HomeMy WebLinkAboutBLDE-21-001622 Commonwealth of Official Use Only
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Massachusetts Permit No. BLDE-21-001622
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:9/29/2020
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) 7 SPINNING BROOK RD
Owner or Tenant BEHNKE DIANA M Telephone No.
Owner's Address 7 SPINNING BROOK RD, SOUTH YARMOUTH, MA 02664-4032
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 Met•rs
Number of Feeders and Ampacity O (/
Location and Nature of Proposed Electrical Work: Bath room renovations. k 4 b
L 0
Completion of the ./�t t�e m• ,• • •yspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.o Total
Transfo ers8 KVA
No.of Luminaire Outlets No.of Hot Tubs Generators L(✓/ 4 'KVA
No.of Luminaires Swimming Pool Ag 1%7 ❑ In- ❑ No.of Emergency L
grbnovd. grnd. Battery Units
No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zo
No.of Switches 2 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 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 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
gib/ el/24:11
•
C.onunonwea[h a aaeackiselie Official Use Only
' • c7� Permit No. .21— l(p�2�
7A-0bi �Sgiro of ins Serviom
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 accoe+danc a with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/25/20
City or Town of: Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intendon to perform the electrical work described below.
Location(Street&Number) 7 spinning Brook rd
Owner or Tenant Telephone No.
Owner's Address
Is this permit In conjunction with a building permit? Yes N7No 0 (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service Amps / Volts Overhead❑ 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: Bathroom renovation wiring
.m
Completion of thejoltowing table be waived by the Inpeof ctor Wires,
t) Na of Recessed Luminaires No.of Cell.-Snap.(Paddle)'Fans No.o ° 1
Transformer KKV
1 "" No.of Luminaire Outlets No.of Hot Tubs Generators KV
$ No.of Luminaires 2Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
qm& ,crud. Battery Units
J No.of Receptacle Outlets 1 No.of 011 Burners . FIRE ALARMS No.of Zones
No.of Switches 2 No.of Gas Burners
No.of Detection and
" IndtistinQ Devices
f LI No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
Na of Waste Disposers Heat Pump Number Toes KW No.of Self-Contained
Totals: """"-` ""__ 1__ _...__ Deteetiod Deviees
No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other
No.of Dryers Heating Appliances KW No. Systems?'
No.of Water 'Aoof No.ofNa of Devices or Equivalent
.
KW Data Wiring:
Heaters Silos Bets No.of Devices or ' . ivalent
No.HydromNa of Deevicevice ons
assage Bathtubs No.of Motors Total HP Telecomm s or ` . at
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 1000 (When required by municipal policy.)
Work to Start: 9/25/20 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 cov ge 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 ofperjury,that the information on 1 . , !}cation is true and compl
FIRMNAE: Nicholas j McLean Electrici. n ,e LIC.NO.�
M3676B
Licensee: Nicholas J McLean Signets WILIC.NO.:
(Ifapplkable,e t empt"in the license number line.) Bus.TeL No.• 82
Address: 68 Handy rd rocasset, MA 02 9 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)0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$