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Home My WebLink AboutE-20-2025 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-002025 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:10/11/2019 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 described below. Location(Street&Number) 25 GREYHAMPTON RD Owner or Tenant MILLETT THOMAS J Telephone No. Owner's Address MILLETT ANN D,25 GREYHAMPTON RD,WEST YARMOUTH, MA 02673 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovate first floor bathroom. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 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/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 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: NICHOLAS J MCLEAN Licensee: NICHOLAS J MCLEAN Signature LIC.NO.: 53676 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:3 HAMPTON CIR, HULL MA 02045 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:$75.00 `0-t9.0.9 ( Qr t i (li U'CNI\9-C. kq 214(9 a i Commonwsakh o`Maddac�.udsiid Official Use Only -`11;• ..7.)spartmsnl el iro-Serviced Permit No. 7.40ZS I I` Z4 Occupancy and Fee Checked -= BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: City or Town of: YARMOUTH To the Inspector f wires: By this application the undersigned Ives notice of his or her intention to perform the electrical work described below. Location(Street&Number) i"S r);cz y Yct $€v1 ' � Owner or Tenant ( Telephone No. Owner's Address Is this permit in conjun Son with a building permit? Yes [No El (Check Appropriate Box) Purpose of Building t- l bct -(„ CQvi<-) t.N1:.;, Utility Authorization No. Existing Service Amps / Volts Overheali 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L' I bn k- ( ? .7 0 l Jc.+,•0 ti W (', „t Completion of the followin&table may be waived by the&vector of Wires. No.of Recessed Luminaires ( No.of Celt.-Susp.(Paddle)Fans No.ofTotal . Transformers KVA; -.. No.of Luminaire Outlets No.of Hot Tubs Generators KVA -s- No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool_grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets R No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches LJ' No.of Gas Burners No.of Detection and I Initiating Devices =• No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW_..__... No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW al❑ Municipal ❑ Connection Other 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: 1 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ((y�� (When required by municipal policy.) Work to Start: 10- lb_ /q 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 cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 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: ,/� .c� c,S T. M�(�,� _ l�L ;.'c:_.,t,.--� LIC.NO.: S .,`J 6 I Licensee: ,,c /7' tA <<¢� Signature — LIC.NO.: (If applicable,enter"exempt"in tile limse number jjje) p Address: (pnc< I— Qt•td% ..c--A • 1 t4j;71. /"74 /l-) %. Alts.Tell No.: sly — ?><,,1� (cY ✓ (v 1 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security ork 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)El owner 0 owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$ 7S