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Home My WebLink AboutBlde-20-000189 a• 'IV) Commonwealth of Official Use Only /E ` Massachusetts Permit No. BLDE-20-000189 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:7/12/2019 City or Town of: YARMOUTH To the Inspector of Wires: `g n By this application the undersigned gives notice of his or her intention to perform the electrical work described below. `f 1�'r u Location(Street&Number) 81 BLUE ROCK RD '1"i 'C-4 ell CO OR. Owner or Tenant A Telephone No. Owner's Address �f Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A pro$riate_Box) C dee Purpose of Building Utility Authorization No. O3 T q� 36 -�� et66 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: Replacement water heater. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires I 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 ___ Inrtiatine 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 1 KW No.of No.of Data Wiring: Heaters Sins 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: PAUL MCGRATH Licensee: PAUL MCGRATH Signature LIC.NO.: 54687 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 BUCKWOOD DR,YARMOUTH MA 02664 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 NV ?kg.itg //1- �V,g/ 001/4 1 (zz1 (o9Lz-f___ It---"---. '' Commorsrusaith o/t'r/assaCtzusslls • Official Use On! :. ,/P'jrall c� 7lPtNo ( �� >r� ? -Deparfmaaf or c.�irs J p arviud . �j//� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev. I/071 (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME 'S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 19 1 z.00 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 described below. inLocation (Street&Number) $ `U x u K roc. Owner or Tenant r.i. en 5e n7c,� • y + C.h r S to ra L11:S Telephone No. 94/1 -$12.3 6 Owner's Address $"1 iUt @ems r cra cl "'. Is this permit in conjunction with a building permit? Yes ❑ No g (Check Appropriate Box) re _ Purpose of Building Utility Authorization No. t i _-_i Existing Service Amps / Volts Overhead ❑ Undgrd a ❑ No.of Meters �,r}, New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ('Cplgc+2 ' d +ti4-�'Qf t-ttnka( Zvi re$1c L k."4er I-fec ur "s'+e4'er. c¢...>i re. -ircam e1C:5 f r, Sat r k.1;c a Completion of the follcnving table may be waived by the Inspector o Fgtres. 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 SwimmingPool Above In- No.of Emergency Lighting grnd. rind. ❑ Battery Units g No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones - ? No.of Switches No.of Gas Burners No.of Detection and tal Initiating Devices V No.of Ranges No.. of Air Cond. Tons No.of Alerting Devices TNo.of Waste Disposers Heat Pump I Number I Tons !I KW No.of Self-Contained Totals: Detection/Alerting Devices X No.of Dishwashers Space/Area Heating KW' L Loth Muaicipaton ❑R Connecti other No.of Dryers Heating Appliances KW Security Systems:* No.of Water ' No.of Devices or Eq vuivalent ) No.of HeatersNo.of Data Wiring Signs Ballasts No.of Devices or Equivalent J` No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent r OTHER: k (S�.6 0 Attach additional detail cf desired or as required by the Inspector of Wires. 5 Estimated Value of Electrical Wor (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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE g BOND ❑ OTHER 0 (Specify:) I certify, under the ains and penalties of perjury,that the information on this placation is true and complete. FIRM NAME: M%"11- 5-I t �r; e; a 3 � .-NO.: CO$7- � 3 Licensee: C4 re. Signature LIl. o.: ` (IJapplicabl�ter" pt"in the license number line.) Address: t < d\px '�i f( lc Bus.TeL No.: -Z ,I) 3 a Pwto G`�ZCy�y Alt.TeL No.: j 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)0 owner ❑owner's agent. Owner/Agent I Signature Telephone No. PERMIT FEE: $ I