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Home My WebLink AboutBLDE-22-001590 1 Commonwealth of Official Use Only ir Permit No. BLDE-22-001590 , Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECT RICAL AL WORK •• C O 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:9/20/2021 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 el ctrical work described below. Location(Street&Number) 8 DUFFY RD S M l_-11/ 14%a eg 1-60-,& Owner or Tenant G Telephone No. Owner's Address T -H -98266 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Miscl.work per attached. 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 ❑ 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: Michael J Maguire Licensee: Michael J Maguire Signature LIC.NO.: 25035 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 148 AUDREYS LN, MARSTONS MLS MA 026481631 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: $50.00 9,.Actut, ord-at- cfjMl')1 i co `vim ut,z 61.- t ivil s "-atu iT (Aoa k.- (yi- Commonwealth of Massachusetts Official Use IOnly -.4 '�. Permit No. e-�-- ` 5(1O, is�. , ,'g: -partment of Fire Services % CIE I / F D Occupancy and Fee Checked _ :; - BO ' FIRE PREVENTION REGULATIONS [Rev. 11l99) (leave blank) Ili SEP 2 0 2O 1IC ,TION FOR PERMIT TO PERFORM ELECTRICAL WORK tt All fork o be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 PL 51E P iN VR TYPE ALL INFORMATION) Date: 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) 8 .S (j r iy Owner or Tenant Telephone No. 1\ Owner's Address `w Is this permit in conjunction with a building permit? Yes �' No ❑ (Check Appropriate Box) -` Purpose of Building Sem,. As, 74iq arr /1 Utility Authorization No. ` Existing Service /d d Amps /29/ 2.90 /Volts Overhead ilir Undgrd n No.of Meters I New Service Amps / Volts Overhead❑ Undgrd n No.of Meters 4.1 Number of Feeders and Ampacity !e lk Location and Nature of Proposed Electrical Work: / // )) // �t�/�ii r r coT3i.�,a f� �si �J ,/ t�� a 1Asi.rlw4 7I's, I / �/ ppfiir/" lea p ..." AS s ac 1orJ%Air !/ p., ,a. 36,444 .w/ L itoodrA i` 1i s id- Y' &npletion of the following table may be waived by the Inspector o_f Wires. No.of Total No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting A No.of Lighting Fixtures Swimming Pool grbno ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS (No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting DevicesTons No.of Waste Disposers Heat Pump I Number (Tons IKW No.of Self-Contained Totals: Detection/Alerting Devices Municipal Other No.of Dishwashers Space/Area Healing KW Local ❑ Connection ❑ HeatingAppliancesSecurity Systems: No.of Dryers KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.I certify,under the ainss and penalti of perjury,that the information on this application is true nd LIC.compl�� S`� 3 — .S FIRM NAME: G,/)i z/V ,ram I, �'w ' // LIC.NO.: / �� _Signature/%�� ed304e___,:, Licensee:fl.4�i.• /(If applicable, enter "exert t"in theme ens number line) Bus.Tel.No.:Alt.Tel.No.:M.'s al �Z" Address: OWNER'S INSURANCWAIVE m aware that the 1 cog e normally required by law. By my signature blow,IIhey waive his requirement. I am the(check one)❑ owner ❑owner's agent. PERMIT FEE: $ Owner/Agent Telephone No. Signature / .ra g Ae \ , . , 4 1 $ • • • • e • e• • s % • • • •*-Ag,t , , ,• • • A • 4, • • 1/..• •.4, • 1 • • • 1%• a • • • • e.. I`a • •• • R• • • " • •' e•'.• • • •••• • ‘a . • • e aa