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Home My WebLink AboutBLDE-23-001472 Commonwealth of Official Use Only FO Massachusetts Permit No. BLDE-23-001472 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:9/20/2022 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) 59 GLENWOOD ST Owner or Tenant KELLY CORWIN Telephone No. Owner's Address 59 GLENWOOD ST,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes❑ No ❑ (Check Appropriate Box)Z`3/Purpose of Building Utility Authorization No. $.# Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ 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 No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 Initiatine 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/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Stens 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.CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) Of 4 'Z� I certify,under the pains and penalties of perjury,that the information on this application is true and complete. �1 t/i - O FIRM NAME: TIMOTHY W MCINTYRE Licensee: Timothy W Mcintyre Signature LIC.NO.: 31437 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:PO BOX 2428,TEATICKET MA 025362428 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:$75.00 RECEIVED , SEP 15 202 o ,na as o/�Ylaaeac4rclar`fe Official Use Only 5(4'�^•1, DING DEPARTM' Permit No. f:4.is -- /�'rtnurtf o� }iro Jaruittd ;'�<<_�. Occupancy and Fee Checked BOARD OF 'REVENTION REGULATIONS (Rev. 1/07] (leave blank) V k `iy APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK NI 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: tj—/S U2‘R . (..) 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) 5.7 r Lc/• yc� i L Owner or Tenant �t-(-I �a ' Telephone No.4/f�c�5 j_jt� //r.Jit N �� Owner's Address S,-.•+.,� ?1 Is this permit in conjunction with a building permit? Yes ❑ No Lg' (Check Appropriate Box) 1 Purpose of Building e-5 telpei-het/ Utility Authorization No. . . Existing Service K up Z l Amps / Ze,Volts Overhead❑ Undgrd� No.of Meters � g 5 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity `c-i Location and Nature of Proposed Electrical Work: LL iN3�¢it whole t7ri` �+2'•'1C;c ToJ . Completion of the following table may be waived by the Inspector of Wires. Q. No.of Recessed Luminaires No.of Ceil:Sns . Sri).of 'total ,, p (Paddle)Fans Transformers KVA `a No.of Luminaire Outlets r� No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 1--1 No.of Emergency Lighting Ernd• Rrnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners -No.of Detection and Initiating Devices Tota 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 Totals:I } I.•._..'... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ❑ e' No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWData Wiring: No.of Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: c-/ -,22. 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 c,o�ve�rs a is in force,and has exhibited proof of same to the permit issuing office. L CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: /irylc,l'"A I?7eL .�I- „e_ &'ec-74✓i, 2' y LIC.NO.: /y3 2 Licensee: Signature (If applicable, ter"exempt"in the license numb line.) ��,�A- LIC.NO.: Address: /`.0. 4c,Y 2V12g 'TA; Ckf7r r?19 GAs3,� Bus.Tel.No• — �� el.No.: *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt 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 ❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ l