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Home My WebLink AboutBLDE-18-005804 o - „ (n v "��` Official Use Only or Commonwealth of M�EMassachusetts Permit No. BLDE-18-005904 ItlBOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:4/24/2018 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) 5 SMITHS POINT RD Owner or Tenant SCHEUCH RICHARD TRS Telephone No. Owner's Address FRANKEL JOAN MURTAGH TRS,80 LOEFFLER RD G522/523,BLOOMFIELD,CT 06002 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 2 bedrooms, 1 bath room,wire kitchen&bath addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 10 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- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 15 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 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. 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 perjuty,that the information on this application is true and complete. FIRM NAME: JAY A DONNELLY Licensee: Jay A Donnelly Signature LIC.NO.: 15717 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 158 PINE ST, RAYNHAM MA 027671121 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 hTelephone No. PERMIT FEE:$75.00 Vw S ft"g 69,145-446) ( fie) c;mq-L 63/(9 t -e V � /Jl) -\ 14 Coatnwnwfa[th o`l//afdaCI1SWILS Official Use Only_ \\? • -/9- -x'" 2fpirflAt OJI If&v&C Permit No. fi q - I( a. Occupancy and Fee Checked �► BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK i All work to be performed in accordance with the Massachusetts Electrical C (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-02 /8 R City or Town of: OU f To the Inspector of Wires: By this application the undersign gives notice of his or her intentionQtoperform the electrical work described below. Location(Street&Number) 6 5,gWTWS�Otz rAO. Owner or Tenant .0eildgeD 5chte-. ,4( Telephone No. Owner's Address L crib- ,B/ y ereo� 0— �!; Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) ,"4. Purpose of Building /06:5 ,0Ajti Utility Authorization No. Existing Service Amps /a?Q /,gi�Voits Overhead 0 Undgrd No.of Meters 4. �' New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaclty 3—arer*f- Location and Nature of Proposed Electrical Work: getif ter (2 09 f'( ( ',g Q9 7 jJ 7J cox ik rcgEz) ,4x)D 4.4Tiy kiLii x) ov f'T.2/. Completion of the following table my be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total �� Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 5 SwimmingPool Above 0 In- ❑ ;o.of Erjergency Lighting �rnd. grnd. Battery Units No.of Receptacle Outlets Jo No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches /,r No.of Gas Burners No.of Detection Devices I `.) No.of Ranges / No.of Air Cond. Tots` No.of Alerting Devices 'n\ No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Aler�Devices No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No:oT`D Heating Appliances KW Security Systems:* .` r'yera No.of Devices or Equivalent �"' S. "Na:of Water w KW -No.of No.of Data Wiring: / Heaters Signs Ballasts No.of Devices or Equivalent Na H�dromaaaa a Bathtubs No.of Motors Total HP Telecommunications Wiring: 8 No.of Devices or Equivalent x, OTHIR: Attach additional detail if desired,or as required by the Inspector of Wires. i Estnna d Value of Electrical Work: .....---- (When required by municipal policy.) -A ' ) 'crEWork tb Start: ft—o2ye/8 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 licttsee 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: -3—.4.D€ivAz47/y‘047- .. 0. LIC.NO.:,4/S2/7 Licensee: Z.-kV AoiwiUviLY Signature `_ o LIC.NO.•/ ►f/ (If applicable,enter•e m t"in the licens,e�`�um r li �1) ' Bus.Tel.No.• ;T +f �•,f Address: /5Y /rie�'7 /Y/agooef j/�A , 67Alt.Tel.No. !. — t *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"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 ❑owner's went. Owner/Agent PERMIT FEE: $ S Signature Telephone No.