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Home My WebLink AboutE-20-1021 Commonwealth oor g‘97)/ f Official Use Only Massachusetts Permit No. BLDE-20-001021 BOARD OF FIREPREVENTION 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:8/26/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 23 MAYFLOWER LN Owner or Tenant MCCABE JOHN J Telephone No. Owner's Address MCCABE MARY ROSE, 123 BALCH STREET, PAWTUCKET, RI 02861 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No, Existing Service 100 Amps Volts Overhead 0 Undgrd C New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&wire NC. 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- 1:1No.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. 1 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 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: DAVID R NICOLL Licensee: David R Nicoll Signature LIC.NO.: 37557 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 144 DRIFTWOOD LN, S YARMOUTH MA 026641038 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 6\r/Ag 4q ccL1 *(19 �.,nm.wtnnweaitia a1 /9t(.13RGgtt'. a (.0 v ^r / �, f Permit No. x j •, .,eparl0n.enl tit J'irc eraicea �,i L 4 ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checker I ' (Rev. 110?l heave biank! APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 22.00 (PLEASE PRINT IN INK OR TY ALL INFORMATION) Date: tJ& r9,3 i 0 0 (i City or Town of: y Z(V .t To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) c)3 (M (FLe W EYL LA , Owner or Tenant So LL11 M - CAigETelephone No. Owner's Address Is this permit in conjunction with a building permit? Yes l._ No 2 (Check Appropriate Bogx) Purpose of Building Utility Authorization No. c)-a- ` Existing Service IOC Amps DO /a0 Volts Overhead Undgrd ❑ No.of Meters New Service :,)00 Amps 00 /,.)Y(()Volts Overhead Ell Undgrd ❑ No. of Meters ._ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: SE/LU t CC CL44t e > p ,ia2 Oil Alb/�j,N C 1.,.1 ti2-etifC;— Completion of the following table may be waived by the Inspector of Wires. INo.of Recessed Luminaires No.of Ceil.-Susp. (Paddle)Fans I No.of Total Transformers KVA INo. of Luminaire Outlets No.of Hot Tubs 'Generators KVA INoINo. of Luminaires Above In- INo.of Emergency . Swimming Pool ❑ t—1 4 g Lighting I gird. Rte" Battery Units INo.of Receptacle Outlets No.of Oil Burners IFIRE ALARMS No, of Zones No.of Switches INo.of Gas Burners No.of Detection and Initiating Devices No. of Ranges INo.of Air Cond. Total Tons JNo.of Alerting Devices No.of Waste Disposers • Heat Pump Number j Tons. I KW No.of Self-Contained Totals: I1 Detection/Alerting Devices INo. of Dishwashers Space/Area Heating KW Local ❑ Municipal Li Other Connection l No.of Dryers j Heating Appliances KW I Security Systems:* No.of Water No. of 11 No.of Devices or Equivalent No. of IData Wiring: I Heaters KW r Signs Ballasts No.of Devices or Equivalent INo. Hydromassage Bathtubs INo. of Motors Total HP }Telecommunications WinnR: No.of Devices or Rvnr I ,j OTHER: r'C �r �I Attach additional detail if desired,or as required b)'th In ector of Wires. Estimated Value of EIectrical Work: (When required by municipal policy.) AUG 2 3 2019 Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon comet' r1.r t. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical wor r1 1 443iiri �_ the licensee provides proof of liability insurance including "completed operation"coverage or its substantial qut�n1.�,t Tl�� t-ENT Ei y undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE '�' BOND ❑ OTHER ❑ c v. 1 r n perjury, Ct 1 terrify, under the pains and penalties ofthat the inform, on on this,.) �lic, ion is tr e a d complete. V� FIRM NAME: i) \v> I 'itk:;: I-I— Licensee: � �� LIC. NO.: •3 7 " ' 7 t` St"•. _; r LIC.NO.: (If applicable, enter "exempt in the license dumber line.) wispr- is, Address: N`� 0Zt z i'u 6 L eg. ' Bus. Tel.No.: } ' >'1'1 t:` ( *Per M.G.L. c. 147,s 57-61,security work requires Department of Public Sa'fetj 'S"License: Lit. No.No tom, '0 / OWNER'S INSURANCE WAIVER:I am aware that the Licensee does nor have the liability insurance coverage normally required by Iaw. By my signature below.I hereby waive this requirement. I am the(check one) ❑owner Owner/Agent u owner's agent. Signature Telephone No. PERMIT FEE: S sD. i