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Home My WebLink AboutBLDE-18-002677 1, Commonwealth of Official Use Only ► Massachusetts Permit No. BLDE-18-002677 • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/07j 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 PRINTININK OR TYPE ALL INFORMATION) Date:11/6/2017 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) 84 ROUTE 6A Owner or Tenant BODAMER BENTON B Telephone No. Owner's Address BODAMER JESSICA,84 ROUTE 6A,YARMOUTH PORT,MA 02675 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 o.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler&water heater. Repair wa •a asement. Completion of the fol • .,w •"Kw) e by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Q Total Transfor KVA No.of Luminaire Outlets No.of Hot Tubs Generators O KVA No.of Luminaires Swimming Pool Above ❑ Inrn-d. 1:1No.of Emergen t - gBatten'Units VVV No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. i s I do Nty No.of Switches No.of Gas Burners 1 No.of Detection and (lInitiative Devices No.of Ranges No.of Air Cond. Too 1 No.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 0 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 Siens Ballasts - No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP 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 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 ofperjury,that the Information on this application is true and complete. FIRM NAME: James J Reilly Licensee: James J Reilly Signature _ LIC.NO.: 16666 (Ifapplicable,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 Commonwealth of Massachusetts Official Use Only t P , &t Department of Fire Services Permit No. ( -IRS • s•I F a' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,� [Rev. 11/99] (leave blank) 3 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: 11/3/17 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) 84 Route 6A Owner o Tenant Benton Bodamer Telephone No. Cll Owner's! ddress 84 Rte.6A—Yarmouthport,MA 02675 Ws thivlp ; mit in conjunction with a building permit? Yes ❑ No ❑X (Check Appropriate Box) urpbsel (Building Dwelling Utility Authorization No. Vi CExist ug ervice Amps Volts Overhead10 Undgrd❑ No.of Meters ti• �levv Se MIice Amps / Volts Overhead❑ Undgrd El No.of Meters I(;,;` �Jum6er df Feeders and Ampacity .yp L_—Location and Nature of Proposed Electrical Work: Wire replacement boiler,water heater and repair water damage wiring at basement.; Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ No.of Emergency Lightinggrnd. 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 ❑ Municipal ❑ 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:I INSURANCE XL BOND El OTHER El (Specify:) GENERAL ACCIDENT INS 7/3111 1 (Expiration IS ate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 11/3/17 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: 2454 et a...ect& Co ch.,{¢,,,e. LIC.NO.: t9/6 6 6 6 Licensee: .-"0✓n.(...) r Signature LIC.NO.: (If applicable,enter "exempt"in the licens mber line.) Bus.Tel.No.: Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: 1 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 0 owner's agent. Owner/Agent PERMIT FEE:S Signature - Telephone No.