HomeMy WebLinkAboutBLDE-23-001427 „,,:- Commonwealth of Official Use Only
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NI Massachusetts Permit No. BLDE-23-001427
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:9/19/2022
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) 92 ASTOR WAY
Owner or Tenant MCMILLIN SANDRA A Telephone No.
Owner's AddresslST STEPHEN Ry 92 ASTOR WAY, SOUTH YARMOUTH, MA 02664-1906
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: Replacement 100 amp main.
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
Initiatinn Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
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 Devices or Eauivalent
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: Philip Mccarron
Licensee: Philip Mccarron Signature
LIC.NO.: 14068
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:2 SHAYLEE LN, LAKEVILLE MA 023471852
*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 ❑ owner's agent.
Owner/Agent
Signature Telephone No.
'PERMIT FEE:$80.00
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�' �` 0 BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupancy and Fee Checked
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Lai J ' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
F.:
C !, All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
co , P ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/14/2022
o f '—' t ' City or Town of: Yarmouth MA To the Inspector of Wires:
w Yiy, his application the undersigned gives notice of his or her intention to perform the electrical work described below.
W Cr) 3.o'ation(Street&Number)92 Astor Way Yarmouth MA
c ---- -43, er or Tenant Rose Faust
--- : er's Address Same Telephone No. 978-877-3185
•
Is this permit in conjunction with a building permit? Yes L No E (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps 120 / 240Volts Overhead W/ Undgrd n No.of Meters
New Service Amps I Volts Overhead I I Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: replace existing 1.00 main breaker with new 100A main
breaker
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. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump`Number I Tons I KW No.of Self-Contained
Totals:j 1 Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
•
Connection
No.of Dryers Heating Appliances KW Security Systems:* '°
No.of Water No.of Devices or Equivalent
No.of No.of
Heaters KW 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: Replace main breaker
2 000 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: 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 [] BOND ❑ OTHER
❑ (Specify:)
I certify,under the pains and penalties of perjuty.that the information on this application is true and complete.
FIRM NAME: Beacon Solar Construction
LIC.NO.:
Licensee: Philip McCarron Signature X
(Ifapp/icahle,enter "exempt"in the license number line.)
LIC•NO.: A14068
Address: 2 Shaylee Lane, Lakeville, MA 02347 Bus.Tel.No.1 401-203-4854 I
*Per M.G.L. c. 147,s. 57-61,security'work requires Department of Public Safety"S"License: Alt Lic N .
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)❑owner E)owner's agent.
Owner/Agent C 11
Signature ( Telephone N'o.401 203 4854 I PERMIT FEE: $