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Home My WebLink AboutE-20-2694 Commonwealth of Official Use Only fik) Massachusetts Permit No. BLDE-20-002694 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:11/8/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice o is or er men ion_o ptr orm aa ec rye@ work_described below. �J r �p C4 or�jIDe 9 Location(Street&Number) 669 ROUTE 28 1w/` /�',��t�C (� _" /" n Owner or Tenant Telephone No. lJ /J Owner's Address UTH YARMOUTH, MA 02664-4463 ,'1" ao VI" Is this permit in conjunction with a building permit? Yes 0 No 0 ( "' , },fax) 1,"` J Purpose of Building Utility Authorization N :.. r Existing Service Amps Volts Overhead 0 Undgrd 0 i. 1 • e ers"` New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 200 amp temporary 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/Alerting 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 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 ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjusy,that the information on this application is true and complete. FIRM NAME: Michael J Mcsheffrey Licensee: Michael J Mcsheffrey Signature LIC.NO.: 9897 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1 LEONARD CIR, MANSFIELD MA 020482754 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 t�- ( ((( f ie • Commonwealth of Massachusetts Official Use Only �E `=�,,==_-,cei , Department of Fire Services Permit No. v - "l4 z 77= ,, =I " BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ";>, ,, [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: 11/8/19 City or Town of: West 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 669 Rte. 28 Owner or Tenant MIG Corp Telephone No. 508-400-8936 Owner's Address One Acton Place -Acton, MA 01720 Is this permit in conjunction with a building permit? Yes❑ No] (Check Appropriate Box) Purpose of Building n/a Utility Authorization ENo. 0 a 36O`18 Ci Existing Service Amps Volts Overhead Undgrd No.of Meters New Service 100 Amps 120/240 Volts Overhead / Undgrd No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 200Amp temporaty service for construction Completion of the followinz table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Cell.-Susp.(Paddle)Fans Tf T Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Abovb In- No.of Emergency Lighting grnd. I I grnd. I 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 - ons 1 KW No.of Self-Contained Totals: I • - '� Detection/Alerting Devices M No.of Dishwashers Space/Area Heating KW Local Connectionuni c ipal Other No.of Dryers Heating Appliances KW SecuNSystems: o 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 of Devices or EWquivalent No.of Devices Equivalent OTHER: Attach additional detail}f desired,or as required by the Inspector of Wires. • Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 11/8/19 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owns,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 1E1 BOND ❑ OTHER ❑ (Specify:) GENERAL ACCIDENT INS 7/31/20 (Expiration Date) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: REILLY ELECTRICAL CONTRACTORS,INC LIC.NO.: 9897A Licensee: MICHAEL J.MCSHEFFREYLIC.NO.: 9897A (If applicable,enter"exempt"in the license number line.) .Tel.No.: 508-771-2040 Address: 110 OLD TOWNHOUSE ROAD,SOUTH YARMOUTH,MA 02664 .Tel.No.: 508-400-8936 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 ant the(check one)0 owner ❑owner's agent. Owner/Agent , Signature Telephone No. I PERMIT FETE:$ I