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Home My WebLink AboutBLDE-22-001761 Commonwealth of Official Use Only VI. Massachusetts Permit No. BLDE-22-001761 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:9/28/2021 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) 126 DIANE AVE Owner or Tenant Gerald McGrath Telephone No. Owner's Address 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: Wiring for finished basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 14 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 20 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. To No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Signs 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:) .-77`./_. 306 (Tl I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: KENNETH E BROWN Licensee: Kenneth E Brown Signature LIC.NO.: 21117 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:3 MICHAEL RD, FRANKLIN MA 020382565 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 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: $75.00 P0054 e E /v/SAL, A t 47 I2--k Y- (1(\‘'41)/%04 q19 12,l4o(ZA ems- 14. Commonwealth Official Use Only ,., . 1/ C�omawrarroa Permit• No. C.22 (r7 4 t Y i epartmeIK •DPW* katf 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 perfatmed in accordance the Massachusetts Electrical Code MEC),527 CMR 12.00 43 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / ( ) /II City or Town of: Yarmouth To the Inspector of Wires: c By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 126 Diane Ave, South Yarmouth MA 02664 A', Owner or Tenant Gerald McGrath Telephone No. 617-894-1921 Owner's Address 200 Falls Blvd 1-11033, Quincy MA 02169 Is this permit in conjunction with a building permit? Yes [] No 0 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. (1) Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters -- New Service Amps / Volts Overhead 0 Undgrd[0 No.of Meters LA-- Number of Feeders and Ampacity C Location and Nature of Proposed Electrical Work: Lights and Circuits for Finished Basement 1 Completion of the following talble o.may be waived'by the i� of Wires. \,41l 11No.of Recessed Luminaires 14 No,of CelL-Snap.(Paddle)Fans Transformers KVA V. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Lsrmluaires Sig Pool Above ❑ In- o NO.of t�mergency Liguting tun&• tend. Battery Milts No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners -PIs Intiet and InitlInitiatingtln�ngoa Devices IQ 7 No.of Ranges No.of Aix Cond. T,otalons No.of Alerting Devices Na.of Waste D posersl; Heat p Number_Tons _KW 'Nom.of Self-Contained No.of Dishwashers Space/Area Heating KW Local 0 C n nectionQ Other No.of Dryer* Heating Appliances KW Security S :'� rY Na of)�or Eaiuivatknt No.of Water 'els, Po.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or ' , No.Hydromassage Bathtubs No.of Motors Total HP Tele mmu° tl ons " ' o . No.of Devices or ` . i; .,'t' OTHER: Attach additional derail fdesfreet or as required by the Inspector of Wires. Estimated Value of Electrical Work: $5,000 (When required by municipal policy.) Work to Start: 9/24/2021 Inspections to be requested in accordance with MEC Rule lo,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ) BOND 0 OTHER 0 (Specify:) I rertijy,under the pains and penalties ofperjwy,that the information on this application is true and complete. FIRM NAME: Tatra Building Company Inc LIC.NO.: 744 Al Licensee: Kenneth Brown Signature /(ffilte#'Platt LIC.NO.:2117A (If applicable,enter••erempl"in the license number line.) Bus.Tel.No: 4- � -7 c Address: 3 Michael Rd, Franklin MA'02038 .Alt,TeL No.: 4 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. Tam the(check one)❑owner D owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE?$