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Home My WebLink AboutBlde-20-001189 w Q, \3 Commonwealth of Official Use Only(f(P ii Massachusetts Permit No. BLDE-20-001189 � 111 BOARD OF FIRE PREVENTION 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:9/3/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work descr.bed below. Location(Street&Number) 393 WINSLOW GRAY RD '_FRAIL- 4344.0g1 Owner or Tenant Melif Da'F Telephone No Owner's Address 02536-3930 frpot Is this permit in conjunction with a building permit? Yes 0 No 0 v Purpose of Building Utility Authors do Existing Service 100 Amps Volts Overhead 0 Undg a •`w'` l "' 'e ers New Service 200 Amps Volts Overhead 0 Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 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/Alertine 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 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: 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Ee,C A ot'(3((c Application Number: C.I.D.#: 00 �j/ Commonwealti o`///aaaac ella OfficialUse Only �`-`= — l c�r� Permit Noda29l� M—.vim i_— Theeartment o/)ire Service [� Occupancy and Fee Checked - - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] ^:, (leave blank) ------ --APPLICATION APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 l (PR AS /E PRINT IN INK OR TYPE ALL INFORMATION) Date: � 7 — / ? c City or Town of: pywth r-A,,. v o/) To the Inspector of Wires: ,V-, ByThis a hcation the undersignedgives notice of his or her intention to perform the electrical work described below. PP b'n �Loc;tiun(Street&Number) 2 73 G.�,�" Parcel ID: E( \wOW Owner Or Tenant n'j^i.c, ‘7‘,' n „r 0 Telephone No. l 'v v..)Own'er's Address I „ ,f Is this permit in conjunction with a building permit? Yes ❑ No C�"'- (Check Appropriate Box) ' Purpose of Building -57i4 g% —c;,� . / Utility Authorization No. a .�S5^ 'I 5,67 Existing Service / 60 Amps✓ /a e/a-leg/volts Overhead[] Undgrd n No.of Meters I New Service a(00 Amps /2 6/2,e-e.Volts Overhead 111- Undgrd ❑ No.of Meters / Number of Feeders and Ampacity 0 D' ( ' ,1 Location and Nature of Proposed Electrical Work: -. h ti,,,.5 4 s ...-/,,.. ._-: /Qi i ,., '"Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T Transformers KVA % No.of Luminaire Outlets No.of Hot Tubs Generators KVA % Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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 g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Connection No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring Y g No.of Devices or Equivalent OTHER: s Attach additional detail if desired,or as required by the Inspector of Wires. \ Estimated Value of Electrical Work: (When required by municipal policy.) t 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE El BOND ❑ OTHER ❑ (Specify:) `�\` I certify,under the pains and penalties of perjury,that the information on this application is true and complete. � FIRM NAME: LIC.NO.: - _ Licensee:A,. AT� r �� Signature „ LIC.NO.: 5 5 }r- (If applicable,enter exempt"in the l cede number line) , Bus.Tel.No.: `IY`f`s�I G'27 J Address:/`>�c7 ,-., ,e ,/la,^}Tc„5 4 OzL- fe5"' 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 El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ SD—