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Home My WebLink AboutBLDE-23-003272 Commonwealth of Official Use Only r ,i Massachusetts Permit No. BLDE-23-003272 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:12/13/2022 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) 57 DRIVING TEE CIR Owner or Tenant THOMAS McCAFFERTY 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. r' 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: Install generator 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 1 KVA 18 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. 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 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: FRANCIS D JONES Licensee: Francis D Jones Signature LIC.NO.: 13534 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:309 Neck Rd, Rochester MA 027701700 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: $80.00 _ Y Commonwealth,o/Ma66achuoetto Official Use Only r' _15 5 ' e� Permit No., 23 3 Z7v' • _ Department oi5ere e.?ervlceii i 9ccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev, 1/07] Ieave blank APPLUCATI*N FOR PERMIT TI PE''', FOARM ELECTRICAL ` RK'. All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date; 1 L 7 .1. . • City or Town of: S6 �c fer VZ ,, To the Inspector^of Wires; By this application the undersigned :fives icicOlLwice of his or ler intend,to perform the electrical work described below, Location(Street 84 Number):5 Pi � 11 l Owner or Tenant :,Ain a 5 i i, M f > MO 0 . =" f� ne No, Owner's Address e g- 930_ Is this permit in conjunction with a building permit? ' Yes No Ni (Check Appropriate Box) • Purpose of Building _ Utility Authorization No. Existing Service Amps / Volts • Overhead Undgrd_ No,of Meters New Service Amps / Volts Overhead 0 Undgrd 0. No,of Meters — Number of Feeders and Ampacity i Vocation and Nature of Proposed Electrical Work; 'i ' a) . ' . Completion of the following table in' be waived b the Inspector o Wires. No,of Recessed Luminaires No,of Ceil,-Sus , Paddle Fans Tr,ns a P (Paddle) Transformers KVA No,of Luminaire Outlets No,of Hot Tubs Generators IKVA Above Inc boo of Emergency Lighting No,of Luminaires Swimming Pool .rnd, ® Batte Units • ,rnd, _ •No,of Receptacle Outlets No,of Oil Burners FIRE ALARMS No,of Zones of Detection and C�fj No,of Switches No,of Gas Burner's No, Initiating Devices No,of Ranges . • No.of Air Cd, Tons No,of Alerting DevicesCad, Heat Pump Dumber l; ans IICW 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 eouritySystems:* No,of Dryers heating Appliances KW No,of Devices or Equivalent 1o,•o r ater f No,of No o Da d Wiring; Pleaters KW Suns Ballasts • No,of Devices or Ecuivalent Teiecommunications•W'iring'�; •• No,Hydromassage Bathtubs No, of Motors' Total HP No,of Devices or Equivalent •OTHER: ' ', 4 4 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; 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 0 BOND ® OTHER 0 (Specify;) I cat*,under tJt'e pains•and penalties of perjury,that the tnforn2atton on this application ' true and complete, 9, (•I� A,i ., FIRM•NAME; t' ,, 01'1,,5 1.----J C 1i1 el ; LIC..NO,; '—t. q Licensee; ---1a.)18,l' 1•J 0Yl"$ Signature ' „t✓(,e„,vs .�'� LICC,NO,•; .If'applicab'le, enter "exempt"in the license nauna er line, Bus,TeI,No,; • Address; I I t.) ,o-.rfq f G'. se -/ Mg, 07 • .Alt,Tel, Nodi 'Per M,O,L,c, 147,s, 57-61,security work requires D partment 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 a ent.y Owner/Agent - • - - Signature Telephone No, PERM&FEE`:'$