HomeMy WebLinkAboutBLDE-23-003361 ' _
0Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-003361
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(2.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/16/2022
City or Town of YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform m the electrical work described below. � /
Location(Street&Number) 71 OLD HYANNIS RD 1 ' i Val (L 4il.ji t <QY
Owner or Tenant : ___. . .____. _a._ - Telephone No.
Owner's Address 71 OLD HYANNIS RD, YARMOUTH PORT, MA 02675-1767
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: Wire pool house and bathroom.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 7 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 10 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 6 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 1
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 Ballasts Data Wiring:
Heaters Signs No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 1
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:) 6- (7-?3 9 7 5 7i
I certify,under the pains and penalties of perjury,that the information on this application is true and complete. �/
FIRM NAME: Paul R Macmullen
Licensee: Paul R Macmullen Signature LIC.NO.: 33668
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:57 MARSHALL ST,WINTHROP MA 021522747 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
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Commonwealth of Madeachuastio Official Use Only ,
_AL,, j� Permit No. EZ? 3 3�i
11 2spa tme i o eraices -
i i?`' Occupancy and Fee Checked
,ysy BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank)
-j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00
\``I (PLEASE PRINT IN INK OR TYPE ALL INFOR O.) Date: /?- /�—r,/,�.
Cityor Town of:
Q 'l l4('�1'1(Xl'+(-�� (t� To the Inspector of Wires:
By this application the undersign9dgives notice of his or her intention top orm the electrical work described below.
Location(Street&Number) 7/ Off) )4 yArv)i r�'c
�, Owner or Tenant Ml j�►i4 t I 3 i r`t R,O'V Telephone No.
Owner's Address 70 DbR.CAR- (2 Nehi-lon. (1/I, C4-y.5'I
S Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box)
Purpose of Building Pled l-kuSC .t RA44.4 gebti Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Z New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
Number of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: jr-' Rov2 a F v taf0 13e1-1.r MO I
'Lae at i J Buse It ati.fUte 45444 Tile1ia;,j i k/t)-C , -/ � .i siz.i 1 ,5 uR Erne%
Completion of the followinvable ow be waived by the Itor of Wires.
No.of Recessed Luminaires 7 No.of Cell.-Snap.(Paddle)Fans Tr•Transformers Total
KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires 3 Swimmin Pool Above In- lvo.of Emerge®cy Lighting
g grnd. ❑ grnd. 0 Battery Ue#ts
No.of Receptacle Outlets 7n No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches / No.of Gas Burners Tio.of Detection and
(� Initiating Devices
No.of Ranges No.of Air Cond. Tons Tons No.of Alerting Devices -
No.of Waste DisposersHeat Pump plumber_ Tons KW No.of Self-Contained
Totals:_ --- -___..-. Detection/Aier , Devices I
No.of Dishwashers Space/Area Heating KW Local❑ Mon �'� 0 Other
Connection
No.of Dryers Heating Appliances KW Security Syystems:4
No.of Dmices or Equivalent
No.of Water , No.of No.of Data Wig:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W�
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work; &0Q 0 ,CO (When required by municipal policy.)
Work to Start: 0- )j- 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 Gg 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: (P.M ( LIC.NO.:
Licensee: Nei MA( ilia.104 Signature LIC.NO.:3366 2 F
(If applicable.enter"exempt"in the license number fnc.) Bus.TeL No• r �i�` 7". 9
Ad
dress: 6.9 t'4t-jt40//S' w i•1'IOTANA- oa./5,� Alt.TeL No.: -)-- : -i qq3
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 ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$