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Home My WebLink AboutBLDE-22-005425 ol► 44 Commonwealth of Official Use Only ifil�, Permit No. BLDE-22-005425 ►� Massachusetts 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:3/29/2022 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) 49 MAINE AVE • Owner or Tenant Barbara Millor Telephone No. Owner's Address 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: Permit for expired permit#E21-1633(FINAL) 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 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Jared P Macdonald Licensee: Jared P Macdonald Signature LIC.NO.: 14854 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:809 Scenic Hwy, Buzzards Bay MA 025322202 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:$50.00 315-0/7-)/ir - �j�j) I R J' .f t / E D Co- o-mmonui y of adaclucdet Official Use Only •t ; �-7 M ,i �I `�6/° a�„tire Serviced No.-7i� ' I ti; L ' B' ' REGULATIONS D OF FIRE PREVENTION Occupancy and Fee Checked _ BUILDING DEPARTMENT ��'' 1107j leave blank °y '---—' , ION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code RICA.0 WORK (PLEASE PRINT IN INK OR TYPE ALL INFORM4770N1 Date: /2 527 CMR 12.00 City or Town.of: s,.t. , -� 3 �� r?� By this applicationor the undersignedof: __ To the Inspector of Wires: gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a buildingpermit? Yes t Nori Purpose of Building t *, (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead Q Undgrd 0 No.of Meters New Service Amps 1 Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: c i , �2.+ - t633 Com lesion the ollow le be waived the Ins for o Wires. No.of Recessed Luminaires No.of Ce)L .of asp.(Paddle)Fans T' ormer$ ota No.of Luminaire Outlets No.of Hot Tubs KVA Generators KVA No.of Lamanoires Swimming Pool Abnovve d. [] In- r-i o.o mcrgcncy tg No.of Receptacle Outlets- C°d' Q; Bane Units No.of Oil Burners No.of Switches No. ALARMS No.of Zones No.of Gas garners o.o etection an No.of Ranges Total Initiatin Devices No.of Air Con �of Alerting Devices No.of Waste Disposers _ p • �. oIIs �. Totals: �� O.O ' - OII n No.of Dishwashers DetoctionlAlerti � Devices Space/Area Heating KW Local 0 uhtc>ipa 0 Other No.of Dryers HeatingConnection ppbances KW Security ystems:* o.o Haters o. No.of Devices or E uivalent S' Ballasts Data Wf a.ng, No.He Bathtubs No.of Dwrvices or E nivalent No.of Motors Total HP eiecommunications W ring: OT1 IER: No.of 'ces or E nivalent Estimated Value of 1 Attach additional detail if desired or as required by the Inspector of Wires. cal Work: (When required by municipal li Work to Start: ? '��. policy.) INSURANCE CO Inspech ns to be requested in accordance with MEC Rule 10,and upon completion. RAGE: 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"unders' ed sacoverage or its substantial equivalent. The �n certifies;that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE IJ BOND 0 OTHER I certify,under the pains and penalties o0 (Specify:),that the info on on this application is true and complete.NAME: �, - � Licensee: s•,� Q • pl \ Signature LIC.NO.L. C{ of applicable.e r "exempt"in the license number line.) `f LIC.NO.: Address: Bus.TeL No.- *Per M.G.L.c. 147,S.57-61,security i� ___ OWNER'S INSURANCEwork requires Department of Public Safety"S"License: Alt Tel No.: WAIVER: I am aware that the Licensee does not have the liabilityLic.No. required by law. By my signature below,I hereby waive this requirement I am the(check on insurance coverage normally Owner/Agent Signature ■ owner. ❑owner's . nt Telephone No. PERMIT FEE:$ 50 — ei :111 Rr