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Home My WebLink AboutE-19-1607 V r' Official Use Only �. Commonwealth of fE` i`\ Massachusetts Permit No. BLDE-19-001607 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:9/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ice o ns or er men ion o pe orm ff e ec Ica ork described below. Location(Street&Number) 1045 ROUTE 28 l — 8 E2 cC- Owner or Tenant MULLEN MARY A Telephone No. Owner's Address C/O DENNIS J CONRY ESQ,245 MAIN ST,WAREHAM, MA 02571 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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install three receptacles. Completion of the following table may be waived by the Inspector of Wires. 44 No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transfor t g` KVA No.of Luminaire Outlets No.of Hot Tubs Gen. o �j / KVA No.of Luminaires Swimming Pool grnd e ❑ grnd. CI No '. ~'I e i c ' �t� No.of Receptacle Outlets 3 No.of Oil Burners FIRE • L y t No.of Switches No.of Gas Burners No.of Detectio i and O Op 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/Alertinc 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Brian Mcgrath Licensee: Brian Mcgrath Signature LIC.NO.: 11807 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 11 TURTLE COVE RD, EAST SANDWICH MA 025371710 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:$80.00 R2 --6.1,--- 9/( / 0C 4i)L1 —t2E-(Agt ems'`? 1/11(8 t..om nonwea 0/K.4.4aciL etl 4.4ffi .11 Use Onl 1— / cc�� Permit N ni\-$ --=,.,-— ii, -` — .Ueparinssnt o` ire-.Cervical - =;a i 5 _ !1_=�� Occupancy and Fee Checked ,"1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 6 7 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ` /7 City or Town of: �t-1r1�a>L� To the Ins ector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) /O s f Z)- , a e int. &j h€FJ f- //4_/f Owner or Tenant ,Oc-✓I 4<S en H r q Telephone No. Owner's Address Lo,S—/ ,t; . '7 Is this permit in conjunction with a building permit? Yes ❑ No Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd n No.of Meters Number of Feeders and Ampacity . - .,.,_Location and Nature of Proposed Electrical Work: acrid crid J ociik U Completion ofthe following,table may be waived by the Inspector of Wires. 1I )3_ , > jt P f o x No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.ofTotal ' F� Transformers KVA .+ 'Q 4fa( a d 5= a No.of Luminaire Outlets No.of Hot Tubs Generators KVA } No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting UMW! z grnd. grnd. Battery Units (jJ `r) 1 Sio.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 iv L�..-.,-.....w_a No.of Detection and i mo.of Switches No.of Gas Burners Initiating_Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water K`,`, No.of No.of Data Wiring: Heaters Sins Ballasts g 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 H'ires. Estimated Value of El ctric Work: 71, 0 0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E: 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 ❑ OTHER ❑ (Specify:) I certify,under the pain and penalties o perjury,that the information on this application is true and complete FIRM NAME: ISk/II�l ar4,44 f e / <Lc h LIC.NO.: /49 7.! Licensee: $y/air Mc 6 v K Signature LIC. NO.: (If applicable,enter "exempt"in the license number line.) us.Tel.No.:(Wy�/k-V7/F Address: 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. I PERMIT FEE: $ V