HomeMy WebLinkAboutBLDE-21-004786 Or Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-004786
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:2/24/2021
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 b ow.
Location(Street&Number) 95 ROUTE 6A ICI 371,/
Owner or Tenant HAGOPIAN JESSE R Telephone No.
Owner's Address HAGOPIAN REBECCA JEAN, 95 ROUTE 6A,YARMOUTH PORT, MA 02675
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 Ampacltty
Location and Nature of Proposed Electrical Work: Wiring for barn.Sub panel, switches, receptacles, &split NC.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 8 No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets 8 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 28 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 18 No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 3
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 0 BOND 0 OTHER 0 (Specify:)
certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: SANDY I MCLARDY
Licensee: SANDY I MCLARDY Signature LIC.NO.: 51160
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:608 MAPLE AVE, EWING NJ 08618 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
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BOARD OF FIRE PREVENTIONREGULATIONS ,Occupancyanal Fee Checked
(leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Ehisrical Code()AHC),521 CMR 12.00
(PLEASE PRINT"IN INK OR TYPE ALL INFORMATION) Date: 2-22-2021
City or Town of: yarmouth To the Inspector of Wires:
By this applicationl� the undersigned,gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 95 route 6a
Owner or Tenant Jesse Hagopian Telephone No. 774-994-3741
Owner's Address. same
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps I Volts Overhead C] Undgrd 0 No.of Meters
New rvice Amps / Volta Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity 1-60amps
Location and Nature of Proposed Electrical Work: Install sub panel in barn,mini split,and wire outlets and
switches
Colon of thefo tabu may be waived by the Inspector of li'ires.
til No.of Recessed L8 No.of CO.-Sump.(Paddle)Fans Treinformers ICVA
4 No.of Luabsaire Outlets No.of Hot Tubs Generators KYA
k No.of Lu er 8 Swimming Pool mid. D In.al. B o.of hmerigeney g
4 No.of Receptacle Outlets 28 No.of Oil Burners FIRE ALARMS No.of Zones
on and
z No.of Switches 18 No.of Gat BurnersAaof ham Ilevices
t No.of Ram No.of Air.Cond. '_o.of Alerting Devices
Pte.of West*D
Heat ,l�rgber Tones ?_-- ectio n/A�eDevices 3
cf:
No.of Dishwashers Space/Area Heating KW Local Li Connection 0 Other
Heating Appliances KW SAY y� :
No.of Dryers No.of Devices or Equivalent
No.of WaterNo.of No.of
Resters KW Signs Ballasts No .of Devices ort aen
"I deoaaunnnieatlons
No.Hydromauwtge Bathtubs No.of Motors Total HF Na of Device,or go tit
OTHER:
Attach ad:A:tonal detail ifdesired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 16000 (When required by municipal policy.)
Work to Start: 2-17-21 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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE fizi BOND 0 OTHER 0 (Spm':)
I eases+,under the pains arab
ojper uryy,a unt the jiormade:re on this application is trite and complete.
NAME: sandy me arlrddyyeelectrician LIC.NO.:, 51160
Licensee: sandy mclardy rare SANDY MCLARDY `" , =.. LIC,NO.:
((fapplkealsle.enter"`exempt'in the license number line.) Bus.Tel.No.: 609-219-2580
Address: 210 pleasant bay rd.harwich ma 02645 Alt.Tel.No.:
*per M.G.L.c. 147,a.5741,security work requires Deparhnent of Public Safety"S"License: Lic.No-
OWNER'S INSURANCE WAIVER: I tun aware that the Licensee doses not have the liability insurance coverage normally
required by law. BY my signature below,IherebY waive this requitement' I am the(check one)❑owner D owners agent.
avraoriAsent
Telephone Na. PERMIT FEE: