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Home My WebLink AboutBLDE-18-002726 a Commonwealth of Official Use Only Z f� Massachusetts Permit No. BLDE-18-002726 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked iRev.1/07l 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:11/7/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm he eectric work des ri d below. Location(Street&Number) 12 JESSIES LN ll��/1 L //�� Owner or Tenant JESSIES LANE LLC Telephone No. V�' Owner's Address C/O PAUL BUTLER,25 JEROME AVE, BLOOMFIELD, CT 06002 ((1133'' Is this permit in conjunction with a building permit? Yes 0 No 0 (Check AppropriateBox840/y el tipS Purpose of Building Utility Authorization No. 2 - / ''(J' Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Wring guest barn to code. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 40 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 20 No.of Ilot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CI No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets 100 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. 2 Total 4 No.of Alerting Devices Tons No.of Waste Disposers Ileat Pump Number Tons , KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent OTIIER: 1 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: 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PATRICK K MCMAHON Licensee: Patrick K Mcmahon Signature LIC.NO.: 22062 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:58 PHILLIPS RD, PEMBROKE MA 023593026 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 signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. / PERMIT FEE:$75.00 ao�l4 SW-00g t1l11 (7 (ca, (4bbeneome_ j'ftC.an Q!T((tg) ,I,_ B(73/1 e . ..4 Contr....S.of tr//�//// a4oac affiOPpeigljJse Only n a1 r- 2 J Permit No. alaarfmani o{ ervicei , 1I) \ • BOARD OF FIRE PREVENTION REGULATIONS O?. 1/07ry and Fee Cnk) ed \ � / 7] (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[NKOR TYPE ALL INFORMATION) Date: ii I 4 1 a 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) 12 Sc SS res (vi • Owner'orTenant Mort k {(Q 9 y Telephone No. 33 4 33 Owner's Address 12E I Is this permit in conjunction with a building permit? Yes„- No �( ❑ (Check Appropriate Box) s Purpose of Building Qt ab;k.i.n t Utility Authorization No, E:dsting Service Amps / Volts Overhead ❑ Undgrd❑ 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: kit;K. Gut.) —, oa.,,^ to Co I •L 1 `") l I� w - - - Completion of the following table may be waived by the Inspector of'Wirer. NI .of Recessed Luminaires Lib INo.of Cel..-Susp.(Paddle)Fans No.of Total 1,-e. a- Transformers KVA o.of Luminaire Outlets ILI cp a it INo.of Hot Tubs Generators • !LVA i O o I4o,of Luminaires 9-p ISwimmino Pool Above III- No,of k.mergeary l.tg• htmg 0 o C it ^rad- ❑ grnd. 0 !Genera)]nits Z _ No..of Receptacle Outlets b O No.of Or7 Btrraers IMRE ALARMS INo.of Lon es i G.�I � No,of Switches �Q No.of Gas Burners Na of Detection and �• u _ Inirfatine Devices Total Li __No,of Ranges INo.of Air Cond, 2 Tons No,of Alerting Devices No.of Waste Disposers (HeatTotals:Pump I Number ITons IICW No.of Self-Contained Detection/Alertino Devices No.of Dishwashers I • Space/Area Heating KW LocalMunicipal Q Connection ❑ Other No.of Dryers I !Heating Appliances KW Security Systems:'o.of No.of Water KW INo.of No.of Data Devices or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail tf desired or as required by the Inspector of Wires. Estimated Value of Electrical Work 3c;6e U (When required by municipal policy.) Work to Start I( I G'17 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE R. BOND 0 OTHER 0 (Specify:) I certify, under the p fns`and penalties of perj th the informaSion on this application is true and complete.. FIRM NAME: Ca ata ( II liA I t or t t r I r'',� (� , LIC.NO.:0-2 0( J. Licensee: P. f:c.k, \` N1/4,C.,M, Signature t'oy/I� k l'V\ LIC.NO.:_ (If applicable crier"exempt"in the literatenumb�(r ine. Bus.Tel.No.:".�'� Address: �� p�:11a.4.5 {�a.Ntt�rd� I'I'\(� O'�-33scI AILTel.No:_1 7 j Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. --"'T — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage n — Srequired/by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent fl Signature Telephone No. ! PERMIT FEE: $ !