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HomeMy WebLinkAboutBLDE-22-001995 „ . Commonwealth of Official Use Only (41 r • kl Massachusetts Permit No. BLDE-22-001995 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:10/7/2021 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) 2 BARKLEY ST Owner or Tenant Thomas Barton Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ 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: Install 30 circuit panel&3 kitchen circuits. 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 Initiatine 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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:) rs�- if- +( I certify,under the pains and penalties of perjury,that the information on this application is true and complete. 1 S'_ —0 2 '3 FIRM NAME: PATRICK J JOYCE Licensee: Patrick J Joyce Signature LIC.NO.: 12639 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1718 LIBERTY ST, BRAINTREE MA 021848283 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 Telephone No. PERMIT FEE: $75.00 SeGoreil (0/72/9,4 rg. &Pt A- 6t/T/'72.- \ '1CM t7-1-42A/77'-' (04C frie1-0,7- 03( ,s -.... rmr".7o: "I a..._. ,<rar OCT 0 7 20 1 -e vvic.-(( .� s nwtcc.vt ems, -.Cis BUILDING uEPARTM€Nfi Commonweath o`ri/aadachuda(td Official Use Only OD ," c� Permit No. ZZ_ �� t B'j '�( 2)epartment o/.,}ire Serviced <- '' Occupancy and Fee Checked BOARD OF FIRE 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(M C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 cA -7 J a..., \ 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) o� Ct4I I --} reel- Owner or Tenant Thp Mg [A/NA (Iv r) Telephone No. fp I / 6-go ogSa Owner's Address z 12)a_rk.(e S SDV+i-i qaxmvUiA1 hill. oZbL0ti- if Is this permit in conjunction with a buil8ing permit? Yes [ o ❑ (Check Appropriate Box) Purpose of Building isi0 Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty rt Location and Nature of Proposed Electrical Work: [,L S.-c � 3 0C i R .7L t/C 100 n 1-if �f ec...0 _ ( K S-'� _2 R- /c_1, -�-e C. 1 0 c wC' 1'� Completion of the followinktabk may be waived by the Inspector of Wires. No,of Recessed Lnminairea No.of Cell.-Soap.(Paddle)Fans No.or Total CZ Transformers KVq ▪ No.of Luminaire Outlets No.of Hot Tubs 1 Generators KVA mot' No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of l mergency iguting grnd. 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 t No.of Ranges Total Initiating Devices g No.of Air Cond. Tons 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 HeatingKWMunicipal Local p Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.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 if desired,or as required by the Inspector of Wires. Estimated Value f E} trical Wo A-b a. (When required by municipal policy.) Work to Start: ocrt ZI Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVE 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 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 th ai and pens es of pe ,that the information on this application is true and complete. FIRM NAM • 1-1 C_- '..----S b ( LIC.NO.: Q Licensee: r l c_ Qignature Q t;'-g-c:, t_.(2- LIC.NO.: i 3 j' /3 (If applicable enter'ex pt"in the lic a nu ine.) Bus.Tel.No.. ( 2? Address: 1"7 1 I— 0 r --e .1" + 6e-Cep,\•(/.eQ Alt.Tel.No.:?e i *T S S*Per M.G.L.c. 147,s.57-61,security work requiros.apartment 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. OwnertAgent Signature Telephone No. I PERMIT FEE:5 73---