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Home My WebLink AboutBLDE-23-005287 , ,_ , \-is Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005287 ' 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:3/27/2023 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) 168 CAPT NICKERSON RD Owner or Tenant MICHAEL CURLEY 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: Remodel kitchen&2 bathrooms. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 18 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. 1 Total 2 No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers 1 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 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: Jeffrey M Mcinerney Licensee: Jeffrey M Mcinerney Signature LIC.NO.: 51152 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:42 MOUNT VERNON AVE, NEEDHAM MA 024923839 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. I PERMIT FEE: $75.00 I 1<-7.\,0e.,t1 tilct(2 i' -- ` f- 07-Y-2 Ca RECEIVED MAR 2 7 2023 Co nea�o/maoac�t Official Use Onlyw „ c� c7 {� Permit No.�-�J 5�-�� - i a IN G D E PA R T M E,' Jspartmsnf o/.Lira Jsrvicaa }. - Occupancy and Fee Checked � Y,4' = •• ' " •a •• PREVENTION REGULATIONS )Rev. I/07] (leave blank) o APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),327 CMR 12.00 v (PLEASE PRINT IN INK OR TYI ALL INFOR TION) Date: `3 p1�0 pl-ci oU City or Town of: I AT.Pt p tit To the Ins ctor of Wires: • By this application the undersigned gives notice of his or intention to perform the electrical work described below. I Location(Street&Number) / 6 8 l ef�p f /ii/C/C S O h 80( • Owner or Tenant /77e.Aae/ C•c.il Telephone No. • Owner's Address a y Al�•rp m� / t 01i2 ,yj fI 42,z p3) -. Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. (` Existing Service j Amps r''"'11,~- Volts Overhead "" Undgrd L No.of Meters / New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters •''a Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: `L'i'�C /7 e re pliz$e.t S lutes. f ►-c vi Completion of thefollowing1table may be waived by the Inspector of Wires. Total l� No.of Recessed Luminaires f No.of Ceil:Susp.(Paddle)Fans Nof Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA �a No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets /vl- No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches �i No.of Gas Burners Initiating Devices I''t No.of Ranges / No.of Air Cond. / Tonsl ,, No.of Alerting Devices No.of Waste Disposers / Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices , No.of Dishwashers / Space/Area Heating KW Local 0 Monnection unicip ❑ Other C No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: fvgc'c' n Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec 'cal Work: , (When required by municipal policy.) Work to Start: " . ✓c1.) 3 Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVE GE: 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.atsd penalties of pointy,that the information on this application is true and complete. FIRM NAME: j4 i 1,` ci%( LIC.NO.: Licensee: Jr nz. Signature _.1,: 7 LIC.NO.: ,57/,$'4 E (If applicable.enter" „ ""in the license nwnber / Bus.Tel.No.' "7 /-7 d..).9 C Address: 9 ° $ ) *Per M.G.L.c 147,s.S7��tsecvnJ'ty��k,�� d-D�� Alt.TeL No.: TAN 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 ieequirement. I am the(check one)0 Owner/Agent owner owl's agent. Signature Telephone No. I PERMIT FEE:$ I