HomeMy WebLinkAboutBLDE-21-005843 t
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E: , l°k Massachusetts Permit No. BLDE-21-005843
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:4/9/2021
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 below.
Location(Street&Number) 256 OLD MAIN ST
Owner or Tenant JASON REGAN C TRS Telephone No. 1,
Owner's Address SANTUIT TRUST, PO BOX 692, SAGAMORE, MA 02561-0692 (!
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bo.) tL, ,hp-
Purpose of Building Utility Authorization No. 5417675 U
Existing Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Service to renovated building
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
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) ❑ owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $75.00
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.., . N' ;4' 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 accordance with the Massachusetts Electrical Code(MEC),527 CMR I2.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4/7/21
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) 256 Old Main st
Owner or Tenant JASON IRFGAN C TRS Telephone No.
Owner's Address P.O. Box 692 Sagamore, ma 02561
Is this permit in conjunction with a building permit? Yes i No _ (Check Appropriate Box) �
• Purpose of Building Residential Utility Authorization Na. S ^
1 i 675
Existing Service 200 Amps 120/240 Volts Overhead ❑ Undgrd -• No.of Meters 1
New Service 200 Amps 1 20/240 Volts Overhead Undgrd No.of Meters 1
Number of Feeders and Ampacity 200 amp full underground service upgrade with
Location and Nature of Proposed Electrical Work:meter main and whole house surge protection.
c
v' Completion of the followm&table may be waived by the Inspector of Wires.
v" No.of Total
W No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA
rl No.of Luminaire Outlets No.of Hot Tubs Generators KVA
t� Above In- No.of Emergency Lighting
d No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
cti
No.of Switches No.of Gas Burners No. InitiatinnggofDeteon and
n Devices
No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
MunicNo.of Dishwashers Space/Area Heating KW Local❑ Connection al ❑ Other
No.of Dryers Heating Appliances KW ecurity Systems:*
No.of Devices or Equivalent
No.of Water K`,1, No.of No.of Data Wiring:
Heaters Signs Ballasts No:of Devices or Equivalent
No. H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
Y g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 5000 (When required by municipal policy.)
Work to Start: 4/7/21 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 El BOND ❑ OTHER ❑ (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 Electrician L • LIC.NO.: Fi:3676B_
Licensee: Nicholas McLean Signature Mr LIC.NO.:
Ill applicable, n er" xempt"in i' e e number line.) Bus.Tel.No.:-5083606882
Address: iD8 Handy a rocasse , MA 025 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)❑owner ❑owner's agent.
Owner/Agent PERMIT FEE: S
Signature Telephone No.
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