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Home My WebLink AboutBLDE-22-007196 #1317 • \ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-007196 o.,,o 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:6/14/2022 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) 1305 ROUTE 28 Owner or Tenant 1313 Main Realty Trust 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 400 Amps Volts Overhead RI Undgrd 0 No.of Meters New Service 400 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&relocate circuits(1317 ROUTE 28) 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 g bovend. ❑ g rnd. ❑ No.of Emergency Lighting r 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: 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: Timothy J Mcdonald Licensee: Timothy J Mcdonald Signature LIC.NO.: 10788 (If applicable,enter"exempt"in the license number line.) Address:62 Nobby Ln, West Yarmouth MA 026733523 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $100.00 Or LayI /Cl r , RECEIVE • '- \ ----------- notpnweald o/MaJJachu..4elb I ITnicial Use Only i i 1 Perout No. e Z-7- ——7 17-tirohuN 132022 ' (-? el-artment olit 3ire-JerviceJ i Vt.INF', I Occupancy and Fee Checked "0_ID i tai-Afif;Q ieF, E PREVENTION REGULATIONS kRev. l 07] i lezive blank I ' By•_ ---- -- --___ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pertimned in accordance with the MasNachusetts Electrical Code(MEC i.527(MR 1200, (PLEASE PRIV T IN INK OR TYPE ALL LVFORMATIOA) Date: O . l3 , ;202- t City or Town of: YI I R. tip UT)-1. 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 8c Number) an;)--ge i3/1- ifeulai c(1-. in 5- Jed a,,ie Owner or Tenant 1 31.3 11041 RzAitii Tkos-i- ei41:44,7 Telephone No. Owner's Address Is this permit in conjunction with a.building permit? Yes 0 No 2' (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service OG Amps I 20 t zo Volts Overhead [12/ Undgrd n No.of Meters 2 New Service Li 0 0 Amps / Volts Overhead ICI Undgrd 0 No.of Meters 2 Number of Feeders and Ampacity f Location and Nature of Proposed Electrical Work: voZtf, Exi,y6.4 cquicz Fivin 200A ix. 4900 A &6 or, 12,240,,,,t.n. GI ii„,,i LAZt. f&-ok,u4 ckfttiii Mo-veill'Atinktf catifec ci 4,46444 compoi„,,f!the,f6Ilowing!able mot-k. Iti S,:t!IT!he inveettn-r?!.(11.,TA No.or Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets ,No.of Hot Tubs Generators KVA No.of Luminaires Above --I In- ri No.of Emergencs Lighting 'Swimming Pool grnd. L, grnd. " Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of DetectiOn and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tens No.of Alerting Des ices Heat Pump Number lions KW 'No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertipg Devices .j No.of Dishwashers Space/Area Heating KW Local 0 rounnniccgit 0 Other A. No.of Dryers Heating Appliances KW Security Systems:* , „ No.of Des ices or Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts ' No,of Devices or Equivalent Telecommunications Airing: No. Hydromassage Bathtubs INo.of M I Motors Total HP No.of Des ices or Equivalent OTHER: itra,it aatinional detail if desirceL or as required ht-ilw loPeclor ql Iiire- Estimated Value of Electrical Work: /0, 6 0 i-) (When required by municipal policy.) Work to Start: OC /5. 20 2 a Inspections to he 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 pros ides 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 Elf BOND 0 OTHER El (Specify) 1 certifr,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: L1C.NO.: ...--- • Licensee:' • c Signature 11: 124711--t 11/er--t 1.c.... LIC. NO.: A)rf.S.15 /Li applicable,enter -exerni -tti the liceme ni,her ifint.„4 Bus.Tel.No.: To--S70,IS i 7 za Address: 35',Oril/kjii i ,S4- ca ti ki LiPi /1114-C.,;(3./3 Alt.Tel. No.: *Per M.G.L.c. 147.s.57-01,seturity work requires Department of Public Safety"S" License: Lie. No. OWNER'S INSURANCE Vk AIVER: I am aware that the Licensee does not hate the liability insurance coverage normally required by law. By my signature below.I hereby waive this requirement. I am the(check one)0 owner Downer's agent. 17/1). MC(b0/1/A LOG) ROcKET-milh. . e0,4