HomeMy WebLinkAboutBLDE-19-002394 or r,
Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-19-002394
\�..1 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:10/22/2018
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertonu the electrical work described below.
Location(Street&Number) 37 MCGEE ST
Owner or Tenant CADIGAN DENNIS B Telephone No.
Owner's Address 21 SOUTH BAYFIELD ROAD,NORTH QUINCY, MA 02171
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 ❑ No.of Meters
New Service - Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Amp-acity
Location and Nature of Proposed Electrical Work: Wiring for 4 head hyper heat unit.
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 ❑ In- ❑ No.of Emergency Lighting
grnd. grn . 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/Alertine 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 Data Wiring:
Heaters Stens 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: _ (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 of perjury,that the information on this application is true and complete.
FIRM NAME: Thomas J Madden
Licensee: Thomas J Madden Signature LTC.NO.: 14065
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:39 MARINERS LN,PO BOX 291,YARMOUTHPORT MA 026750291 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:$50.00
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e1-� Permit No.
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Occupancy and Fee Checked
t BOARD OF FIRE PREVENTION REGULATIONS n, i/07j
(leave blank) —
APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code , 27 CMR 12.00
(PLEASE PRI!V7'ININK ORTYPE ALL INFORMATION Date: /O 09.2. ig
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives no ce of his or her intention to perform the electrical wo d cubed below. •
Location(Street&Number) 3 7 C 6 e a sr, Yrs {�Q i
' t 2 Od��
Owner Sor Tenant �of 4 1`S C4 c i c2,vt Telephone No.L7.33443L72
1.1 Owner's Address c lid e
Is this permit in conjunction with a building permit? Yes No
9j D ❑ (Check Appropriate Box)
Purpose of Building /�2$ Utility Authorization No.
0 Fez ng Service /CO Amps (a0/ alifiVolts Overhead Er Undgrd❑ No.of Meters i
W `d a Sett Amps / Volts Overhead 0 Undgrd
', 's . • f rd ❑ No,of Meters
N of Feeders and Ampacity L
—� '- on and Nature .f Propped Electrical) ooric W1',e,'n5 0 rf if ,�,jeQ a N/I ftte• /(_ f I .
W m, Cil #74• 'e ' eC? I vy t `J ' l at I/ �S+�C/�i r t
� Y I
o V OU ' t Completion ofthefollowin_ table may be waived by the Inspector of)Fires.
W Oslo of Recessed Luminaires No.of Ceu1 Sasp.(Paddle)Fans No.of Transformers Total
re KVA
Q of Luminaire Outlets No.of Hot Tubs GeneratorKVA
• No.of Luminaires Swimming Pool Above 0 In-crud. ❑ BaNott.oefry UnEmefTin
rgency Ligg
gird. its
No.of Receptacle Outlets - . No.of Oil Burners FIRE ALARMS !No.of Zones
No.of Switches No.of Gas Burners • No.of Detector and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
•
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW' Leal Municipal
0 Connection 0 OdIn
No.of Dryers Heating Appliances Kw Security Systems:*
No.of Devices or Equivalent
No.of Water No.of
Heaters KW No.of Data Wiring:
Si• s Ballasts No.of Devices or E.uivalent
No.Hydromassage Bathtubs No.of Motors Total HP ITelecommunicauons inng:
OTHER:
No.of Devices or Equivalent
•
WD
Attach additional detail ifdesired or as required by the Inspector of Wires.
Estimated Value of Elec 'ca World 4 6i-LJ,o0 (When required by municipal polity)
Work to Start: 31 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE C VE GE: 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.
undersigned certifies that such covers is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE (B BOND ❑ OTHER 0 (Specify:)
I cern)", under the .,ins . , penalties of perjury,that the information on this application is true and complete.
FIRM NAM a 0,t — ,QC LIC.NO.:fi CijS_
LicenseeNt, 612• V • Signature l7 ♦.aI • I C.NO ' 1'p(,
.. //
(If applicable,err "eze 'in the liense nu be li Bus.Tel.No.: 7 7lf_ i
Address. TO 0oc ,At 9.� rAfl 4 F7 �--r
J 'Per M.G.L.c. 147,s.57-61,securitywork requires'`rety 5 Alt.Tel.No.:
OWNER'S INSURANCE WAIVER: I am ware that thaeLicenseee Public
not have the liabilityLin.No.
required bylaw. By insurance coverage normally
q� my signature below,I hereby waive this requirement. am the(check one)0 owner ❑owner's agent
Owner/AgentI I PERMIT FEE: $ 31
al Signature Telephone No.