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Home My WebLink AboutBLDE-23-003062 / Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003062 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:12/5/2022 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 CURVE HILL RD Owner or Tenant HAGUE MICHELLE M TRS Telephone No. Owner's Address HAGUE THOMAS F III TRS, P 0 BOX 1394, ORLEANS, MA 02653 Is this permit in conjunction with a building permit? Yes ❑ 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 ❑ 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 22 No.of Luminaires Swimming Pool Above 0 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. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW o.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Siens 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. j 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: William R Reeves Licensee: William R Reeves Signature LIC.NO.: 9241 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 175 QUEEN ANN DR, N EASTHAM MA 026510517 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 " I` Ci () ()4., -- _- ,o/f1 i2/,/2� '%` RECEIVED /� yy�� _ �. ...._..----Commanw Lfh of trlaesac4iaeaW Official Use Only "" DEC 0 5 20T� "W-4,- �� I cc77 c� Permit No. J Q p7/ •:_,ate ePfrinjrnl of Ji.v Serviced I '`s - Occupancy and Fee Checked ' Y--i�IREPRVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ,527 R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIONI Date: 2 YARMOUTH ` WY City or Town of: To the 1 or of Wires: By this application the undersigned gives notice of his or her hue ikon to arm electrical work described be ow Location(Street&Number) Gee r✓C /Z!II \ �-(MLA w . Owner or Tenant 'f)e- !/ Telephone No. Owner's Address - r ° r7`"` l�''" Is this permit In conJunctlakwith a typing permit? Yes 0 No (Check Appropriate Box) Purpose of Building [it-4-1el YLet Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters _ New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters _ Number of Feeders and Ampacity Locaattlpn and Nature of Proposed Electrical Work: t A.14 L j`9��j r'7 Z !�(� /�r.G�e r ss 7A -c �--I'r'Lr �YQ�Q eta ,,,,,,_ Completion of thefollowinE fable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeB.Snap.(Paddle)Fans No.or.. i Transformers KVAVA 't No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above 0 In- 0 No.of Emergency Lighting grad. grnd. Battery Units . Z.4 No,of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones r No.of Switches No.of Gas Burners -No.of Detection and t Initiating Devices ILI No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Totals: Pump Number_tons._.KW_ No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municnnectioipaln 0 other Co 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.Aydromessage 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 E ical Work: / (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins cc 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 perjury,that t!/�e Information on this ap lication is true and complete. FIRM NAME: �Q l f cot:'t-y(„L• LIC.NO.: /-�q / Licensee: (AJy� 1 (E ' Signature .NO.: E Zeit/ (If applicable,enter"erept'in t lianas number line.) ^ Bus.TeL No: Address: i7� /LAse.' !✓A.-Ivt1— Or N f V.AIL TeLNo.: Per M.G.L.c.14,s.57-6I, ity work requires Department of Public Safety"5"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. lam the(check one)El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$