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Home My WebLink AboutE-19-2499 Commonwealth of Official Use Only Permit No. BLDE-19-002499 �4 Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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/N INK OR TYPE ALL INFORMATION) Date:10/29/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 77 ROUTE 28 Owner or Tenant THE VILLAGE CENTER GROUP Telephone No. Owner's Address 19 HIGHLAND ST,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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 ❑ Undgrd 0 No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repairs per attached. 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- 1:1No.of Emergency Lighting grnd. Arnd. 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 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 ❑ OTHER 0 (Specify:) / d" I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. sS fy— (0 1 J t( ft7 0 FIRM NAME: Timothy J Mcdonald Licensee: Timothy J Mcdonald Signature LIC.NO.: 10788 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 100 MERIDIAN ST,APT 11,EAST BOSTON MA 021281930 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 SignatureCle Telephone No. PERMIT FEE: $80.00 • l ammo uo.a� ///aieae�.maiis o I u onl " ��,,, ry . 11111 Permit No. par nt otgire seri fired s ,►_ o ' BOARD OF FIRE PREVENTION REGULATIONS O !'ancY and Fee Checked �( I/07] • (leave blank) • APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),5 7QC`MR 12.00 S/ F9) (PLEASE PRINT IN INK OR TYPE ALLINFORMATION) Date: /D ? City or Town of: YARMOUTH To the I ectdf of Wires: . By this application the tmdersign�g res tice of his her intention to perform the electrical work described below. Location (Street&Number) '{f o w Owner or Tenant N/9 At ' d. ") Telephone No. 354_5____11Z�t�f(�' W m ,, Owner's Address —• // N Is this permit in conjunction with a building g permit? Yes 0 No (Cheek Appropriate Box) W cvt o Purpose of Building U I G L Utility arization No, o i- Iz Existing Service O9 Amps i/76 Volts Overhead Undgrd❑ No.of Meters _ W • O o New Service Amps / Volts Overhead 0 Undgrd IL' a 5 v Number of Feeders and Ampaclty No.of Meters __ • - Location atieLbLiture of Proposed Electrical Work: mat fihf)Cf f !J/ r J C aa•a.,f /)T� i 122108 Kai Completion of the followinvable maybe waived by the Inspector of Wires. No.of Recessed Luminaires Na 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 Prnd. rind. O Battery Units No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating DevicesTo - No.of Ranges No.of Air Coml. Ton 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 LocalMunicipal Q Connection 0 other No.of Dryers Heating Appliances Kvv Security Systems:• No.of Water No.of Devices or Equivalent No.of No.of Heaters Data Wiring: Signs Ballasts Na.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: -' No.of Devices or Equivalent OTHER: Estimated Value f E ec Cal W nrC Attach additional detail fderved or as required by the Inspector of Wires. Work to Start (When required by municipal policy.) 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 0 BOND 0 OTHER 0 (Specify:) I certi)",under the pains and penalties ofperjwy,that the information on this application is true and complete. FIRM NAME: Licensee:71NC T/1 yrE cX,n� Signature ten/ LIC.NO.:! ��-� (Ifopplieab! ser' e p in e1i e b i r ` f/ LIC.NO.: Address:0e-AIO al La f✓ l 0� Bus.Tel.No.�_ j Per M.G.L.c. 147,s.57-61,securi work requiresAlt.Tel.No.: ry Department of Public Safety"S"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 31t7.I hereb waive thisOwner/AgeY requirement qI am the(check7one) owner ❑owner's agent j Signature Telephone No. 7`t'D r&71 I PERMIT FEE: $ 1 t'(AAA.C.-e-\ Lcf ROOM f� r Z #: + 1) DISCRIPTION: j PASS/FAIL: f; • I �: Vec Akr (41(i 3 ti 1 eic, .3 I et (41- Cnonicaa. Nor- DM e- c &Juts= beE a1/2444-na-va ..0,suovc it 94c arm-Atic MnD (- .gyp sent rvbr- flack o °L6-- 2 0 iescba mai— CFC/ 4-woz-- (lac Neu+ cata.Avc 1 Ofrizet- ig Off- F " ".3""' • e &ag - I LM y- Nrssii�r6 0 CI6L t 0 -t5r ,CYE �).k c r: ha -�) r�,44AAG — ft .152.. 4 i im 4_ i44.e.c(%4bits [rocs) ire4 werneto alma t azy scoffs j