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Home My WebLink AboutBLDE-22-006482 or ~- 1 1.1/0 Commonwealth of Official Use Only f !1,� Massachusetts Permit No. BLDE-22-006482 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:5/11/2022 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) 57 MAYFLOWER TERR Owner or Tenant Glenn Maxwell Telephone No. Owner's Address 57 MAYFLOWER TERR, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check • . Box � �. �Ir Purpose of Building Utility Authorization � x Existing Service 100 Amps Volts Overhead 0 Undgrd �'� New Service / ! 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters (44 Number of Feeders and Ampacity /i Location and Nature of Proposed Electrical Work: Upgrade service and add sub panel. 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs 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 I certify,under the pains and penalties o.fP er u�S',that the information on this applications true and complete. .% FIRM NAME: James J Loughlin Licensee: James J Loughlin Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: 17387 Address:546 UNION ST, FRANKLIN MA 020382472 Bus.Tel.No.: *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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. ►(J / 1-2,7 PERMIT FEE:$50.00 c; l 12-6 Cam' Commonwealth o/ttlasoachccdeitd Official Use Only s• —'I c� c-� Permit No. ZZ 4_I g�/ a+ _ Zepartment o 31m&mica s Occupancy and Fee Checked ' _-' BOARD OF FiRE PREVENTION REGULATIONS RRev.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 L INFORMATION) Date: 3//4v City or Town of: / yn To the Inspector of Wires: By this application the undersigned gives notice of ins or or her mtention to perform the electrical work described below. Location(Street&Number) 507 rn M Y ci ekir-e. Owner or Tenant 1,4!ea net A x w-e.Iii Telephone No.sp b. •L72 446 0 Owner's Address SA t r Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Lrg 9199a. Existing Service/ Amps jL) I aye Volts Overhead[id Undgrd 0 No.of Meters t New Service 024;m_ Amps )30 /no Volts Overhead lid Undgrd❑ No.of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Re.io I Alf 40 /Dm ...ter/A4str/PA..c,t TO 000 "'VS i41.07r 4.1e,.,p • /.vsnr/te„ CrearroP at,441• ftglnt cl SI,S (tome* c, /A/ $)M 1/ter' ,Inie•rseou c Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g 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 Initiating Devices No.of Ranges No.of Air Cond. Tons i 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❑ Mal El Other Connectionunicip / No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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 ifdesirea or as required by the Inspector of Wires. Estimated Value of Electrical Work: 652II (When required by municipal policy.) Work to Start: 57)/ t 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 operatic) "cove :_e or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof. i J . - . :permit issuing office. CHECK ONE: INSURANCE 12 BOND 0 OTHER 0 (Specify) I certify,under the pains and penalties of perjury,that the infarntal en this appr FIRM NAME: Loughlin Electric, Inc. ation is true and complete. Licensee- James Loughlin LIC.NO.: A17387 /� en�p�Loughlin [y Signature A _ LIC.NO.:E30592 A.fadPlicab„.euIerBvX l L, r'f tgil me,Address: Vi eb8 . e1.No.:508-384-5900 Tel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of' blic Sal , icense: Alt.Lic.No. 50R-5D4-34.78 OWNER'S INSURANCE WAIVER: I am aware that the Li does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requ,- eat. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 1