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Home My WebLink AboutBLDE-22-001171 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001171 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:9/1/2021 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) 29 KATHARYN MICHAEL RD U Owner or Tenant MCSWEENEY JOHN JR Telephone No. Owner's Address MCSWEENEY JOHN &MARY JANE, 29 KATHARYN MICHAEL ROAD,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: Upgrade service 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 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 ❑ 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 Signs 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 ❑ 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: GARY L GORDON Licensee: Gary L Gordon Signature LIC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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: $50.00 eV2A1 RECEIVED . AUG 1202 o as yy�of///aaaachivaeffa Official Use Only .: w; DING DEPARTM cc�� 7 Permit No. r--//"L-(C I 1 e�: � —-_ of o�.}ik Jiawacta I Occupancy and Fee Checked ,,�± BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK l\ All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 CMR .00 (PLEASE City PRINTTown IN INK ORof: TYPEYARMOUT ALL INFORMAT OHNI Date: or To the Inspect r of Wi By this application the undersigned gives notice of his or her int tion to perform the electrical work described below. Location(Street&Number) 4 i � e� _ .d �, NA Owner or Tenant � `-' it ,��r e t,-' d e ., - Telephone No.s j` '7— 9,272`� Owner's Address S . 5,7) Is this permit in conjuncts with ahuiWing permit? Yes 0 No 0 (Check Appropriate Box) T Purpose of Building ell t',✓ Utility Authorization No. % ExistingService �_ /O,j Amps/do / d Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead Undgrd d gr ❑ No.of Meters Number of Feeders and Ampadty Xst' b".10 --�-, Loc on and Nature 9f Proposed Electrl Work: 4 eiy < ce , ,04../a Cottipktion of the folknvi table may be waived by the Ii ctor of Wires. 111 No.of Recessed Luminaires No.of Cell.-Snap..(Paddle)Fans No.of Transformers Tot. C4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ts No.of Luminaires Swimming pal Above ❑ In- ❑ No.of Emergency Lighting � t;rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS [No.of Zones k % No.of Switches No.of Gas Burners ofDetection and t..! Initiating Devices cLak No.of Ranges No.of Air Cond. Toni No.of Alerting Devices No.of Waste Disposers Heat Pump umber}Tons I KW No.of Self-Contained Totals: '"�"' µ''"� 1"`-. Detection/Alertingpevices No.of Dishwashers Space/Area Heating KW Lod❑ 1VluntetI Connection ❑ other No.of Dryers Heating Appliances KW amity Systems: No.of Water No.of No.of No.of Devices or Equivalent C\' Him KW Signs Ballasts Data Wiring: ^- No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring. �� OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required bythe \. Estimated Value of El trical Work: we., e4 Inspector of Wires. (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE E: Unless waived by the owner,no the licensee provides proof of liabili �� permit for the performance of electrical work may issue unless V ty 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 BOND 0 OTHER 0 (S ci 1 I certify,under the pains and nalties o fy:) f perjury,that the information on this application is true and complete \ a FIRM NAME: 'If _ - f' �r•'L/� 2 �� Q/�,� r �-� LIC.NO.:�"----�=� t� Licensee: �—e, �� Signature of applicable,enter' m t"in.the licens nu her line.) —LIC.NO.: Address: J if Bus.Tel.No.* / *Per M.G.L.c. 147,s.57 curiiy work requires Department of P lic Safety Alt.Tel.No.. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage ni ly required by law. By my signature below,I hereby waive this requirement. I am the(check one • owner R owner's a.ent. Owner/Agent Signature Telephone No. PERMIT FEE:$