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Home My WebLink AboutBLDE-23-000776 AGO Commonwealth of Official Use Only 4E-_ Massachusetts Permit No. BLDE-23-000776 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.I/071 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:8/16/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 45 MOORING LN Owner or Tenant DONAHUE KEVIN M Telephone No. Owner's Address DONAHUE CAROL PORTER,P O BOX 213,WEST BROOKFIELD,MA 01585 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: Installation of A/V&security systems Completion of the following table maybe 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 Above ❑ In- ❑ No.of Emergency Lighting grad. 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 K\\ No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* 11 No.of Devices or Eauivalent No.of Water K\V No.of No.of Ballasts Data Wiring: 8 Heaters Sines No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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. 'I Q? CHECK ONE:INSURANCE ❑ BOND 0 OTHER 0 (Specify:) C78/_ze 1_ 07 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. -7''V FIRM NAME: Peter J Beckford Licensee: Peter J Beckford Signature LIC.NO.: 34932 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:290 SALEM ST,WOBURN MA 018012029 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) ❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$45.00 ( wg( 17r het 2a €&i 3 I RECI P �� EDI 1 AUG 11 20, � Ai nutaa[th o`mameachu setts Official Use Only ),' _ "a''t I DEPARTtoyC cc�7 serviced Permit No. L23 '�•7/4c ': B' '' sNparf�rsnl o� }iN Jirvicse t IT Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Co EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: C� /l z 7i City or Town of: YARMOUTH To the Ins ec or of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4! 57}/Dore-oily, �v1 Owner or Tenant i`e(/i`el v� _ 7 Telephone No. i\I Owner's Address S l t� Is this perioit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters •••--- Number of Feeders and Ampadty 11 t♦ Location and Nature of Proposed Electrical Work: f{.Udrt'C/Vs eLc) ct C -001 vl Completion of the following table m`' be waived by the In ctor of Wires. i.1. No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of Total 0./ Transformers KVA 1-1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA c2, mot" No.of Luminaires • Swimming Pool Above ❑ In- 'No.of Emergency Lighting grad. grad. ❑ Battery Units .1 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 i No.of Ranges Total g No.of Air Cond. Tons No.of Alerting Devices No.of Waste DisposersHeat Pump Number.. Tons KW "No.of Selftontained Totals: Detection/Alertingfievices Space/Area HeatingKW Municipal No.of Dishwashers S p Local0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent/ ( • 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: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 40 a (When required by municipal policy.) Work to Start: Inspectoo s 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 ❑ (Specify:) I certi under th fY� pains and penalties of pe ury,that the information"'this 'plication is true and complete.FIRM NAM : —Th.- "or LIC.NO.: Licensee: Signature ��ir(Ifapplicabl'e,firer"ese the li a umber line.) , '� LIC.NO.: Z Address: `7't"iU(� � !�/�j I� NO n � O/ 2 Bus.Tel.No.`7�/._3Zi_77per 'Per M.G.L.c. 147,s.57-61,security work requires Dcety Alt.TeL No.c. 54, -� p 7 OWNER'S INSURANCE WAIVER: I am aware that theLicensee does not have theliability insurcense: ance coverage normally 55 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: $