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Home My WebLink AboutBLDE-23-002860 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002860 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:11/23/2022 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) 43 QUARTERMASTER ROW Owner or Tenant PETERSON GARY L Telephone No. Owner's Address PETERSON LAURA L,43 QUARTERMASTER ROW, SOUTH YARMOUTH, MA 02664-1600 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: Generator&transfer switch. 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- ❑ 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 0 Municipal ❑ 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 0 (Specify:) I 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: $50.00 G Og- e.,M ti'v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 .t . (OFFICE USE ONLY) /1 -lii g TOWN OF YARMOUTH By �� TTAH�► 0 MATTACHEESE Fee: PERMIT NO.G Z 3 LC) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. _G .�y� Location(Street&Number) 43 0 U M-i 2_fri Prs 1�`" Owner or Tenant ff.:Etsort Telephone No. Owner's Address Is this permit in conjunction with a building permit? 0 Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd 11 No. of Meters New Service Amps / _ Volts OverheadE Undgrd 71 No. of Meters Number of Feeders and Ampacity �, ,� Location and Nature of Proposed electrical Work: GE ` �C`i--A—'�� .- 4 1 I`'tom S , 1Q'' Completion of the following table may be waived by the Inspector of Wires No. of Total No. of Recessed Fixtures No. of Ceil.-Susp.(Paddle)Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA Above n In- in No. of Emergency Lighting No. of Lighting Fixtures Swimming Pool grnd. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No.of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond. To No. of Alerting Devices Heat Pump I Number Tons KW No. of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices Municipal No. of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other Secutity Systems: No.of Dryers Heating Appliances KW No.of Devices or Equipvalent No.of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may be issued unless the licensee provides proof of liability insurance including"co leted operation" coverage or its substantial equivalent.The undersigned certifies that such coverage is in force, and has exhibited proof of same t the permit issuing office. CHECK ONE: INSURANCE BOND OTHER (Specify:) (Expiration Date) Estimated Value of Electrical Work: 3l f7 O (When required by municipal policy.) Work to Start: 0'7-0'2enL2 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify,under tJ4 Rim and altie of e ' tthat`the info ation on this application is true and complete. FIRM NAML: M `L 1 1'''C' Q' pp� �.Q LIC. NO. 4-1 5 9-- Licensee: �;� ,N\---rk 1, Signature :AJA< S `Lt 9U�l1h----LIC.NO. 6 ‘o2, (If applicab�e� r"ex rlpt"in i�license�� r line.) M� 0, s3 Bus. Tel.No.: 5O rL 5 Address. �t'"'�t�� Alt. Tel. No.: S80 0 1041A) OWNER'S INSURANCE AIVER: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 10 owner's agent.10 Owner/Agent Signature Telephone No. [Rev.04/00]