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Home My WebLink AboutBLDE-18-005852 • r, Official Use Only are Commonwealth of • tirtw,1 Massachusetts Penult No. BLDE-t8-005852 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [ cv.1/071 r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),5170411.1100 (PLEASE PRINT ININK OR TYPE ALL INFORALITION) Date:4/20/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice()this of her intention to perioini me ewv:uical work described below Location(Street&Number) 18 CRUISER LN ' Owner or Tenant ANDERSON DONALD J Telephone No. Owner's Address ANDERSON MAUREEN E,22 SKYLINE DR,EAST LONGMEADOW,MA 01028 Is this permit In conjunction with a building permit? Yes 0 No 0 (Check Appropriate Boa) 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 Ampaclty Location and Nature of Proposed Electrical Work: Remodel&sennce. 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 ❑ 10- a No.of Emergency Lighting grnd, grnd. Ratters,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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pomp I Number Tons KW No.of Self-Contained Totals: DetertinntAlertinr Device No.of Dishwashers Space/Area heating EW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems. No,of Device nr Equivalent No.of Water RSV No.of No.of . Data Wiring: Heaters Sine Rallacts No.of Device or Fquivelent No.Ilydromassage Bathtubs No.of Motors Total 11P Telecommunications Wiring: No,of Devices nr Equivalent OTIIER: Attach additional detail((desired,was 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: ALAN R O'REILLY Licensee: Alan R O'Reilly Signature LIC.NO.: 51570 (Ifapplicable,enter"exempt"tun the license number line) Bus.TeL No.: Address:12 LENTELL ST.SANDWICH MA 025832118 Alt.TeL No.: *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"5"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below.I hereby waive this requirement.I am the(check one) ❑ owner ❑ owner's agent Owner/Agent _ SignaturererTelephone No. !PERMIT FEE:C514 fc� KC 0l07 CCUi ga* (sftys cam- e- l ( e � s • V r }� Ii a t t�'�••��m+nnm• ofe/�//^+.nc�.ac4eKt Dciel Use Only `�CV .1Jcp&ncnf.I gin. i ca igaze Pertsit No. [+ .C1---r BOARD OF FIRE PREVENTION REGULATIONS • Occ1p®cyaadFeeChected . A'II • true blank APPLICATION FOR,PRRMIT TO PERFORM ELECTRICAL WORK All wort to be performod in aeeordace wid:the losserbusetts Els iral Cod: 327 MAR IiD0 (PIECE FITE ALL LVF'ORMA7702i) Date: , o i . City or Town on YARMOUTH To the Inspe or.f Fires: By this ap?licadoa the{mdernga d pm notice of his is bs intearion to pxiorm the eL-sets wok described below. Lotxtioa(Street&Natab r) I� erViSer e..- '0:. OwnerorTenant .�na,r1 h Tei�hone No. t Owner's Address . i„ ►; L. . !meek. Oh' g /rl �� Is this permit in ronf¢nction a buildi�Permit? Yes ! No • vJ ' Purpose of Eeil3mo � 11 ❑ (Cheek Approptiste Bo 7 1,..nA UtilityA Authorization 2`21 �a7 Eng Service 1GO_ Auxps /noVolts Overhead 0., Unclged❑ No.of Meters New Service gaps I I O /Zzo Vols Overhead ra, Und pd Neiaber of Feeders end Arnpadtp • 0 NO.of Met:" _L._ Location and Nature of Proposed Electrical Work: ��11 (1l't C . a a _ _ a•�vH . 2 .W ie.• -eJ i `"e C.f_ . 12eLLhL , N. 4$-. • o.,cir VIe..J s Comnle:im,ofthefort table ' Na of Recessed t,,,,,t,.,s-.ow �� +nt7 be '�by rhe:aro�r'of[[,a��, -s IND.of C_-1.Snsp.(Paddle)Fans ITrensformers o�— No.of Lexalrzrra Orlon KVA INa atHotltbsGerators • IiVA• Na.of Lnanfnatres i5rii'rrn[rg rota Aber, ❑ hi-d. ❑ 1,BaGeneratorsatteox A ergeacy 1•e;nim: ?rad. ernnIIaitr No.of Receptacle Ontls [No.of Oil Bnraan PISS ALARMS INC.of Zones No.of Switches INo.of Gas Baron _No.ria of Det^^ion end Terdstas Devices No.of Barges INa of Air Cond. l otal • Tour ,Nn,of Alartiaq Devices No.of West Disposers neat Pnmp1NnmberIrons KW No.ofSett-Contained Totals: Desc ton/tlertinn Devices No.of Dishwashers • SpaedArn Entfat 1CW' Mnxucipal Laez10 Connection 0 Cala No.of Dryers Heating Appliances KW No. of DrS_ No.of Water -� Systems:* No.of No.of Na Drakesotor Ec nfvaleat Heaters . KW SuBallasts DataofDe Sins victs or uivalent No.Hydromassage Bathtubs No.of Motors Tota)FTP a xotacroa lees o s rra. • OTHER Na of Devices or EsTivtlent • EStitna`ed Value of El cal Phis Attach additional dere,Vderirad ora regidred by the InryeCor of Turret. (When rcquit*d by municipal polity.) Ilk Work to Stare si f ptctions to be requested in=rim=with MEC Rule 10,and upon compi:doa INSURANCE CO RAGE: Unless waived by the owner,no permit for the performance of electical • the licensee provids proof of liability insurance bending"completed owork lent tyle s tot-signed feed ceriiZes that such c vera e is in force,end has exhibited proof of same the orpermit isbsing of equivalent The ce. CHECK ONE: INSURANCE BOND 0 OTEfR 0 (S [ I eerrfjy,rosier the1 fS^ roc s / IT ' u FIRM NAME: pd pen ojperjary Ott the Information en on[his application is and complete.£lee het:cr ,se IC NO.: Licensee: Si;aaatrxre (lfapp litabl. t . -in • tic . - LTC.NO.� 70 • Address: a :1 Bus.Tel.No: t� I t4v4 f ctl Alt.TeLNo. J `Per NLO.L.c. 147,s.57-61,security - ark requires Department of Public Safety License: Lie.No. • OWNER'S INSURANCE WAVER: I am aware that the Licensee does not h• - the liability insurance:over...________ overate e''�' i regtdted by law. By my signature below,I hereB normalcy Owner/Agent by waive thin requirement I are a(chone owner owner's a cut Signature- TelephoneNo.• PERMII•FEE:S Commonwealth of Official Use Only or r • fE` ,nt Massachusetts Permit No. BLDE-18-005852 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMI 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORAL4TION) Date:4/20/2018 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) 18 CRUISER LN Owner or Tenant ANDERSON DONALD J Telephone No. Owner's Address ANDERSON MAUREEN E,22 SKYLINE DR, EAST LONGMEADOW, MA 01028 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: Remodel&service. Completion of the fol/owing 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 0 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 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 0 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 Data Wiring: Heaters Sians Ballasts No.of Devices or Equivalent No.Ilydromassage Bathtubs No.of Motors Total 1W 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 ❑ 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: ALAN R O'REILLY Licensee: Alan R O'Reilly Signature LIC.NO.: 51570 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address: 12 LENTELL ST,SANDWICH MA 025632116 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But 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: S( 0 ), et l ( tames . }/ Lommnr.+uca& of///¢as¢cF.:a..hR., Oi-ucial Use Ony \`l/ 1�� /. PtNo. BOARD OF FIRE PREVENTION REGULATIONS Occup 7calandFeeChecked _e • Rev. 1/07] bleak) APPLICATION FOR'PERMIT TO PERFORM ELECTRICAL WORK .A11 work to be performed in accordance with the Massachusetts Electrical Cod:(ME ,527 CMR 12.05 (PLE,4SEPRD\7 IN MIK OR TYPE ALL LVFORM4TI01V) Date: , 0 i . City or Town of: YARMOUTH m the Inspe or.j Wires: d4 di di . Ey this application the{mdersiped eves notice of his or her intention to perform the electrical work described below. 1 Fa 04�l Location (Street&Number) of V i$er tui o 1n. Owner'orTenant MD NAA, A,cc n Telephone No. _ ll! ' Owner's Address i, m La.. teac� • Olo o I Is this permit in conjunction with a building permit? Yes No U.1 J ¢ ❑ (Check Appropriate Sot) Purpose of Bn a � 1 Cl. o 1,,,At;, Unity Authorization N0. ,2,a'1'��7 Eristi:1g Service 1(}b Amps Z CO/ Z•Zo Volts Overfeed K Undgrd❑ No.of Meters New Service 4:50 Amps 1 l0 /zzo Volts Overhead 2( Undgrd❑ No. of Meters _L Number of Feeders and Ampsdty • Location and Nater_of Proposed Electrical Work:} /� ` . . L) ..1 ._w. _ 2. - �.-kLa . t'9y1( i -S ow yet', c . . IZP,.Arc P'L4Ske 4S--4r, er'- •k.Yitt f4/k L , . TTn �[[ alta,,,) 5 e`e. cAna-s Canrerfnn of thefoll table fiery be waived by the lr-roeraar ant S No.of Recessed L2TrOnci f -t -s No.of Cel.-Susp.(Paddle)Fans N0'°1 Total Traasiormers CVA No. of Luminaire OatIem No.of Hot Tubs (Generators (LVA No.of Luminaires Swimming Above ❑ la- ❑ No.of am euLighting - Pool ` ry acrid. Brad. EattervIInitr No.of Receptacle Outlets No.of Oil Burners IF1FE ALARMS INo,of Zones No. of Switches No. of Gzs Burners • Nn.of Detersi°n and —1 Ini@atia_Devices No.of Ranges No. of Air Cond. TO No.of Alerting Devices • TOES Heat Pump 'Number Tons KW 'No.of Self-Contained Totals: Detecdon/Alertine Devi No.of Waste Disposers ces No.of Dishwashers S ace/Area Heating KW' Connection ❑ Odter No.of Dryers Heating Appliances Kyr Security Systems No. of Water No,of Devices or Equivalent No. of No.of Data Whin — Heaters . KW Signsr Ballasts No.of Devices or No. Hydromassage Bathtubs >r4urvzlent �y g No. of Motors Total HP Telecotamunftations Wiring: No.of Devices or Equivalent _ • • Estimated Value of El Attach additional detail if desired or a required by the inspector of Wires. cal World (When required by municipal policy.) ilk Work to Start 4 /`]/rj �e��to be r��in accordance with MEC Rule 10,and upon completion. INSURANCE CO v'ERAGE: Unless waived by the owner,no permit for the performance of electrical work ma • the licensee provides proof of liabi y issue mass lity insurance including"completed operation"coverage or its substantial equivalent The undersigned certifies that such c vera e is in force,and has exhibited proof of same to the permit is in oince. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify.) T ( t I cerrify, under the re v S �02 • P p� • of perjury, at the information on this apprrcatian a and complete. S. FIRM NAME: •. _ • (� :r r+ Licensee: ...i. —IC.NO.: —_ aer (Ifappficabl. t-r"a .- • "in lice I ria) Signature � LIC.NO.: 70 Address. , -< i. I h.. 1 Bus.TeL No: j "Per M.G.L.c. 147, s.57-61,security work requires Department of Public 5 Alt.TeL No.: 7 OWNER'S Safety theliabii: rincec — INSURANCE WAIVER I am aware that the Licensee does not h. � liability insurance coverage required by law. By my signature below,I hereby waive this requirement I am I e(check oneownerowner's e normally , Owner/Agent 0 0a enc Signature Telep hone No. PERMIT FEE: $