The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002748 , Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002748 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:11/17/2022 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) 1175 ROUTE 28 Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 �,, Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec ropriate Box) Purpose of Building Utility Authorization o. O Existing Service Amps Volts Overhead 0 Undgrd ' •ters New Service Amps Volts Overhead 0 Undgrd 4,*.'• ; s Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of temperature control system. Completion of the follow t êector of Wires. p No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of. Total Transformefs / KVA No.of Luminaire Outlets No.of Hot Tubs Generators ! KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency L ting 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 No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Michael Mclaughlin Licensee: Michael Mclaughlin Signature LIC.NO.: 13214 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1012 WEBSTER ST, NEEDHAM MA 024923217 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: $80.00 EW1G I( 1.-n Su.✓Q rl ce iReZEIVED 1ia /� arpartmenf o�J��77iro NOV 16 202 ,„ Camman eaf o/ rriadsachusette Official Use Only BU LDI NG utF'/ie`e' c� n Permit No. u23-!i/�� Serviced BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07/ and Fee Checked V (Rev. 7] (leave blank) kr-APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK m All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 \S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1l-/C ->. {\, City or Town of: YARMOUTH To the Inspector of Wires: V By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Gl 7$' Rare 6 n Owner or Tenant l`�e GOA 66,rJ}0r0(2A7.7 v L. Telephone No. t' Owner's Address ..5✓0rN.f �' Is this permit in conjunction with a building permit? Yes Eg.--No ❑ (Check Appropriate Box) Purpose of Building I Utility Authorization No. UuExisting Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ,�-1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Lti/rLt_ Ame, /NS -' C¢N�c'il_— Sy}Tf M n9 rti TE/l foft�v2 L. Completion of the followingtoble muy be waived by the Inspector of[fires. '!; No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans NNo.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 ¢rnd. ¢rnd. Battery Units - No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners Teo.of Detection and Initiating Devices No.of Ranges No.of Air Cond. onsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number.Tons KW _ No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area HeatingKW Municipal P Local❑Connection El Other No.of Dryers Heating Appliances KW Security Systems:. No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 2o Attach additional detail if desired or as required by the Inspector of{fires. 3 Estimated Value of Electrical Work: Dad. (When required by municipal policy.) Work to Start: //-/6-?2 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 cov ge 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: MGt-4(.14{fL/K ed.e4-Tera-irt- LIC.NO.:A/3 /4/ Licensee: Kemp£l_rn,Z,(.p V e.GtL/n Signature ‘4„� N.J...e..N.- LIC.NO.:Pc i j.D/1/(If applicable.enter"exempt"in the license number line.) Bus.Tel.No..7 Si-7G a-G/i'Y Address: j6/..- f v j?fr c/e. 5'hies ti4 Priv, Pt Pi o)y41 Alt.Tel.No,: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lice 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:$ 'O— f-/ (E-7