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Home My WebLink AboutBLDE-23-002908 Commonwealth of Official Use Only ii Massachusetts Permit No. BLDE-23-002908 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:11/28/2022 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) 11 TODD RD Owner or Tenant RAFTERY JOHN P TR(EST OF) Telephone No. Owner's Address C/O DON RAFTERY, 120 WOODSIDE DR, GREENWICH, CT 06830 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Boxi Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 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.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: Matthew P Logan Licensee: Matthew P Logan Signature LIC.NO.: 20915 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:303 SANDWICH ST, PLYMOUTH MA 023606503 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 ' RECEIVEDF `h, rrwsa[tk o� aedac�iueetie }Official Use O�n}ly „ NOV 28 202fo Permit No. (�2 3 'zee e pa'tm snt el 3ire�eruics6 1 I L D Occupancy and Fee Checked _bstplAKu r E�' F REVENTION REGULATIONS Rev. 1/07] (leave blank 1 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: i - 7 ..t o?,1.. �; City or Town of: ii i..,t , W rV 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) l( 11,d6.1 (i,ck , v Owner or Tenant DO" kt.i. (C,.-1 Telephone No. -j Owner's Address c) Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building po 1t.;";A3,;,,:A„„;'1 Utility Authorization No. I Existing Service 10 Amps D.G / —s-ti,Volts Overhead El Undgrd❑ No.of Meters WNew Service Amps / Volts Overhead 0 Undgrd C No.of Meters `t Number of Feeders and Ampacity (13 c ;t '`e� f-or- lx,4\e v.--, r',ay,f. t,. � p ty �) i--0� .� � 1 Location and Nature of Proposed Electrical Work: siMu „., f,L,,, �; 5,;,,ILt,,, , �v, 6?ir,4.,� ,,. ' ' + n 1 i' i + til hx..i�.Z, va ,i NA kj r,, , t, CA.."':1 es.,,:-, I.;o-�d-s� „ S.,rkt �'1FL1 ►y 1.,66. It 1�.1,(,'' 1 Pa 2-it:A 1 iiti li Iv! rrrii' �@ .i'�.. (1..,4G ek, _ez v)I- T�ir1+ ih in. 11A ,,n 1 AM (1' n1,-.) �:w. tr F,' i�. i�ci(r^?,,s.5, Completion of thefollowing.table m be waivedby she Inspector of Wires. Total No.of Recessed Luminaires No.ofCetl:Susp.(Paddle)Fans Trano. s KVA �`{ Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA dr No.of Luminaires Swimming Pool Above ❑ In- ❑ 'No.of Emergency l ighfing �rnd. grnd. 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 II No.of Ranges No.of Air Cond. Tons No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Co n echo ❑ Other Connection 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: J Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:`%t i,= _ (When required by municipal policy.) Work to Start: it-2-3 — L 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: j'C,L. 'Eji -:,i:"( 6....( L .:•'C'!"r i., ,i I,: .. - LIC.NO.: ,Z6..c::(-1/ci1 Licensee: MALQ.„ , i. z ,,a Signature ''" LIC.NO.: (If applicable.enter''exempt"in Orelicense number line.) n Bus.Tel.No.• '1j' I 7 1 5-be i 7 Address: 30 3 . i > ,,vi,,,rI f(ir o.. At I O2r3(,() Alt.Tel.No.: *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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $