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Home My WebLink AboutBLDE-18-0003517 E. ti Commonwealth of Official Use Only 0 \ - Massachusetts Permit No. BLDE-18-003517 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • l(Rev.1/071 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:12/16/2017 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) 180 BERRY AVE , Owner or Tenant TROZZI MARIA TR Telephone No. Owner's Address BERRY AVE RLTY TRUST, 1241 ADAMS ST #604,DORCHESTER CENTER,MA 021 5775 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Ap.' Box) Purpose of Building '. Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd 0 .o �e�^\ New Service Amps Volts Overhead 0 Undgrd 0 v .0 'I11e !',��`7 NumberoFeeders and ofPropo Proposed i`� Location and Nature of Proposed Electrical Work: Wring for 2nd floor bathrooms. Completion of the following table may be ai . - ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of I J tal Transformers /e? A No.of Luminaire Outlets No.of/lot Tubs Generators VA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Batters,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. TotaloNo.of Alerting Devices 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 Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Eauivalent 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 yquivalent.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 I certify,under the pains and penalties of perjury,that the information on this application is fine and complete. FIRM NAME: ALAN R O'REILLY I. Licensee: Alan R O'Reilly • • Signature LIC.NO.: 51570 (Ifapplicable,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"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 .sl Signature Telephone No. . !PERMIT FEE:$75.00 1 V A/DV/V/ au. (7.1,846/Geb wer.„ 7.4_0 ta /Yb7-e,e& , Rob Use 17 UltiiJ 5/aco ./-C ✓-7,61 ✓i • • •.. ••.'i l-om,noraunig otI//1a15ac aitl _ k.sci(a'�lyUse Only apartment al.yin&rvCcn Permit No. `� 1 _ Occupancy and Fee Checked I • BOARD OF FIRE PREVENTION REGULATIONS Rev 1T!)7] Owe blank) ‘... ( APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacbusem Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR 77PEALL INFORJL4TIOTQ Date: /,�/f5 1/'I City or Town of: YARMOUTH To the Inspect r o Wires: . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) I V .ittel "Tfn.. 8I Owner'orTenant (traria —ThCZZI TeIephoneNo.`�R'�` a to Owner's Address 6q P a s a�Ot Sixvr He4zeL Is this permit in conjunction with a building permit? Yes xNo ❑ (Check Appropriate Box) 3 Purpose of BuiIdmg at�� 7 3attronwtS Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters 1- New Service -- ;;� t-----,f- Amps / Volts Overhead❑ Undgrd❑ No.of Meters # w Number of Feeders and Ampacity • 1 ' N !.% Location and Nature of Proposed Electrical Wort, Wet. r,,\ a°� r �srooNi Owners In I„ i Completion of the foBpwii r?table may be waived by the Inspector o{lfiru, o O ie., I No. of Recessed Lum.insires INo,of Cel.-Sasp.(Paddle)Fans INo,of Total t Transformers KVA 'l./' No. of Lamiaafre Outlets No.of Hot Tubs • ' I- rI I 'Generators • ICVA ' co "` No.of Luminaires Above fn- No.or aaergeacy Lighting - i ISwimmfngPool ted. ❑ ernci. ❑ 'Battery Units • No. of Receptacle Outlets No.of Oil Burners 'FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Rages 'No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste DisposersHeat Pump I Number Irons IKW No.of Setf-Contained — Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW' I Municipal ❑Connection ❑ Otho No.of Dryers Heating Appliances KW Security Systems:° No.of Water I No.of Devices or Equivalent No.of No.of Data - t Heaters KW Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na.of Devices or Equivalent — • ' Attach additional detail if desired or as required by the Inspector of Wirer. Estimated Value of Electrical Work (When required by munic' al Work to Start � policy.) Inspections to be requested in accordance with MEC Rule I0,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 covers a is in force,and has exhibited proof of same to the permit• suing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify) 1 n,,et.4 /a I I cerrify,under the pains and pennIAes o perjury,that the information on this application ' • and complete s FIRM NAME: A a j 4 -' d IFad LIC NO.: • Licensee ,i , 4 < Si ate f LIC.NO.: F,S (If applicable.enter"ex pt"in=esp. •mper le.) I Bus.TeL No: Address. let Ii I/ MA- oaSC 3 J `Per M.G.L.e, 147, s.57-61,securitywork requiresAlt.TeL No.•'� 7 OWNER'S INSURANCE Depamnent of Public Safety" License: Lie.No. WAIVER: I am aware that the Licensee does nor ••-e the liability insurance coverage Connally S required by law. By my signature below,I hereby waive this requirement I : . the(check one)0 owner 0 owner's agent , Owner/Agent Signature Telephone No. I PERMIT FEE: $