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Home My WebLink AboutBLDE-22-002026 Commonwealth of Official Use Only or fi.. Massachusetts Permit No. BLDE-22-002026 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:10/8/2021 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) 1175 ROUTE 28 Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 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: Temporary wiring for Seaside Festival 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. Tonal No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 Ballasts Data Wiring: Heaters Siens 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: Jesse J Mackenzie Licensee: Jesse J Mackenzie Signature LIC.NO.: 13111 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 BYRON LN, S YARMOUTH MA 026644156 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: $0.00 S 1 k-e CAvvAhnnri 0 AS 4 eemz vo-c mF -TauI u P ip 'Cgick 119(c? — rola RECEIVED floc,: 0810 11 BUILDING DEPA4ENT /� ��,,`` y�j // '',, Official Use Onl ‘✓f�,, EY� — Conunontvaa[tholi//addachue�a S2��l�tl.� J c� cc77 [n� it No.2Ispatm ni o/..tire&.viceOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/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: JC).-0 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) /yam 02(?.., S' Yf tele,(-T ti- Owner or Tenant y'A,ymasgt{ 17-0,..../41 . Telephone No.fog S.18-41d3 1 l Owner's Address Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps Ids /di-lc-Notts Overhead 0 Undgrd/No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity do Q, Location and Nature of Proposed Electrical Work: t s S'r,9C/ae- Tic,i / Completion of the following table me be waived by the Inspector of Wires. lb No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.a of Total KVA C� Transformers KVA _ 47.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA rzx No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grad. 0 and. 1--1 Battery Units t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and K Initiating Devices II! No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons K%V No.of Self-Contained Totals: _..__...____. _..._ Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 other, Cyyonnection No.of Dryers Heating Appliances KW Sec * urity Daum or Equivalent No.of WaterKW No.of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: .,2- Attach additional detail if desired,or as required by the Inspector of Wires Estimated Value of Electrical Work: C% (When required by municipal policy.) Work to Start:/0-6--,,? ) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAE: 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 [Y.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: `SCSSe_ /✓talCp t/?lP /p 121Ct19q 1 W,,,a,,,--zr- LIC.NO.: et t/-AR Licensee: _J1SP t�AtK., ./ ' Signature(Ifapplicable,enter"exempt"in the lice a number line.) ""� LIC.NO.: Address: /��tif Bus.Tel No.:72Y„Me-. 7 el Tel.No *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I