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Home My WebLink AboutE-20-1168 or Commonwealth of Official Use Only E -6\ Massachusetts Permit No. BLDE-20-001168 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:9/3/2019 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) 17 CAPT LOTHROP RD Owner or Tenant FINN GEORGE E Telephone No. Owner's Address FINN SHIELA A, 17 CAPT LOTHROP RD, SOUTH YARMOUTH, MA 02664 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: Install laundry receptacle,light,&switch. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 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 t6 3/f ? � c _� Commonwealth of Massachusetts Official Use Only ► _`- l Department of Fire Services Permit No. 4 -4 i (0 j ` = =- ��__i_ BOARD OF FIRE PREVENTION REGULATIONS [ROccuanc and Fee Checked ev. 11/99] (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: 8/30/19 City or Town of: South Yarmouth To the Inspector of Wires: ByFthis application the undersigned gives notice of his or her intention to perform the electrical work described below. 0 Ltgtit n(Street&Number) 17 Capt.Lothrop Road IliIIOer or Tenant Finn,George Telephone No. 508-394-6461 gi O4er's Address 17 Capt.Lothrop Rd.—South Yarmouth,MA 02664 a 1 W i O� Is# isIpermit in conjunction with a building permit? Yes 0 No X❑ (Check Appropriate Box) o 1 54 PuloI a of Building Dwelling Utility Authorization No. i EYaltil;Service 100 Amps 120/240 Volts Overhead® Undgrd 0 No.of Meters 1 43 S. ice Amps / Volts Overhead 0 Undgrd❑ No.of Meters Nuillielr of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Instal new laundry receptacle and ceiling light with wall switch. 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 Above ❑ In- ❑ No.of Emergency Lighting No.of Lighting Fixtures Swimming Pool 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 El Municipal 0 Other 1 Connection No.of Dryers HeatingAppliances KW pp Security Systems:No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: K 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 X❑ BOND ❑ OTHER 0 (Specify:) GENERAL ACCIDENT INS 7/31/20 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 8/30/19 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/v/" I 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.Scott 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 agent. Owner/Agent PERMIT FEE:$ .Signature Telephone No. 5veh1^vcG„ p50Rico , cow\ ce. so'