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Home My WebLink AboutBLDE-22-002522 Commonwealth ofou Permit No. BLDE-22-002522 Official Use Only Es 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:11/3/2021 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 electrical work described below. Location(Street&Number) 16 PINE ST Owner or Tenant MCNALLY JAMES B Telephone No. /� Owner's Address MCNALLY MARY,46 MT VERNON AVE, BRAINTREE, MA 02184 !ufr Is this permit in conjunction with a building permit? Yes 0 No 0 (Che d( Purpose of Building Utility Authorization No Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Re-wire house,garage,ad service. 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 grid. grid. 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. To No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DANIEL J PECKHAM Licensee: Daniel J Peckham Signature LIC.NO.: 26830 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 AUDREYS LN, MARSTONS MLS MA 026481629 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 L Telephone No. PERMIT FEE: $75.00 i2604 � L t.6.? (M9 /190/t71 12 6*Zirsaig, per- � ) RECEIVED \N \.)`` '1. o1/r/aeeackmette Official use Only NOV o l 20 01)? ---2S..-?; ,. . ri c� c-�� s Permit No. tt 2 o/,lieu&mica is . I L D I N G DEPARTMENT Occupancy and Fee Checked 1 - :.s 0.— REP"EVENTION REGULATIONS [Rev. 1/07] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK L. All work to be performed in accordance with the Massachusetts Electrical Code(M C).5 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / 1 i / City or Town of: ''l „ v1—L,, To the Insp to of Wires: i By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) / L IV;.r. ST Owner or Tenant Z.'v jA,t,,, S h�e,,, Telephone No. Owner's Address ,: Is this permit in conjunction with a building permit? Yes 0 No ID (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters ANumber of Feeders and Ampaclty not Location and Nat7 of Proposed Electrical Work: p4.4_ icy; ,t.e..._ 1,0,0_4�/FoW.i.C_i Completion of the followinktable carry be waived by the Ingeotor of Wires. of Totat No.of Recessed Luminaires No.of CA. Fans s - -(Paddle) No. KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1CVA No.of LuminairesSwimming Pool Above r-i In- ❑'No.of Emergency Lighting Enid. send. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Detection and No.of Switches No.of Gas Burners moo'of No.of Ranges No.of Air Cond. To l No.of Alerting Devices Heat No.of Waste Disposers of Self-Contained T� Number'Tons __KW W_ �ection/Ak Devices No.of Dishwashers Space/Area Heating KW Local 0 Vou=ola 0 Other No.of Dryers Heating Appliances KW Security= or Equivalent No.of Water KW No.of No.of Data Wiring: H« Signs Ballasts No.of Devices or ' ,divalent No.Hydromassage Bathtubs No.of Motors Total HP TNo.of Devices or Ea, cat OTHER: Attach additional detail rf desir a 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 PLBOND 0 OTHER 0 (Specify:) I certify,under doe pains and penal les of perjury,that the information on this application is tree and complete. FIRM NAME: . LIC.NO.: Licensee: )eA .,c./ 'a• 3:....0.-1(Los Signature n,4d LIC.NO.; "I�O a (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address: ."2.. $n 1 of Ileo jt .ria 44.4_in;Lis at at-. P1,4 47 Alt.Tel.No )'?. ' 3 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent Own rt I PERMIT FEE:$ Signature Telephone No.