The URL can be used to link to this page

Home My WebLink AboutBLDE-19-003207 Commonwealth of OffcialuseOnly Ems, Massachusetts Permit No. B0LDE-19-003207 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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 TN INK OR TYPE ALL INFORMATION) Date:11/26/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention ertorm the electrical work describ below/. Location(Street&Number) 5 CHESTNUT ST (2(LV e ( f_CeS6 Owner or Tenant CONLEY JAMES J SR Telephone No. �/tA L/. -r�f Owner's Address STRIESE C J, 134 BIRCHVIEW AVE, BROCKTON, MA 02301 JW Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) .,�1� Purpose of Building Utility Authorization No. 2307878 �J'�J_ 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: Replace meter main and upgrade grounding. 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- 11No.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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:" No,of Devices or Equivalent No.of Water , 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: SANDY I MCLARDY Licensee: SANDY I MCLARDY Signature LIC.NO.: 51160 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:608 MAPLE AVE,EWING NJ 08618 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 1 O Use Only .7 rpf of..Yirt�srviad . BOARD OF FIRE PREVE1/07] l NTION REGULATIONS OtxaFee Checked . l/07] (leave blank) . APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.002. (PLEASE PRINT IN MIK OR TYPE ALLINFORMATIOPJJ Date: / /- a 6- ) 6 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to performtthe electrical work described below. Location(Street&Number) 5j Ci e s f n✓-9T - C . Owner'orTenant ( "rtM,he S 4-, jest Telephone No. SO 9ti Owner's Address £4 r, /f — i7�1 Is this permit in conjunction with a building permit? Yes ❑ No (Check Ap ropriate Boa) Purpose of Building Utility Authorization No. J 3 O 9 g f g L7 Ili Existing Service to Amps Ila/.24v Volts Overhead Und m gid❑ No.of Meters N e New Service �a v Amps 1)4'!/91) Volts Overhead Undgrd 0 No.of Meters — co 1 a Number of Feeders and Ampadty • Cit i thiLocation and Nature of Proposed Electrical Work; _/' n / Ci{ 0 ye/ la tP ✓c7r�or or ler r«q ,'.1 L � r4 � Z i* A.n �✓ 9rCt.�n�tt-L Completion oj[hejollowinpztable may be waived by the Inspector ojWvrs. 1 Q No,of Recessed Luminaires No,of Cetl-Susp.(Paddle)Fan No.of Total Transformers ICVA No.of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires Swimming Pool Above ❑ ln- No.ofinergency lignnng • nmri grad. ❑ 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 Devices Total — No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained 0 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Mcipal Connectiunion1e No.of Dryers Heating Appliances KW Security Systems:* — No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Wiring Signs Ballasts No.of Devices or Equivalent _ ' " No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: aNo.of Devices or Equivalent ----.t. OTHER: _ Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work C7-7 < (When required by municipal policy.) Work to Start:`— 073_ / 9 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: INSURANCFO BOND 0 OTHER 0 (Specify:) I certify, under the psins=9 penoMes of perjury,that the information on this application is true and complete. FIRM NAME: rn ad, / j L I_o„✓, LW.NO. ci Licensee: ,c,„.‘,./ c/L4 / I livable, titer" p t s Signature �� LIC.NO.: UaPP a eem t"in the licens�,mmber line) Bus.Tel.No:._ U9.?/ ,7t Address: Al Co flea S a.. '1- 6 feel /-hn..4 g�G4S gt� r s.Tel.No.o 7 j Per M.G.L.e. 147,s.57-61,security wor requires Department of Public Safety"S^License: Lie.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 d Signature Telephone No. . I PERMIT FEE: $ 1