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Home My WebLink AboutBlde-20-000570 Commonwealth of Official Use Only AM Massachusetts Permit No. BLDE-20-000570 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•7/31/2019 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. p / Location(Street&Number) 12 TOWN HALL AVE c C. O- !O6 Owner or Tenant MCNAMARA LAURIE A Telephone No. Owner's Address r;� � ` 7 MAUREEN RD, CENTERVILLE, MA 02632-3217 Is this permit in con.' ' ng permit? Yes 0 No 0 (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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace meter socket,install ground rods&bonding bar. 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 Initiatine 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 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 ❑ 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: TIMOTHY M CAYTON Licensee: Timothy M Cayton Signature LIC.NO.: 28200 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:251 DAVIS RD,WESTPORT MA 027903439 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 02-A e( ( e4-4,43iN 4 '#" ' 84h, C.,ommonweatlh 01 MaeaacIiu elh Official Usc Only I a �, r= c/� �] Permit No. r��'.0 Sai'� =i-t .2 eparlmenl o/}ire �ervices \v 14 ; Occupancy and Fee Checked °°��))) = BOARD OF FIRE PREVENTION REGULATIONS [Rev. }1/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code(MEC),527 CMIR 12.00 (PLEASEPRINT IN INK 01? TYPE ALL INFORM.t 770N) Date: 7/3/ 0-4. City or Town of: yffilm0` -j /74 To the Inspector of Wires: 'I3y this application the undersigned - N givesfiv notice of his or her/r intention to perform the electrical work described below. ,Location (Street 8C Number) IX ►`O f1+LL I V' Owner or Tenant f Aiyi KILLL', Telephone No. A _vner's Address s�-t�y1� v Is this permit in conjunction with a building permit? Yes 1-1 No 4• (Check Appropriate Box) Purpose of Building R6S:pcity-701 Utility Authorization No. Existing Service Amps i Volts Overhead j i Uudgrd j j No. of Meters New Service Amps / Volts Overhead ^ Undgrd I 1 No. of Meters Number of Feeders and Anrpacity Location and Nature of Proposed Electrical Work: IwI - rice sJti,(fl 1 C 1 FR aiS7Jt1( i apill a GRUvM) Rai -- (Jill iTh c-101/M) 6 3 Completion oldie folloivinvable may be 1&•an.ed by the Inspector of Wires. No. of Total No. of Recessed Fixtures No.of Ccil.-Susp.(Paddle)Fans Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No. of Lighting Fixtures Swimming Pool grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 'No.of Zones 'No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers HeatPump Number Tons KW No.of Self-Contained Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other Heating Appliances KW (security Systems: No. of Dryers ll No.of Devices or Equivalent No. of Water KWNo.of No. of Data Wiring: HeatersSigns Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent `., OTHER: QQ.', Attach additional detail if desired,or as required by the Inspector of Wires. 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 i,lk BOND D OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: t t•CU'd- v 0 (When required by municipal policy.) Work to Start: .7l31 I 17 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIIZ:\I NAMET,'ill l 7H G A �� / LIC.NO.: i t+ `�� Signature ��" LIC.NO.: 5z Licensee:Ti,v,„-T.� tlline-) b v 1 (If applicable, enter 'etemp''in the license number line)�y �9 G Bus.Tel.No..SOCf st�'y'0 e-51 . Address: p_0 V I tJL1 ( I/ L Alt.Tel.No.: OWNER'$ INSU ACE WAIVER: I am are 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 PERMIT FEE: S 5-01Signature Telephone No.