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Home My WebLink AboutBLDE-23-004216 \ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004216 • 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:1/30/2023 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) 51 GORDON LN Owner or Tenant JOHN SERPA Telephone No. Owner's Address 51 GORDON LN, YARMOUTH PORT, MA 02675 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: Wiring for new sun room Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil.-Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets 6 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 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 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 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siuns ,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 ❑ OTHER 0 (Specify:) l certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: FRANCIS X MCPARTLAN Licensee: Francis X Mcpartlan Signature LIC.NO.: 17552 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 RIDGEWOOD ROAD,BOX 817,SOUTH ORLEANS MA 02662 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 Telephone No. PERMIT FEE: $75.00 R 7/4( EL 3/1i3 - e. R E C G I V C. D I 1 AN 3 0 2023eo eaa II "'aed4 ch114 Permit No. Official Use Only n�! e23 -Z. .3r tote ��77s(.71 ie*..]erviced uING iii'ARTnnENT Occupancy and Fee Checked OF EIRE REVENTION 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(MEC).527 CMR 12.00 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: i r 36 - 20 2 j 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. CO/ Location(Street&Number) 6 j C/012-9 O N L,t}�t l Owner or Tenant L(� S�i2,-� t Telephone No. (" Owner's Address Er.� Z Is this permit in conjunction with a building permit? Yes [a No ❑ (Check Appropriate Box) Purpose of Building UtBI Authorization No. 43- Existing Service-2(.v Amps I / ''l4O Volts Overhead a Undgrd q g ❑ No.of Meters i "'J New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters CJ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: vJut.0 lU l�� S.u•J iZJIwM Completion of the followiegjable may be waived by the Inspector of Wires. uNo.of Recessed Luminaires 4 No.of Cell.-Soap.(Paddle)Fans N Transformers K f Total VA n No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 No.of Luminaires Ip Swimming Pool grad.Above ❑ In-g_r nd. Ba� Nott.oferyUn Emeitsrgency Lighting No.of Receptacle Outlets 4- No.of Oil Burners FIRE ALARMS No.of Zones -- No.of Switches 6 No.of Gas Burners tNo.of Detection and Initiating Devices II.' 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local0 nec CoMunnicipa n ��,tio No.of Dryers Heating Appliances KW Security Syystems:* o. f De No.of Water KW No.of No.of Data Wi ingvices or Equivalent HeatSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: - 4 Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: Le.'30), (When required by municipal policy) Work to Start: j-30-7-if,;„3 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ell BOND 0 OTHER❑(Specify:) I certify,under the ip nd penalties ofperfury,that the information on this application is true and complete. FIRM NAME: n L 4.j �,,i c-1-y 4 J_iJ LIC.NO.: /41 7 Z Licensee:{,1( , plc po,,_- L✓tbJ Signature t.,,iq s l�; applicable, nter" empt"' the license number line) LIC.NO.: C�9-I(1Z Address: cc{� ++qq l 0 O 1.Ly,A..i H p, [oS Bus.Tel.No: ti 3 c1 )4 ,..- (I �j �.. IC, '�z f� Z 0'L Alt.Tel.No.: 4 i.r (1(.4 ) 0 *Per M.G.L.c.147,s.57 I,security work requires Deparhnerit of Public Safety"S"License: Lie.No. 0 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$