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Home My WebLink AboutBLDE-21-003808 4j��/Commonwealth of official Use Only t Permit No. BLDE-21-003808 E 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:1/11/2021 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 electncal work described below. Location(Street&Number) 16 CAPT BRAGG RD Owner or Tenant MEYLER BERNARD W JR Telephone No. Owner's Address MEYLER MARY E, 1 MEYLER WAY,WESTFORD, MA 01886 Is this permit in conjunction with a building permit? Yes 0 No 0 0 IJ0 a- , Kms. Purpose of Building Utility Authorizati . ` i g* Existing Service Amps Volts Overhead 0 Undgrd a Na,off`' 0 New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: Remodel,addition,&upgrade service. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 37 No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 71 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 52 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained 10 Totals: Detection/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal o Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: 7 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: John C Burke Licensee: John C Burke Signature LIC.NO.: 50364 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 DIX ROAD EXT,WOBURN MA 018016104 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: $180.00 ek (1 kV(2i 6 Li 3/1..c Q (/2c/u bg / co, Irl c(' o wig. Pose L300 (/L.I(24 iititSualctr - lei 'I 7 oy-633 J U "N Official Use Only nuxonwea aeeac f- � } 2 (Q, .__ ,'�.', c� cc77 Permit No. Com'-24 `J s �: ';. �epartin.nE el girt;Serviced -- I i-• 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 OR TYPE ALL INFORMATION) Date: / ( / I City or Town of: YARMOUTH To the Ins ctor Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. \S' Location(Street&Number)/6e 0/9p TA ,',,J Zr-log G. Owner or Tenant 7,7? „u,e ff 1 e t P Telephone No. / Owner's Address fit) Is this permit in conjunction with a building permit? Yes Tr No 0 (Check Appropriate Box) \ Purpose of Building S,r.f.s b L d i,+,•/),/ Utility Authorization No. y G 8 4 g 7 7/ Existing Service/(i U Amps / 6 /-/.96 Volts Overhead Er Undgrd❑ No.of Meters New Service _ Amps /. 0 l. '6 Volts Overhead❑ Undgrd No.of Meters / Number of Feeders and Ampadty P Location and Nature of Proposed Electrical Work: (-J AA,,/t. SF,�t v.'c -e � �� . i erN (4325 ,} ^ ,,�� . �� . as /7� J ��/YtO�l.- , ,�X'.�'S�'s^ v� Completion of the followingtable may be waived by the Inspector of Wires. W'�� No.of Total /r7 No.of Recessed Luminaires 3 7 No.of CeiL-Susp.(Paddle)Fans J Transformers KVA c.\. No.of Luminaire Outlets a No.of Hot Tubs Generators KVA <t; No.of Luminaires J Swimmin poo, Above In- No.of Emergency Lighting s g grrnd. ❑ grnd ❑ Battery Units No.of Receptacle Outlets 7 I No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches S No.of Gas Burners � No.of Detection and - Initiating Devices 11 i No.of Ranges / No.of Air Cond. ITTonsl x No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _ KW_ No.of Self-Contained Totals: Detection/Alertin Devices /b No.of Dishwashers / Space/Area Heating KW Local❑ Mnnicip onnection 0 Other C No.of Dryers i 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: Ic.,-D Attach additiohal detail ifdesired,or as required by the Inspector of Wires. Estimated Value of E ectrical Work: ,:26) Cid 0. (When required by municipal policy.) Work to Start: / Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete. ' FIRM NAME: LIC.NO.: Licensee: .J 0 N-N 2 Jn K C Signatu e„,(5,d14 LIC.NO.: ESSU 3c 4/ (If applicable,enter"event's('in the/lease number line.) Bus.Tel.No.: Address: 1/6- X OCO# -i) rx T. U/L.n) ,21A D/brol Alt.Tel.No.: '72'/ - 781 -/T Er5 *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)0 owner ❑owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$ 115j, c3