The URL can be used to link to this page

Home My WebLink AboutBLDE-19-003208 • Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003206 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.1/07T 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 MINK OR TYPE ALL INFORMATION) Date:11/26/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 29 GINGERBREAD LN Owner or Tenant MAJEWSKI MICHAEL P Telephone No. Owner's Address MAJEWSKI MARIAN C,29 GINGERBREAD LN,YARMOUTH PORT, MA 02675-1110 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace damaged service. 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- 1:1No.of Emergency Lighting grnd. grn . Batten,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 Signs Ballasts 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: James J Reilly Licensee: James J Reilly Signature LIC.NO.: 16666 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 NORFOLK AVE,SOUTH EASTON MA 023751907 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 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 I. a 1. Commonwealth of Massachusetts Official Use Only ''t Department of Fire Services Permit No. aot'IC> 1 _,1: d BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �� -Aa [Rev. 11/99] '^e...." (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/26/18 City or Town of: Yarmouthport 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) 29 Gingerbread Lane Owner or Tenant Mary Majewski Telephone No. 508-776-2422 Owner's Address 29 Gingerbread Lane—Yarmouthport,MA s this permit in conjunction with a building permit? Yes 0 No X❑ (Check Appropriate Box) Purpose of Building Dwelling Utility Authorization No. m Existing Service 200 Amps 120/240 Volts Overhead X 0 Undgrd ❑ No.of Meters 1 o iz Blew Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters IN `a 1 tp it 1liumber of Feeders and Ampacity 1 sets @ 200A Each I C' 'f b Ilpcation and Nature of Proposed Electrical Work: Replace 200Amp overhead service with new t 0 _ I Completion of the following table may be waived by the Inspector of Wires. T 1(o.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers ICVA leo.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures 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 Initiating 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 ❑ 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 Signs Ballasts 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. 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 X�❑ BOND 0 OTHER 0 (Specify:) GENERAL ACCIDENT INS 7/31/19 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 7/2/18 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I ceRlfy,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: REILLY ELECTRICAL CONTRACTORS,INC /� / � LIC.NO.: A16666 44 Licensee: JAMES R REILLY Signature • / LIC.NO.: A16666 (If applicable, enter"exempt"in the license number line.) Bus.Tel.No.: 508-771-2040 Address: 110 OLD TOWNHOUSE ROAD,SOUTH YARMOUTH,MA 02664 Alt.Tel.No.: 508-400-8936.Scott 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 PERMIT FEE:S Signature Telephone No.