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Home My WebLink AboutBLDE-21-01511 �Al Commonwealth of Official Use Only 1- Massachusetts Permit No. BLDE-21-001511 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) pate•9/24/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pe�the electrical work scribed below. Location(Street&Number) 46 PLEASANT ST ( Owner or Tenant REI i Y '"Mica J Telephone No. Owner's Address .----- - - - - - ----- 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire existing house. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 20 No.of Ceil:Susp.(Paddle)Fans 5 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 40 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 22 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 2 No.of Alerting Devices Tons No.of Waste Disposers 1 Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Data Wiring: Siens 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 com lete, = .r : FIRM NAME: Neal F Gavin p -.-,- t., Licensee: Neal F Gavin Signature LIC.NO.: 14564 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 OAKLAND AVE,QUINCY MA 021703721 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT EE:$75.00 t ---7„r (5-771/1.LZA01 AJA-4L_ (f7/2 t, � � l Firc - gftQ(R rg- ... Official Use Only 14 Consinonweaa ol MouseLeath 1. • dr, Permit No. ( -2-) -(E ( ( — ii id, i' padmsni eit)ies Servicso . r ,,; .... Occupancy and Fee Checked .. ,.,; BOARD OF 2eFIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c i(MEC),527 CMR 12.00 !di 1 „2 0016 City or Town of: yavmeo 4%-.. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) tio2 P 1 e.454 n 4- c-i-rekj- S . Yarn,d ii PA 114 Owner or Tenant 13 PV a r‘ 1,Ft e-Scl rN. Telephone No. Owner's Address if 6 p 144$"et n 4 $'1-ret 4- Is this permit in conjunction with a building permit? Yes ErNo C (Check Appropriate Box) Purpose of Building reivi o itel 110 t)C e Utility Authorization No. Existing Service kg° Amps 00 /,2q0 Volts Overhead[Y---- Undgrd El No.of Meters / New Service Amps / Volts Overhead El Undgrd El No.of Meters Number of Feeders and Ampacity , , ,Location and Nature of Proposed Electrical Work: pet 'r.e.... ex, 5-t-„--, f hou s- a Bick-i-ii,60,0 ry ill'Ar;nq re,civ•Ii3edecd i(d) %sip Sb.h parit-Lel vi Conlpletion of the followinghfible infity be waived by the 170etacTr of Wires. W No.of Recessed Luminaires 070 No.of Cell-Snap.(Paddle)Fans 5Tra.nsformers KVA KVA r) No.of Luminaire Outlets No.of Hot Tubs Generators (.:.\. Above r, In- No.ot Emergency Lighting --t No.of Luminaires Swimming Pool und. Li wild. Battery Units No.of Receptacle Outlets ye) No.of Oil Burners FIRE ALARMS IN°.of Zones No.of Detection and z..-• No.of Switches 0/.a. No.of Gas Burners / Initiating Devices Total I VI No.of Ranges No.of Mr Cond. / Tons A. No.of Alerting Devices Heat Pump I.Npmber..I Tons IICW No.of Self-Contained No.of Waste Disposers / Totals:I - i 1 Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW "cal 0 launniciPitin I: Other gecurItySystems:* No.of Dryers i Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: ICW Heaters Signs Ballasts No.of Devices or Equivalent 'Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. $ig,500 (When required by municipal policy.) Work to Start: a 4101 6 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C YE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov9gels in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE &Kt BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of peijury,that the Mformation on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC. (If applicable,enter "exempt"in the license number line.) Bus Tel No • Address: 0 il 6 111 0 IC C Alt.Tel.No.: • • •.._..._________ *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. ____________ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one a owner II owner's a:ent. Owner/Agent Signature ____ _____________Telephone No. PERMIT FEE:$ —____