HomeMy WebLinkAboutBLDE-19-003895 f c col Commonwealth of Official Use Only
to Massachusetts Permit No. BLDE-19-003895
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 CMR 12.00
(PLEASE PR/NT ININK OR TYPE ALL INFORMATION) Date:1/3/2019
City or Town of: YARMOUTH Toot the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform thecccc cal work de ed below.
Location(Street&Number) 82 SOUTH STC 3I tj .- rVr'(' Li
Owner or Tenant TRAINOR JOSEPH P Telephone No.
Owner's Address TRAINOR IRENE L,82 SOUTH ST, SOUTH YARMOUTH, MA 02664
Is this permit in conjunction with a building permit? Yes ❑ 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: Install surge protector and run Cat 5,7, RG6 cables
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 EVA
No.of Luminaires Swimming Pool Above 0 In- o 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 ❑ 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 ❑ 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: ROBERT J MURPHY
Licensee: Robert J Murphy Signature LTC.NO.: 17441
(If applicable.enter"exempt"in the license number line.) Bus.Tel.No.:
Address:PO BOX 1873.BREWSTER MA 026317873 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
r; 'irmoi
Commonwealth of Massachusetts Official
Ss ✓L.�
Department of Fire Services> Permit No.
Page 2 oft Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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: December 29,2018
City or Town of: 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):82 South St. -" "' •
Owner or Tenant Mr.Paul Petell • ' Telephone No.(508)694-6162 •
Owner's Address 82 South St. - - •
Is this permit in conjunction with a building permit? Yes No J (Check Appropriate Box)
Purpose of Building Residence Utility Authorization No. - -
Existing Service Amps 120/240 Volts Overhead ❑ Undgrd El No.of Meters
New Service Amps 120/240 Volts Overhead Undgrd El No.of Meters
Number of Feeders and Ampacity: -
Location and Nature of Proposed Electrical Work:Please see the back side of this page for a detailed description of the work,
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CelLSusp.(Paddle)Fans No.of Total
Transformers RVA
No.of Luminaire Outlets - No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool A e • I°- No.of Emergency Lighting
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches :!- No.of Gas Burners • No.of Detection and ,
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
No.of Waste Disposers Heat Pump .Namher—1 �L'_IoosNo.of Self-Contained
Totals. I I Detection/Alerting Devine
No.of Dishwashers Space/Area Heating KW loin Municipal
Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water , No.of No.of Data Wiring:
Heaters- - Signs- : Ballasts ,. Na of Devices or Equivalent •No.Hydromassage Bathtubs No.of Motors Total lip Telecommunications Wiring:No.of Devices or Equivalent
Armen aaaiaona:aetau iu aesirea, or as require Joy me inspector of mires.
Estimated Value of Electrical Work: N/A (When required by municipal policy.)
Work to Start: December 29.2018 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 ■I BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penaTlia of poppy,that the information on this application is true and complete.
FIRM NAME: Murphy Electrical Construction,Inc. LIC.NO.:A17441
Licensee: Robert.1 Murphy—Pies. Signature-a--a4 3s—"41s"-2)-Isr.""• LIC.NO.:E38726
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:1-595-896-8620
Address:P.O.Box 1873 Brewster.MA 02631 —AIL Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"License: Lic.No.
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 o owner's agent.
Own pt PERMIT FEE:f
Signaturetura Telephone No.
Backside of permit
Murphy Electrical Construction, Inc.
P.O. Box 1873' r 5 ..
Brewster, MA 02631 r- • f
ATTACHED ADDITIONAL DETAIL FOR MA STATE ELECTRICAL PERMIT
All spliced type connections are made with a Buchanan type C24 compression tool.Irreversible crimps
will define this work from others that use wire nut type connections.Connections other than this type
mean the original installation has been changed. UL&CSA listed type 2006$and 2011$crimps are used
with their respective insulating caps#2007ߞ.
Date:December 29,2018
Job Location:82 South St. ,
Owner:Mr.Paul Petell
' Description -
, ,'
Install a surge protector for the main panel in the basement.
Fix loose low voltage connection in the zone control panel for the AC unit.
Assist owner in pulling CATS/CAT7/RG6 lines from the basement to the attics
NOTE: :
This owner runs/owns an insurance company fora living but insists on doing his own electrical work. He
has done quite a bit throughout the house.I have already told him that I am not responsible for his ,....
work. He probably needs to hear it from you about pulling a permit and having his work inspected.
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