HomeMy WebLinkAboutBLDE-22-007299 • - :' Commonwealth of Official Use Only
''% Massachusetts Permit No. BLDE-22-007299
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 Codc (MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/21/2022
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) 33 PLEASANT ST
Owner or Tenant Jesse Connell Telephone No.
Owner's Address 33 PLEASANT ST, SOUTH YARMOUTH, MA 02664
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: Addition &renovations per attached.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 40 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 60 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 30 No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges 1 No.of Air Cond. 1 Total 3 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 1 Space/Area Heating KW Local ❑ Municipal ❑ Other:
Connection
No.of Dryers 1 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 Euuivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Euuivalent
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: NICHOLAS J MCLEAN
Licensee: NICHOLAS J MCLEAN Signature LIC.NO.: 53676
Bus.Tel.No.:
(If applicable,enter"exempt"in the license number line.)
Address:3 HAMPTON CIR, HULL MA 02045 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 agent. i(Y/
Owner/Agent ��. �Z 1CI3 I PERMIT FEE: $150.00 I
Signature Telephone No.
let
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RECEIVED
JUN 15 2022 t1/� ryryyyi
I-. .tweak of tr/aeoaehus.ile Official Use Only�`�
_ :., CDEPARTMENZ.-7277
a „_.; c7 � Permit No. f
i -- I parGront o`JLn. .rvtc.e
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 Code(ME ),527 MR 12.00
- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c LS 0,t0
_U City or Town of: YARMOUTH To the Insppeec or of Tres:
By this application the undersigned ives notice o{2iis or her intention to perform the electrical work described below.
Location(Street&Number) /-le—QV
'k 5.4'
Owner or Tenant 7-e55s C�JV-1ve.`l Telephone No. - 77('-C, 7
vuI Owner's Address i
Is this permit In conjunction with a building permit? Yes No E (Check Appropriat Box)
Purpose of Building P es;�.vi'r:rn L Utiliry,Authorizatlon No. Alt A-
. LI,Existing Service c2OCArops /Fa)Q 'olts Overhead D 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: ,4 Z LJ it' `t 4 N
ct
C\CO S Cab e e s l • t c 6 cml
Comp!etion of the followine table be wa the Inspector of res. 5.,.
W No.of Recessed Luminaires t_./ No.of Cell.-Soap.(Paddle)Fans No.0 7 otal ,t •
V r� Transformers KVA
C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA
1 ,
d- No.of Luminaires - Swimming Pool gAborad.ve O gr In-nd. Ba❑ No ofttery Uni Emertsgency Lighting
No,of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No,of Detection and
e. _ �� Initiating Devices
IV No,of Ranges Total
No.oi Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Nnmber_Tons-.-.KW No.of Self-Contained
Totals; Detection/Alertln Devices
No.of Dishwashers / Space/Area Heating KW Local 0 Monnectiounicipaln ❑Other,
C
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 Device or Equivalent _
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of El tries Work: pR')/( (When required by municipal policy.)
Work to Start: Inspections t6 be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE CO RA :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 coveyage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE gt, BOND 0 OTHER 0(Specify:)
I certify,under the ns and peti�°°hies olperju�f�'l�w.t the information on this application is true and complete.
FIRM NAME' � 5 1a ,J• Ivi`"L-A✓l Fld�lc,C2 ,�. LIC.NO.:S3G7'6E
Licensee: G ea...L Signature� �� 1-1-G LIC.NO.: s7 k\
Of applicable,eater"esemppt"in th5licensee tne./ Bus.TeL No.•SOS 36,n-Ga$go�
Address: (/ SS 4-1Avtcll,] (L� -Yoc-c,,S 1 O' S9AIt.Tel.No.:
'Per M.G.L.c.14'f s.57-6I,secu(ity work requirefi Department of Publi6 Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I ern 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 agent.
Owner/Agent PERMIT FEE:$
Signature Telephone No.