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Home My WebLink AboutBLDE-23-004388 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004388 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:2/8/2023 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) 45 MOORING LN Owner or Tenant DONAHUE KEVIN M Telephone No. Owner's Address DONAHUE CAROL PORTER, P 0 BOX 213,WEST BROOKFIELD, MA 01585 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 Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install fire alarm. 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 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 2 No.of Switches No.of Gas Burners No.of Detection and 6 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Signs 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: Peter J Beckford Licensee: Peter J Beckford Signature LIC.NO.: 34932 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:290 SALEM ST,WOBURN MA 018012029 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: $45.00 RECEIVED JAN 25 0 Coen amoaa(h of///a„achau(}a Officialtci Use Only g� BUILDING n ' I''Ni cA cc77 Serviced Permit No �3-4 38' `�'_-:!`•I%_ .[Jeparinunl o�Jw Jiroices NJ'? " Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: //Z,f1 Z 3 City or Town of: YARMOUTH To the Insp ctor of Wires: V By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) / ,C/YjOOrjf' Lh , "v m Owner or Tenant f.tel ti D orsq hu L Telephone No. I Owner's Address , "rpr.iG._ (-., Is this permit in conjunction with a building permit? Yes g No ❑ (Check Appropriate Box) l' Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity T Location and Nature of Proposed Electrical Work: 4.0 v //07fts,,_r___ P-.Y at fairy., ' Completion of thefollowingfable',ID, be waived by the Inspector of Wires. No.of Recessed Laminates No.of Cell.-Soap.(Paddle)Fans No.of 7 otal 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 No.of OB Burners FIRE ALARMS No.of Zones Z ~= No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Co III No.of Ranges No.of Air Cond. T nsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No,of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local Municnnectioipaln 0 Other Co No.of Dryers Heating Appliances KW Security Systems:• No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'felecommuolcatlons Wiring: No.of Devices or Equivalent OTHER: Attach additional detail Ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /20U.e5O (When required by municipal policy.) Work to Start: J Z}e 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 0 BOND 0 OTHER 0(Specify:) I certify,under the.pains and penahles o perjury,that the Information on this application is true and complete. FIRM NAME: ( G 67-a//L e �e c f!CG k LIC.NO.: Licensee: ty- Signature A .f,� LIC.NO.:�3y5 Z (If applicable,ante exempt the license number line.) Address: y0 W 0t ld w,w d �"✓r, w'reWer Bus.Tel No.. Per M.G.C.c.147,s.57-61,security work requires Department of Public Safety"S"License: LiAIL TeL No.No.: SSGO_OOP 73f--- OWNER'S INSURANCE WAIVER: I sin 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 ■owner's a_•ent. Owner/Agent Signature Telephone No. PERMIT FEE:$