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Home My WebLink AboutBLDE-23-005602 Commonwealth of Official Use Only III. ,A Massachusetts Permit No. BLDE-23-005602 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:4/10/2023 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) 19 BARKENTINE CIR Owner or Tenant JENNIFER VAILLANCOURT , Telephone No. Owner's Address 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs 1 Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 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. Ton l No.of Alerting Devices 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 Siens 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: James J Loughlin Licensee: James J Loughlin Signature LIC.NO.: 17387 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:546 UNION ST, FRANKLIN MA 020382472 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: $65.00 6(.?--• tirti/-& Commonwealth o/t'Ytaddachu3etts Official Use Only i. ,_..-L-di cc�� 7 n Permit No. iI —- 2 epartmennt o/}ire�eroiced -_` Occupancy and Fee Checked ---E7 BOARD OF FIRE PREVENTION REGULATIONS1/0 '�'�<-� [Rev. '7] (leave blank) PPLICA:MN FOR PERMIT TO PERFO '' M 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: yr/4.'3 City or Town of: Yi¢✓ems e/i/a!1 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 / 9 41/11br/c u i, 63 :/2-c-!e Owner or Tenant 2...N ,/-//�l VA i//iAn/Cw-'n'r"- Telephone No4/7-36 S' 43(.10 Owner's Address S44/d Is this permit in conjunction with a building permit? Yes No Li (Check Appropriate Box) Purpose of Building /-14).ept ea Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd No.of Meters New Service Amps __._./ Volts Overhead f Undgrd n No.of Meters ._._— Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work://vr7)9/ion P /..eCe e 1 // I . /,ivri!k fr V Alvjt GI'14 4-/r /�tc7- 7v4. /i.9.�v i.✓.-� iw /9 7 i -cs Ai1/K'LLL c✓� I,..,�j-g.t(lank 3p7-- ? )- Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 8' No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs I Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and , No.of SwitchesInitiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Con iciptoln ❑ Other 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 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: 3 x cft) (When required by municipal policy.) Work to Start: 3/y/LZ- 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 p of of s the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Sp :) I certify,under the pains and penalties ofperjury,that the infort nth" application is and complete. FIRM NAME: Loughlin Electric, Inc. Lic.NO.: A17387 Licensee: James Loughlin Signatu LIC.NO.: E30592 (If applicab er'•exen i he li nse t e Bus.Tel.No.:508-384-5900 Address: '•'• Eox ' , t�`ran�C�ln,'i� 6168 Alt.Tel.No.: SQ8-509-3�78 Per M.G.L.c. 147,s.57-61,security work requires Dep ent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that t e 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. _ PERMIT FEE: $