HomeMy WebLinkAboutBLDE-23-004102 or Commonwealth of Official Use Only
fE Massachusetts Permit No. BLDE-23-004102
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:1/25/2023
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) 59 PARKWOOD RD
Owner or Tenant FELIX LIDONNI Telephone No.
Owner's Address
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 devices&add receptacles on island.
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 2 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiative Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Ton
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertina Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No
No.of Devices or Equivalent
HeatersWater KW No.of No.of Ballasts Data Wiring:
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 0 (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: Michael J Maguire
Licensee: Michael J Maguire Signature LIC.NO.: 25035
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 148 AUDREYS LN, MARSTONS MLS MA 026481631 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
8t0Z,
will cciii
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Permit No.
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J A N <. '' Occupancy and Fee Checked
11/4
+!` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
By gU��o,' Dt -AP 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: /-- 2 3 — Z c 2-3
City or Town of: ,,-,y,vT1 To the Inspector of Wires:
By this application the undersigned grves notice of his or her intention to perform the electrical work described below.
Location(Street&Number) i 7 �1. lg.,. s $'. y
Owner or Tenant 1 p /2n 1. Telephone No.
Owner's Address S o v.
Is this permit in conjunction with a building permit? Yes El No E (Check Appropriate Box)
Purpose of Building -5,<r f/ /6ti, , Utility Authorization No.
ri
Existing Service to e, Amps / /.2.SYc Volts Overhead[ Undgrd❑ No.of Meters 7
New Service Amps / Volts Overhead Q Undgrd 0 No.of Meters
1 Number of Feeders and Ampacity / 0
Location and Nature of Proposed Electrical Work: G Lel s A.,h ...,,/o vT/'4/r f �A,7`r-
z u J Pas✓.� .tQi-a,L..,- s -/ tea.✓a�iV 7s
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ce11.-Snap.(Paddle)Fans No.Transformers KYA
ttl ns Total
;1
Qt No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingAbove in. No.of Emergency Lighting
Pool tlrnd. Q Srnd. U Battery Units
No.of Receptacle Outlets .2.__No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
=' No.of Switches No.of Gas Burners Initiating Devices
fiTotal
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers HeatTotmg Number T- _,�KW_�.... No.of Detection/Ale nin Devices
No.of Dishwashers Space/Area Heating KW Local❑ M Q Other
, Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water ItW No.of No.of Data Wirings
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydraniassage Bathtubs No.of Motors Total HP Telecommunications :
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: ,2.e .4.3 '(When required by municipal policy.)
Work to Start:—Z - Z 7 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 BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjstry,that the information on this application is true and complete.
FIRM NAME: LIC.NO.: _
Licensees /yam �e,� / „._ Signatures i �jfi LIC.NO.:LL�S e,3J�_
(Ifapplicable.enter"exempt"in the lice ber line.) J' Bus.Tel.No.:77% / ' 3 r
Address: /s,-1.„,/e :Z. /, fo 4�,s..%/%/%,% as e Y Y Alt.Tel.No.:
*Per M.G.L.c. 147,s.57:1,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. I PERMIT FEE:$ 5'0
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