HomeMy WebLinkAboutBLDE-21-005316 o•' Commonwealth of Official Use Only
Massachusetts
Permit No. BLDE-21-00531 6
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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:3/16/2021
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.
Location(Street&Number) 27 GRIST MILL LN
Owner or Tenant MCCARNEY HELEN H Telephone No.
Owner's Address MCCARNEY FRANK P, 27 GRIST MILL LN, WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check ropriate Box
Purpose of Building Utility Authorization No.
Existing Service 100 Amps Volts Overhead 0 Undgrd V,„ N i ; i' Pli ;
bo
New Service 125 Amps Volts Overhead 0 Undgrd
Number of Feeders and Ampacity 4./ijo
Location and Nature of Proposed Electrical Work: Distribution panel replacement.
O
Completion of the following table may be .i a. . %'• y.'ctor of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ` 1 al
Transformers A
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. 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 ❑ 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: 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 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
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Use Only
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" 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(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/12/2021
City or Town of: Yarmouth MA 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) 27 Grist Mill Ln
Owner or Tenant Helen McCamey Telephone No. 516-398-1589
Owner's Address Same
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps 120 / 240Volts Overhead® Undgrd❑ No.of Meters
New Service 125 Amps 120 / 240Volts Overhead❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Main Panel replacement. New main panel will be 125amp with 100amp main breaker
p Completion of thefollowingtable may be waived by the Inspector of Wires.
No. otal
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires swimmingPool 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
Total
No.of Ranges 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 Heating KW Local❑ Flunicipalonnection ❑ Other
C
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: $1,000 (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 0 BOND ❑ OTHER ❑ (Specify)
I certify,under the pains and penaldes ofperjury,that the information on this application is true and complete
FIRM NAME•• Beacon Solar Construction
LIC.NO.:
Licensee: Philip McCarron Signature X P LIC.NO.: A14068
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 5118-9311-1405
Address: 2 Shavlee Lane, Lakeville, MA 02347 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„Lny si ignature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent ( (��,� p 508-930-1405 PERMIT FEE:Signature Telephone No.