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Home My WebLink AboutBLDE-22-005334 Commonwealth of Official Use Only alAllpk0 Permit No. BLDE-22-005334 KI Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:3/24/2022 City or Town of: YARMOUTH To the Inspector of Wires: 3y this application the undersigned gives notice of his or her intention to perform the electrical work described below. .ocation(Street&Number) 24 CHEYENNE LN )wner or Tenant OLOUGHLIN JOSEPH P Telephone No. )wner's Address OLOUGHLIN JONALOU,24 CHEYENNE LANE,YARMOUTH PORT, MA 02675 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: Generator wiring. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiatinu Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alertine Devices Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Local 0 Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water Imo' No.of No.of Ballasts Data Wiring: Heaters Siena No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: DAVID R NICOLL LIC.NO.: 37557 Licensee: David R Nicoll Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N Address: 144 DRIFTWOOD LN, S YARMOUTH MA 026641038 *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 I PERMIT FEE: $50.00 Signature Telephone No. otta �7z,77 I— , RECEIVED 'G �dl 5 MAR 2 3 2022 Pa E nt 0/5, S'Cr ;�C� PermitO. Occupancy and Fee Checked P�Z'3.3 L( ; __.__.BOARD_OF F E PREVENTION REGULATIONS .UILDING DEPARTMENT [Rev. 1/071 (leaveNank) A ' "- - j - R PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC)„ 2 CMR 12.00 (PLEASE PRINT IN INK OR TY LL INFORMATION) Date: L _ Q( )-- City or Town of: �i1111V L?Z To the Inspector of Wires: By this application the undersigned ives notice of his or her intention to perform the electrical work described below. Location(Street&Number) � � L P�ld Owner or Tenant T G t 3 ' t 0 CT-trk L t 1\1 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No a (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service i OL) Amps L /'9 Lt Volts Overhead 0 Undgrd 2 No.of Meters I New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ` t�'� f u� 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 ❑ tn- ❑ No.of Emergency Lighting gmd. girnd. 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 Totl No.of Ranges No.of Air Cond. Tons No.of Alerting Devices I No.of Waste Disposers Heat Pump Nuni cr_. Tots____IOW__ No.of Self-Contained Totals:. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 M ici ion 0 Other ICo j • No.of Dryers Heating Appliances KW Security Systems:* 1 No.of Devices or Equivalent 1 No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts 1. 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: 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 E BOND 0 OTHER 0 ( - cify:) I certlfy, under the mains and penalties of perjury,that the informatio ,n thi ap •t',, ,i and complete. FIRM NAME: !-)$.4 it) N teo t..L. — I LIC.NO.: .3"/5 S 7 E Licensee: Signatu . 4 / LIC.NO.: / (If applicable, enter'exempt"in the license lumber line.) us.Tel.No.: 9-b 9s 03( Address: t''I 4 biLl l*T 1Th .D LA S.Y t.M,ttr 1 t Mk 0 WI Alt.Tel.No.:St'i;-31;6 131.3(c E_U) *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) 0 owner 0 owner's agent. Owner/Agent ' Signature Telephone No. ; PERMIT FEE: