HomeMy WebLinkAboutBLDE-21-006079 Commonwealth of Official Use Only
. Massachusetts Permit No. BLDE-21-006079
•
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:4/21/2021
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pert rm the ele trical work described below. n1
Location(Street&Number) 21 CEDAR ST i"1 1 - -1t rt L (I v `D U N
Owner or Tenant Telephone No.
Owner's Address `!
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check ,A14i4. sate 4
6Si /9
Purpose of Building Utility Authorization No. ® 8
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 N i • I et•' A
New Service Amps Volts Overhead 0 Undgrd 0 No.o t• 4 ' aA ""
Number of Feeders and Ampacity #. ''v
Location and Nature of Proposed Electrical Work: Replace service entrance conductors.
Completion of the following table may be waived by th t�!•�.< • e f Wires.
:
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of 1
Transformers K
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above 0 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 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 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 ofperjury,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
C.munonweank of I amuck asu4 Official Use Only
e`-' ii =7 c� Permit No. e 2( --(k(�-7 ci
2epartinsnt of cc//ire serviced
,i - Occupancy and Fee Checked
, 4 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: 4/20/2021
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) 21 Cedar St
Owner or Tenant Mikhail Smolin Telephone No. 617-470-1816
Owner's Address Same
Is this permit in conjunction with a building permit? Yes W No 0 (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps 120 / 240Volts Overhead® Undgrd 0 No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Service entrance conductors to be replaced
Completion of the following table may be waived by the Inspector of Wires.
go.oTotal
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Trano KVAf
Trsformers
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Units ncy Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
and
No.of Switches No.of Gas Burners No.of Detection on 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
p Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 C Monnectionunicipal 0
Other
No.of Dryers Heating Appliances KW SecNo of De s or Equivalent
No.of Water , No.of No.ofK 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: Solar PV Installation
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $1,000 (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: Beacon Solar Construction LIC.NO.:
Licensee: Philip McCarron Signature X ? . LIC.NO.: A14068
(If applicable,enter"exempt"in the license number line) Bus.Tel.No.: ri[18-WIn-1405
Address: 2 Shavlee Lane, Lakeville, MA 02347 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By�ny signature ignature below,I hereby waive this requirement. I am the(check one)0owner ❑owner's agent.
Owner/Agent C ��_.• 508-930-1405 I PERMIT FEE:$
Signature l Telephone No.