef ( sue'At cict_ ,.JAL i 2 119 I z� 7..�a0 RECEIVED iv, 1/ Cold �p 0>,� yy�� ,r lr?J- d�iv` '1 SEP 2 9 ZUEL^ aa'atth ///addoehiadetln Official Use Only �r�:y�,_„'-- /�-i s Permit No. E Z�—417( tit, �..-�F ILDINC;utf'AR F ni of Jiro wired -jY - - r Occupancy and Fee Checked s' :•''a • ` ':'EVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Code( EC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9y�1 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) , /u e,,1,� [ is1o4 J 1 (t/ Owner or Tenant s�� n 1y ii } L..I Telephone No. , Owner's Address , Is this permit In conjunction witha building permit? Yes ❑ No El (Check Appropriate Box) v p'l Purpose of Building / /=/pry Utility Authorization No. S Existing Service.I 00 Amps /.?D l-2yG Volts Overhead Undgrd❑ No.of Meters <) New Service Amps / Volts Overhead Undgrd � ❑ g ❑ No.of Meters Number of Feeders and Ampacity (4. Location and Nature of Proposed Electrical Work: , J).,,// 6r.5,..7 j, 1,,r�S'F S tJ Completion of the followinVoble may be waived by the Inspector of Wires. `! No.of Recessed Luminaires No.otCe6:Susp.(Paddle)Fans No.of 7 otal Transformers KVA ` No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. g_r•nd. ❑ 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 No.of Ranges No.of Mr Cond. total No.of Alerting Devices No.of Waste Disposers Heat Pump Number 'tons IKW No.of Self-Contained Totals:L..........._..-(......_...__.....1..._.. 11 I -- Detection/Alertlnevices No.of Dishwashers Space/Area Heating KW Local❑Municipal Connection ❑Other No.of Dryers Heating Appliances KW, Security Systems:* No.of No.of Water Heaters Signs Ballasts , No.of No.of Data Wiring: es or Equivalent No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE E BOND❑ OTHER 0 (Specify) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: N/,O 1£4,4..0 F/et,�iiL L.LC LIC.NO.: 8Ce'7 A Licensee: pc,,,,,)J e Signature $S$fi 1 applicable.enter"exempt"in the license number-line.) Address: 1 7 A ra c l cr 0 t-1 tie, �o,re,s fr.),k PIA b a b y Bus.Tel.No.' Alt Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie'No.• S"Q . 0 y—S"S�S tm 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. lam the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$