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Home My WebLink AboutBLDE-22-003917 #61 // Commonwealth of Official Use Only ICE ��' Massachusetts Permit No. BLDE-22-003917 l • 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:1/14/2022 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) 5118161 LEWIS RD Owner or Tenant Bob Bissanti Telephone No. /�' '.°f Owner's Address 59 LEWIS ROAD,WEST YARMOUTH, MA 02673 t ` "p Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch ltAppV'eprfate`pox) ,;\, Purpose of Building Utility Authorization No. 1 , Existing Service Amps Volts Overhead 0 Undgrd 0 N ,!of��t-eteg-s '` --* New Service Amps Volts Overhead 0 Undgrd 0 No.oi'Meters' ! Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. /j '- `:'/ Completion of the following table may e 11e3 by the pe or of Wires. No.of Recessed Luminaires 6 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 3 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 1 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/Alertine Devices No.of Dishwashers 1 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 Eauivalent 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: James J Loughlin Licensee: James J Loughlin Signature LIC.NO.: 17387 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:546 UNION ST, FRANKLIN MA 020382472 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 4 i) &� o-, ct 11 f 3 ti 4 2 "i if u - il`ri k t (2� �- 'fit,.-(6,4 .5/z:302 Cacti �t.�ca � t... v (.44 Nucal 1, j -(,_c/— � / •. - t..oaunonwmanK o/ aosscisai#a. . - Oil Use Only .2�� S PermitNo. -�2-39 i 7 necas Occupancy and Fees Checked BOARD OF FIRE PREVENTION REGULATIONS [Rcv.1A7! awe wad* r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali work to be perfumed inaccordance wail tie -E[eetriCal Code(MEC),s27 ChM 1200 (p TRA SRPRINTA''F KOR TYPE ALL RWATIOADate:) /f i/x.3.. City or Town oh Gi/e sr Y4--iri,o✓ -/-A. To the Inspector of Wires:- , y thus application the gives notice of his or her intention to m the electrical work.described below Lo (S€ drNus�r)S' -.i/ /e t�`,`G /�o�� -.. Owner or Tenant Roe t- 0/n.,a je 4 fr...; s.u ./.0-�'..c ' Telephone Na e 9+5�k - yL r/,S. Owner's Address - S 4H1el •.-- ---is this permit is conjunctionwith a penult? Yes VI No El (Cheek Appropriate Box) - Purpose of Building- //04/a -Utility Authorized=No. .. Existing Service Amps -L-_ Vohs Overhead❑ Undgrd 0 No.of Meters New Service Amps I . - ells Overhead❑ Undgrd 0 No.of Meters Number of Feeders arid Ampaeity -.-- Location and Nature of Proposed Electrical Work temp,*ikeriel, ,ono o»ke!i-d ? 141 / 4 r 8 Glor, . ruin" At04) idearxr l/fl rr P.G9iifyr quo-t- r-)_e,.' .t ✓ ,+,n .fthef'llo gwbl abe by r Total No.of Recessed Luminaires 6 No.of (Paddle)F s l'ranstbruiers KVA No.of Luminaire Outlets No.of Hot Yuba- Generators KVA No.off At swimming nig Above ❑_ ❑ 140.1)1Irgeney Laganug Na ofReceptirde Outlets 3 No.of OH Burners - FIRE ALARMS -No.of Zones of Detection:and No.of Switch No.of Gas Burners No' , Initiating Devices ta No.of Runes / No.of Air Cod. T- No.of Alerting Devices - No.of Waste DisposesHeat Pump T I Number I Two KW No. No.of Dishwashers / /Area Kw LeadO ..,;:'l t y `i-,. ❑Other No.of Dryers Heating KW 9ity ' ,;i :,:,* No.of Water lV No.of N q y Heaters Sipsorb • Ballasts No.of•Devices or .; , ,,t - No.Bychemassage Bathtubs No.of Motors Total HP TelecoMmunicatiOnss .- No.of Devices or , ;i ,- OTHBR: Anted additienaldeotil J'destred or Gera ralby the lnspeet ro'ii Estimated Valise ofElect ic�al Wort 00 •0-0 ( by =) ' Work to Sty///3✓. .? sto be requ d in accordance with IvIECRIIe 10,and-upon completion: --.. INSURANCE COVERAGE: Unless waived byte owner no pew*for the performance of electrical work may issue unless the licensee provides proafofl ability inoludisg operation"coverage or its substanthd equivalent. The undersigned certifies that such,coverage is in force,antbas extol:died proofamine to the penintissuing-office. CHECK ONE: INSURANCE GI BOND ❑ OTHER ❑ (Specifj") I certIfil,ander the pains we• :,•,-; of ihafthe •,-; an , ls •,7'.1, Inn and complete. - FIRM Nam:- L hlin N'' � / . IdC.Iwad.: A17387 James Loughlinoguature arc.No.:E30592 Clf°PPII / -.sus.TA.N Address: I//- Mt.Tel.Na:BOB-5fl &7R 9S ' ''b'Per M.G.L.c.-147,s.57-61,security workrequhes •-.„ ,�, �, , Safely"S"Lice Lic.No. OWNER'S INSURANCE WAIVER: I am aware that:the • - does not have the liability insurance coverage normally requiredby law. By my signature below,I hereby waive ; , requirement I ant the(check one)0 mew ❑_owner'sagst. Owner/Agent . Signature TdepheneNo JFERMITFEES