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Home My WebLink AboutBLDE-23-004423 Commonwealth of Official Use Only Permit No. BLDE-23-004423 kt .-,: Massachusetts 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:2/9/2023 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) 68 CAPT SHIVERICK RD Owner or Tenant FITZGIBBON JAMES Telephone No. Owner's Address FITZGIBBON B K AND D, 3 PINEWOOD RD, MILFORD, MA 01757 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: Replace distribution panel. 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 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 1 Initiating Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained g Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: ti 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 Siens No.of Devices or Equivalent 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. 7�1v 3 CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) ,'fci8— 336 l I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Richard T Mckenzie Licensee: Richard T Mckenzie Signature LIC.NO.: 28006 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 55 BARQUE CIR, SOUTH DENNIS MA 026602359 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 t� ((�� Telephone No. PERMIT FEE: $50.00 «�Z-d 13(2- r, 6t- M 1D O 4 rep.102- Gilets , Q61) 4t-2-5 a> Commonwealth o/Mamachuietti Official Use Only *== 323 --it_ cc�� c�77 Permit No. __INI J lepartment o/ }ire Serviced ``-1_ - Occupancy and Fee Checked ,; _ ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2— 9—2$ City or Town of: , L'a md,,94# To the Inspector of Wires: By this application the undersign ggtves notice of his or her intention to perform the electrical work described below. Location(Street&Number) d, 4, ,,.e,,-/ �r Owner or Tenants i.-`� yZ g;,r; G,o� Telephone No.�c �c��-Yf4�/,5 Owner's Address �J Is this permit in conjunction 'th a building permit? Yes I I No (Check Appropriate Box) Purpose of Building / e.,e_ .. Utility Authorization No. Existing Service 4,0 Amps /.1' / 20:7 Volts Overhead Undgrd 2 No.of Meters New Service Amps / Volts Overhead 1 I Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,ge,X7e-e, r'prj 4 p,I ',enc./ Completion of the following table may be waived by the Inspector of Wires. Nootal No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans Transformers of TVA P KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires swimmingPool Above ❑ In- Li No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. InDete and Initiatinnggon Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of DryersHeating 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 dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring No.H y g 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: 2-2-23 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 cove ge is in force,and has exhibited proof of same to the permit'ssuin office. CHECK ONE: INSURANCE [I BOND ElOTHER ❑ (Specify:)gmp, /4/, /5 =23 I certify,under the pa' penalties of perju ,t at the information n this application is true a complete. FIRM NAME: G-,/Q.,C- LIC.NO.: S2 PaV 4 Licensee: Signatu a LIC.NO.: (If applicable,enter "ex pt"in the ligiA�nuJtp�er line.)� .5 Bus.Tel.No.: 77d'536/ SJ°� Address: , G G '� i'Y�P, _ 43P�/I/.S i/, Qa.4,44,, Alt.Tel.No.: *Per M.G.L.c. 147,s. 5 1,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: $