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Home My WebLink AboutBLDE-18-006555 _ Commonwealth of Official Use Only a ' Massachusetts Permit No. BLDE-18-006555 • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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 WK OR TYPE ALL INFORMATION) Date:5/22/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ce o ns or her in en ion o per orm a ecu work described below/ Location(Street&Number) 28 OLD CHURCH ST 1 C1.4,(�( Owner or Tenant Telephone Nol Owner's Address THE 28 OLD CHURCH ST RLTY TRUST,41 NORTH MAIN ST,SOUTH YARMOUTH, MA 02664 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: Rewire entire house. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 20 No.of Cei4-Susp.(Paddie)Fans No.of Total Transformers KVA No.of Luminaire Outlets 20 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 45 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 2 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 4 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: 3 Heaters Shins 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 ❑ (Specify:) I certify,under she pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: Desmond P Clifford Licensee: Desmond P Clifford Signature LIC.NO.: 33276 (£applicable,enter"exempt"in the license number line.) Bus.TeL No.: Address:14 MERRYMOUNT RD,W YARMOUTH MA 026734853 Mt.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 nomially 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:$100.00 go wal '21icfre AfA lees — MIL Official U se,,,AAAnICommonwealth o`Maaeaclutastl+ ii—a'offiwo ( Permit No. ��li � c a Thepariment o`Thee&slim lrr ' Occupancy and Fee Checked • -� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M.C), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: S�/ ip City or Town of: '-�`,q" WV To the Inspecto of Wires: By this,application the undersigned gives notice o`f,hisp,o,r/her intention to perform the electricalalwork described below. � Location(Street&Number) -Ac c4(4'cn Cr I''•'t�t�ar Owner or Tenant P'1i Lt O, Telephone No&9) 61t 3942 Owner's Address 9 S'N 1-41`F /Jt t"a t'I'SG} ' Is this permit in conjunction with a building permit? Yes [r No ❑ (Check Appropriate Box) Purpose of Building / anal Utility�iltyAuthorization No. * Existing Service Zo 00 Amps 110 /2-24 Volts Overhead u Undgrd❑ No.of Meters _i New Service - Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 3 $ Zeo ' 1 Location and Nature of Proposed Electrical Work: kiA' 1 F Y0i6E t--/ear A(- SPtvne Wistii- TT plea• Coin letion o the followin; table ma be wa'_-_° ._ he Ins ector of Wires. u. 17- 1111 No.of Recessed Luminaires 7,.p _ No.of Ceil:Susp.(Paddle)Fans ra n Transformer , No.of Luminaire Outlets 7,a No.of!lot Tubs Generators ' ' No.of Luminaires ' ZO Swimming Pool Above ❑ In-- ❑ No.of Emer. y 1 6n2 20 grnd. girnd. Batter Uni 11 j No.of Receptacle Outlets � No.of Oil Burners FIRE ALA + 95— M u• I No.of Switches .-O No.of Gas Burners 1 `o.0 tete..n1 Devices ' Initiatin! Devices _ No.of Ranges No.of Air Cond. t Tons) Z No.of Alerting Devices No.of Waste Disposers heat Pump Number Tons KW No.of Self-Contained I' P Totals: — Detection/AlertingDevices 7 No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers heating Appliances KW Security Systems:{ ry No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 3 • No.Hydromassage Bathtubs No.of Motors Total f1P Telecommunications Wirin No.of Devices or Equivalent OTHER: ' Estimated Value of ectri al Work: I 29-00Attach additional detail ifdesired,or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: 5— " j 7 inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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 age is in force,and has exhibited proof of same to the permit issuing office. • CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) /11:90ittflE- niervt'f gh-., /Q— I certify,under the pains and penalties of perjur tat the in ornmllon on this application is true and complete. �77 FIRM NAME: `' M.,t P c %��-n L1C.NO.: Fla Z7/ ` Licens• ee:' 064400 P C Signature LIC.NO.•/ (!/applicable,enter"esemp " n the license n}yyy��ber line.) il"A� ,,.I - Bus.Tel.No.• 1617 972 an p Address: I Cf- ME /c•o""4 KU �JC� q �� Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security 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. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.