The URL can be used to link to this page

Home My WebLink AboutBLDE-21-007196 CSC ( CommonwealthOfficial Use Only of iti. Massachusetts Permit No. BLDE-21-007196 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:6/10/2021 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 ical work describe eltw. Location(Street&Number) 22 VINEYARD ST _J t-1..,w C 1�i t 1 Owner or Tenant t-� �e l➢�li Telephone No. Owner's Address M 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: Take over job. Replace receptacle&add proper circuit breakers as needed. 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 g boved. ❑ Igrnd ❑ No.of Emergency Lighting rn Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Siens 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: Shawn R Leahy Licensee: Shawn R Leahy Signature LIC.NO.: 16609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:457 LAUREL ST, HALIFAX MA 023381616 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I 'PERMIT FEE: $250.00 I Print Fgrm C.ommonwsalds o/Madiacimudia Official Use Only cc77 i�� M 'l Per of Jbv Permit No. �' Zl 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 12,00 (PLEASE PRINT IN INK ORTYPEALLINFORMATION) Date: _ ��yA4- 7.fly.2dU/ City or Town of: �/e,v wi a J 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) c72-02- (t',-Q.ye,v Lj S f" Sp . y6.r w.(A)44-- Owner or Tenant 'TO- n...17_S () r 'E r: v.. Telephone No. 6/ 7-73 f-:06 7 Owner's Address IA, Luz / G e-d S-)-- S a , }/c v,.,,.u.J Is this permit in conjunction with a building permit? Yes Er No Q (Check Appropriate Box) Purpose of Building o o a e / Utility Authorization No. Existing Service 20d Amps /elZd/ -2 v'DVolts Overhead[I Undgrd 0 No.of Meters / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: 'R.,r l a e_ r,ec 0 ,,I.,,_,7®5 w, . 7-4 n,F c_,.-_pr_ood Zn c-c, l I 4-F=¢ /j-.-c Fi.✓//-s 4-S needed , 1 a kg .-025r s.' b, I,f ci- - uJ o/, Completion of the followina table may be waived by the lrupec roof Wires. No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total f Transformers KVA J No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- No.oiEmergency Lighting No,of Luminaires Swimming Pool grind. Rrnd. Battery Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.Ini Detection No.of Ranges No.of Air Cond. To s' No.of Alerting Devices No.of Waste Disposers Heat Pump Number I "' Tons . KW_. No.of Self-Contained Totals: ' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security of Systems:* or No.of Water Heaters Kam, No.of No.of Data Wiring:Signs Equivalent Ballasts No.of Devices or Univalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiritng� _ 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: 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 0 (Specify:) I cu4ify,under the pains and penalties of pedury,that the information on this application is true and complete FIRM NAME:Sullivan&McLaughlin Company — 512,,� a ezry. LIC.NO.:16609A Licensee: Shawn Leahy Signature AI -74 / LIC.NO.:16609A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.6174740500 Address: 74 Cawley St Boston Ma 02122 Alt.Tel.Nam' Co'7,24 r *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SS002265 6 Ys7 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ ,-,75--v.trl S ba r( r!�S///y- co Czi%m ga.. cams.�¢,-s A GU,& E//,"d 47