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Home My WebLink AboutBLDE-18-006785 < Commonwealth of Official Use Only • a aftti Massachusetts Permit No. BLDE-18-006785 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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 IN INK OR TYPE ALL INFORMATION) Date:5/31/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice o1 his or her intention to perform the electrical work described below. Location(Street&Number) 36 CHANNEL POINT DR Owner or Tenant PETERS R NORMAN TR Telephone No. Owner's Address THE CHANNEL POINT NOM TRUST,8 OLD LANTERN CIR,PAXTON,MA 01612 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Take over job from previous contractor. 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. 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 andInitiatine 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/Alertlne Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Siens 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 ofperJury,that the information on this application is true and complete. FIRM NAME: Michael J Maguire Licensee: Michael J Maguire Signature LIC.NO.: 25035 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 148 AUDREYS LN,MARSTONS MLS MA 026481631 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 /, —. I CI I 0 « RECEIVED l.onrmoatvoaUh 0/Ma a�..e.r AY 2 9 2[18 i Official Use Only .0 w .[Jent Par(meof Jin J li4 NG GIDEPART NO. &D— (/ E C t +.zeta ti BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07)FChecked and Fee (leave blank) V APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK stAll 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: ur^ oL 9" /9- City or Town of: /a r m o c.,..A To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. s Location(Street&Number) 3 e C 4 et n e eJ /main Ar- k k Owner or Tenant p in 2h /2 reps Telephone No. Oss Owner's Address 7/' enAnnne- / Pnisar V Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) . Purpose of Building SzA j e. /-2,,,ti../ Utility Authorization No. 0 Und d Existing Service 0o Amps JzW.Z Wolbgr 0 No.of Meters Overhead New Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty zo.G� Location and Nature of Proposed EI cal Work: T y J5 9- • Q t 0 4C/' a 4 �jy,.. ,rfG�'G a S.n. Completion of the follawinztable may be waived by the insneetor of Wires. No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans No. nssformers Total S p !. No.of Luminaire Outlets No.of Hot Tubs Generators KVA to Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool Yrnd. 0 grnd. ❑ Battery Units J No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones and FNo.of Switches No.of Gas Burners Na of Detection kk Initiating Devices 1 Lj No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained �s Totals: I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Coonecpdon 0 Other No.of Dryers HeatingK Appliances W Systems:* No.oDevicessor Equivalent No.of Water No.of No.of Data Wiring: W Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP telecommunicationsNo. es r Equivalent OTHER: Attach additional detail Vdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEUr BOND 0 OTHER 0 (specify:) I certify,under the pains and penalties ofper/uty,that the information on this application Is true and complete. FIRM NAME: LIC.NO.: _ Licensee: - a . , /, Signatures/ i�„ 7. LIC.NO.:G .5703 S ^ a(applicable.enter"exempt"in the cense number tine.) / Bus.TeL No.- r5:2,/ 'z3 4 Address: /r2% Z. dM, sl .Le /lsrrhes/1.//SeOe; as C fl Alt.TeL No.. *Per M.G.L.c. 147,s.57-61,security work requires 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 my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent Owner/Agent PERMIT FEE:$ Signature Telephone No.