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Home My WebLink AboutBLDE-19-004066 P Commonwealth of Official Use Only tt Massachusetts Permit No. BLDE-19-004066 .E '`-®! BOARD 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:1/10/2019 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: Rewire remaining section of first floor. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 25 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 40 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 No.of Gas Burners 3 No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. 3 Total 4 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 11 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers 1 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 ofperjury,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 Telephone No. PERMIT FEE: $75.00 c205.4)4v14_(r2,1).(00 ( 1Ct`L? re____ r-avi . &((3/(i Kaog______ a.. r I1 :' owiattls of/// �tfs Official Use Oy • \ 7 f � l4O(Q( ) _ 2epartmcni o Permit No. r� ' Occupancy and Fee Checked ,,,.::,•` BOARD OF FIRE PREVENTION REGULATIONS ZRev. 1/07] (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: //7 lQ 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),.-.5,4 2;-- j`yChr l � Qwnr.or Tenant, 'u1 ,s/ j9/1s 1 ? 1�., _— z ( I� Telephone No. i W l b 'n;*r's Address .j"fj?- VI I th permit in conjunction with a budding permit? Yes No 0 (Check Appropriate Box) —l' Pirp ise of Building• �S,�dL� Utility Authorization No. T st rig Servic Amps% /02y4 Volts Overhead Q Undgrd 12K No.of Meters 11°1 l ervice #, •i Amps / Volts Overhead❑ Undgrd 0 No.of Meters CJ Nuin er of Feeders and Ampacity Lacdjon and Nature of Proposed Electrical Work: A--�Z �� ,4�it,crx,G /fi,.�diu.5. Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Lnminaires��'f_.� No.of Ce�1.-Susp.(Paddle)Fans No.of Total �"�' Transformers KVA _ No. of Luminaire Outlets 0Z. No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Ughtmg ernd. Qrnd. Battery Units No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches r2e No.of Gas Burners 3 No.of Detection and , Initiating Devices No.of Ranges / No.of Air Cond.3 Tan No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number Tons 1CW No.of Self-Contained Totals:I I _Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW Loral❑ Municipal ►- Connection ❑ �� No.of Dryers / Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent of Heaters KW Signs BallastsNo. Data Wiring; No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP No. Wiring: No.of Devices or Equivalent OTHER: _ tAttach additional detail if desired or as required by the Inspector of Wires. ,. Estimated Value of Electrical Work: (When required by municipal policy.) 1 ) Work to Start:/- 9 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 c,�ove�is in force,and has exhibited proof of same to the permit issuing office. \ Lb CHECK ONE: INSURANCE " BOND El OTHER ❑ (Specify:) �` I certify, under the pains andn penalties of perjury,that the information on this application is true and complete. N FIRM NAME: U.4, fJ011' v.. /y i7 c7,, .. O LIC.NO.:��t��r`1�nnf Licensee: � Signature LIC.NO.:J '/ i (If applicable,enter 'exempt"in the license number ilkline.) Address: Bus.Tel.No.: ! /y' o c//4J J Per M.G.L. c. 147,s.57-61,securi work requiresAlt.Tel.No.:_ 0� j=igs..-.. ty 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 S required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. T Owner/Agent I Signature Telephone No. PERMIT FEE: $ I51� Iair