HomeMy WebLinkAboutBLDE-20-000396 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-20-000396
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:7/24/2019
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) 9 SOUTH HAWES RUN RD
Owner or Tenant MATRANGO JOHN F Telephone No.
Owner's Address MATRANGO KAREN A, 9 SOUTH HAWES RUN ROAD,WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check :,. ro riate Box)
Purpose of Building Utility Authorization No
Existing Service Amps Volts Overhead 0 Undgrd 0 'o.o ' e" '
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Re-attach meter socket after re-siding.
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 KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ 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
Initiatine 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/Alertine 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.
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 perjury,that the information on this application is true and complete.
FIRM NAME: James J Reilly
Licensee: James J Reilly Signature LIC.NO.: 16666
(If applicable,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
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=MI— l Department of Fire Services Permit No. 7 a� '��� L'
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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: July 23, 2019
City or Town of: West 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) 9 South Hawes Run Road
Owner or Tenant John Matrango Telephone No.
Owner's Address 9 South Hawes Run Road,West Yarmouth,MA 02673
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) n
Purpose of Building Residential Uti' Authorization No. WO#2351270 It-Q-get.+
Existing Service `OO Amps /2.p/2tf,Volts Overhead Undgrd 0 No.of Meters
New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters
.,,n.
Number of Feeders and Ampacity
It
Location and Nature of Proposed Electrical Work: re-install meter socket after residing
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
V No.of Lighting Fixtures Swimming Pool Above ❑ In- 1-1 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
1 Initiating Devices
No.of Ranges No.of Air Cond. Total 9No.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 ElMunicipal 0 Other
Connection
No.of Dryers Heating Appliances KW SecurityN So 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: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) GENERAL ACCIDENT INS 7/31/19
(Expiration Date)
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start:07/24/19 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: REILLY ELECTRICAL CONTRACTORS,INC LIC.NO.: A16666
Licensee: JAMES R REILLY Signature LIC.NO.: A16666
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: 508-771-2040
Address: 110 OLD TOWNHOUSE ROAD,SOUTH YARMOUTH,MA 02664 Alt.Tel.No.: 508-400-8936
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)❑owner D owner's agent.
Owner/Agent PERMIT FEE:$
Signature Telephone No.