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�. \ � Commonwealth of Official Use Only
rL. Massachusetts Permit No. BLDE-21-006607
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:5/14/2021
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.
Location(Street&Number) 14 MAKEPEACE LN
Owner or Tenant Paul Petrone Telephone No.
Owner's Address 14 MAKEPEACE LANE,WEST YARMOUTH, MA 02673 ,�
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bp .,_ /
Purpose of Building Utility Authorization No. 5593300 . 09
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade 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
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 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 ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Patrick J Joyce
Licensee: Patrick J Joyce Signature LIC.NO.: 12639
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 1718 LIBERTY ST, BRAINTREE MA 021848283 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
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• •, cc��r� en�� Permit No. —i —CO 4'6 7
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' Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
C' 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 PE ALL INFORMATION) Date: 1,l I ,-f- 2
City or Town of: Tin To the Inset r of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) I 1-1- MPt- PE -c LAN&
Owner or Tenant 5 N ci C v P 4. pa it I p atf DA .e Telephone No.
�1 Owner's Address i Lk wt 4 v_E-,6f-CE LA-A1
Is this permit in conjunction with a bul>beg permit? Yes 0 No ® (Check Appropriate Box)
Purpose of Building I7 C?S i d e t fel I Utility Authorization Na C 5 Q 3 3 610
Existing Service 1 t`f Amps / Volts Overhead 0 Undgrd No.of Meters 1 1New Service of Amps / Volts Overhead El Undgrd Na of Meters f
�Number of Feeders and Aedty
Q.. Location and Nature of Proposed Eiewiatl Work: ' J P_w 2 00 ,,Q .2(e Q..-4'r[ceh...
'0 Completion of the,foil table be waived by the! of Wires.
sil't, No.of Recessed Luminaires No.of CeiL-Smp.(Paddle)Fans a of Mal
„ Transformers KVA
Q No.of Lumhnire Outlets No.of Het Tubs Generators KVA
4- No.of Luminaires Swimming Pool Above ❑ ❑ Iva of Ltgifing
thud. Knit Battery Units
1-2 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners Na of Detection and
' Initiating Devices
-' No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Na of Waste Hearn* Number Tons KW__ No.of Self'-Contained
Totals: Detection/A l�nDrvices
No.of Dishwashers Space/Area Heating KW ,Local ElCM on 0 Other
-Senility Systems:*
Na of Dryers Heating Appliances KW No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or.S:
Teleconumudcations
No.Hydromassage Bathtubs No.of Motors Total HP No,of Devices or
OTHER:
Attach adrhtional detail Vdesired or as required by the hrspector of Wires.
Estimated Value of E Work: /35 00 (When required by municipal policy.)
Work to Start. c,c.,e, 2. 1 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE CO GE: 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 covrge is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ND ❑ OTHER ❑ (Specify:)
I cerdfy,under the pains saponifies(perjury,that the information on this application is true and complete.
FIRM NAME: rt`TI 4 C I< "(C,' E I e C r i, f cm-NI WC.NO.: l a 6:3 9 - 13
Licensee: I94fi2.1CK 0-61 C G-- Signature rca- -p 'Q-- LIC.NO.:b ,3 9- R
(if applicabk,enter..exempt"�''{�the tick member line.) : ) Bus.TeL No.:7$71 fY .2)2 7 3
Address: i i R h..c U -'/- 5- 6co,..., v,f,'- J2 Alt Tel.No.()4,a 8S"S 3..7 'S
*Per M.G.L.c. 147,s.57-61,security warrequires Department of Public Safety"S"License: Lic.No. i'2ts:Z q Q
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage=many
required by law. By my signature below,I hereby waive this requirement. l am the(check one)0 owner 0 owner's agent.
Owner/AgentI PERMIT FEE:$
Signature Telephone Na