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Home My WebLink AboutBLDE-18-002725 op . Commonwealth of Official Use Only "IW Massachusetts Permit No. BLDE-18-002725 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:11/7/2017 City or Town of: YARMOUTH To the Inspector of Wares: By this application the undersigned gives notice of his or her intention to perform th- ale trial work d sc ibed below. . Location(Street&Number) 12 JESSIES LN ,I ILL_ - i, i Owner or Tenant JESSIES LANE LLC Telephone .,o. - SUM" Owner's Address C/O PAUL BUTLER,25 JEROME AVE,BLOOMFIELD,CT 06002 1`ti ' if; "— Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) j, ' Purpose of Building Utility Authorization No. 2205713 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: Remove private poles&re-feed two services. 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 KVA No.of Luminaires Swimming Pool Above 0 In- CINo.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 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 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 OTIIER: Attach additional detail((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 ofperJury,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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 C C9 I((9117 ;Pic, (A-4Dltzi a i?cb cN szegno a 6 03/(5 t J —- . /// /J/�/ / —__� C, . r(l/c o1/t/naboe1.,, it . 5einl Se Onc� —2— z • Vis_- apartment Pin Serviced Permit No. \)1} Oceapancyand Fee Checked BOARD OF FlRE PREVENTION REGULATIONS Rei, l/0/) nye b11 -------- APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acco tune with The Massachusetts Electrical CodeC),$27 CMR 12.00 (PLEASE PRINT ThlLY OR M7E'ALL INFORM4TION) Date: k i fe ("j City or Town of: YARMOUTH To the Inspector of Wires: By this application the]mdersigned fives notice of his or her intention to perform the electrical work described below. • . Location(Street&Number) la "5t *3 In / Owner'orTenant MA, k }, "�� {1 Telephone No. Q 3 j_1c 9` bOwner's Address 7 Is this permit in conjtmcti°t with a building permit? yes �7 • Purpose of Etn'Id'mg Roy',dl.,,,,a ❑ No � (Check Appropriate Box) Utility Authorization No. C.2221111_ Existing Service Amps / Volts Overhead E Undgrd❑ No.of Meters ew Service Amps / Volts Overhead fCI ,--N Saber of Feeders and Ampadty Pe ❑� Undgrd ❑ No, of Meters _ tIL� I eatj`on and Nature of roposed Electrical Work: Qt'M oW Pe\tiA'- td 4:1t Les cs co _a • Hui Canmfetian ofthe follmvine table mry be waived by As Inspector of Wires. IToo, of Recessed L¢munaires INo.of Total Na.of Cet1-S Transformers ICVA nsp.(Paddle)Fans o.of Luminaire Outlets IGeneratnrs 6'VA J INo_ofHotTabs n, of Luminaires (Swimming Pool Above ❑ � No.or amergeacy Ltgh¢ag - IBntc'=ry Units • -,Na. of Receptacle Outlets INo.of On Barriers (FIRE ALARMS INa.of Zones No. of Switches No.of Gas Burners • Na.of Detection and • IniTiatino Devices No.of Ranges !No-of Air Cond. Total Tons No.of Alerting Devices • No.of Waste Disposers (Heat Pump 'Number Tons KW INo,of Self-Contained - Totals: Detction/Alertine Devices No.of Dishwashers !Space/Area Heating KW' Local❑M�"iP� Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of Devices or Equivalent Heaters KWNo. of No.of Data Wiring: Slats 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 ifdesired oras required by the Inspector of Wires. Estimated Value of Electrical Work: 30000 ) (When required by municipal policy.) Work to Start 1( I. II 7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electical work may issue tmless 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 50 BOND 0 OTHER 0 (Specify.) I mfr'under theyctins Ond penalties ofpcluq�,that the information on this appication is true and complete FIRMNAME: Gaal-tkiaL Hi Q.` ba- er� Licensee PAt;c1c k tuft .p. - , t ,• ^ LIC.NO.: Signat¢re V'W�t�IVI/ ` LIC.NO.: nfapplreeb/e, r "e pry n th Rile mb. !ale.) Address. Vw 11 �, �� pry i• Q Bus.TeLNa.• 3`�q I'I� j Per M.G.L.c. 147,s.57-61,securitywork Alt TeL Lie. No.:________Lin requires Department of Public Safety"S"License: No. ? Q OWNER'S INSURANCE WAIVER I am aware that the Licensee does nor hove the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent Owner/Agent 01 Signature• Telephone No. I PERMIT FEE: $ ,