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Home My WebLink AboutBLDE-21-004690 . or (\g of Commonwealth of Official Use Only _ Massachusetts Permit No. BLDE-21-004690 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:2/18/2021 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) 38 MARINERS LN Owner or Tenant ROBINSON ROY W III Telephone No. Owner's Address 38 MARINERS LN,YARMOUTH PORT, MA 02675-1230 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. KIi• , 6 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 i�I tern New Service 100 Amps Volts Overhead ❑ Undgrd 0 o.o Number of Feeders and Ampacity 0 749/ Location and Nature of Proposed Electrical Work: Service upgrade. 41,. * :1' 425 Completion of the following table may b g ztr 'p o s. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of VVVVVV �7 v al Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators &VA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 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: THOMAS J MADDEN Licensee: Thomas J Madden Signature LIC.NO.: 14065 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:39 MARINERS LN,PO BOX 291,YARMOUTHPORT MA 026750291 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: $50.00 AA_ 03(14.C (P9 7) fl P ' rS'c /((4€/ i2ui etnnonomveailh.4 Maeaachuestie Official Use Only �Ji4: „'� c� t - C'`1 O ..-�� l�'ermit No. ! 2sparmsnt al.,t lrye Serfdom' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ... * (leave blank) 6 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),52 CMR 12.00 ' (PLEASE PRINT IN INK OR TYP ALL INFORMATION) Date: It C I • City or Town of: /t of g244 Cc-ILLTo the Inspector of Wires: By this application the undersigned 1"ves of his or her intent( to perform the electrical work described below. Location(Street&N. Huber) Jo)Tr, " Owner or Tenant , r. „ Telephone No. 7ILA 3.2 - "�y , Owner's Address I Sq VV/ / +' i Is this permit in con junctlo th a building permit? Yes No Q (Check Appropriate Box), • cl). Purpose of Building �e- U. Au or zation No. 0 -)- s Existing Service f 0 O Amps /de)I.lgVolts Overhead Und rdI g Q No.of Meters "A New Service 70 0 Amps 4)0 /, 7 V4telts Overhead Tr- J Undgrd�' ❑ No.of Meters _C___ Number of Feeders and Ampacity /QZ, eHr2 r Az___, , Locatio and Nati yr of Flapped E ectiical Work: r C`r 41. /da i&-( clm vt Q r Completion of the followinktable maw.be'waived by the 1 ector of Wirees,. tb No.of Total No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans Transformers KVA CA ! No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pooh Above 0 In- 1vo.of Emergency Lighting grad grad 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 Inf #ing Devi; t No.of Ran No.of Air Cond. Total Tons No.of Alerting Devices Na.of Waste Dbposers Heat Pump Number Tons KW 'No.of Self-Contained ' Totals: _ ........ .�w........ ._. .._ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Munb ipnl - ConneMi►n 0 No.of Dryers Heating Appliances KW 'Security yystems * No.oftl► ices or Equivalent No.'of Water Heaters KW -Na.of Na.of Data Wiring: Signs Ballasts No.of Devices or E uiivalent No.Hydromassage Bathtubs No.of Motors Total Hp Telecommunications Whin : rr No.of Devices or Equivalent OTHER: �Qad <® G -Q_ �'�..'- I 3 SG11 - id l((I c'L Attach additional detail i desired,or as required Estimates!.Value of cal Work by the Inspector of Wires. (When required by municipal policy.) Work to Start: / Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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+cov s in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ri. BOND 0 OTHER d (Specify:) . I certify,under the . , „ of ury that information on this application is true and complete. M NAME Ci [i( .¢- � C LIC.NO.:f V,d Licensee:� ` / ,�/ � e. siguata LIC.NO.: (If applicable, er" pt"in th ,t a nu I' e.) ' Address: j D %5CX o` " rr r Bus.Tel.No.. *Per M.G.L.c. 147,s. 57-61,securitywork ) Alt.TeL No.: .. -� lies Department ofPublic Safety" "License: Lie.Na. 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(checkone)0 owner Owner/Agent 0 owner's agent. 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