HomeMy WebLinkAboutE-20-1735 o• Commonwealth of Official Use Only
/LINMassachusetts Permit No. BLDE-20-001735
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:9/30/2019
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 electncal work described below.
Location(Street&Number) 47 CAPT RYDER RD
Owner or Tenant MUELLER DANIEL Telephone No.
Owner's Address MUELLER HOLLY, 71 CHESTNUT HILL PL, GLEN RIDGE, NJ 07028
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: Misl.work per attached.
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- ElNo.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/Alertine 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 Siens 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: ROBERT J MURPHY
Licensee: Robert J Murphy Signature LIC.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
A `0y<<? fie.
ed_i (Q/' / q II ____
Commonwealth of Massachusetts Official Use
Onlynly
Permit No. E ( �
Department of Fire Services
Page 2 of 2 Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 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: September 23,2019
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) 47 Capt Ryder Rd.
Owner or Tenant Mr.Dan Mueller Telephone No.1-973-743-6946
Owner's Address 47 Capt Ryder Rd.
Is this permit in conjunction with a building permit? Yes ❑ No / (Check Appropriate Box)
Purpose of Building Residence Utility Authorization No.
Existing Service Amps 120/240 Volts Overhead El Undgrd ri No.of Meters
New Service Amps 120/240 Volts Overhead El Undgrd No.of Meters
Number of Feeders and Ampacity:
Location and Nature of Proposed Electrical Work:Please see the back side dike 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 CeiL-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Sing Pool
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 ..1Ynmher_.__._T..ons ..._......_.XW..______No.of Self-Contained
Totslx• Defetion/Alprtine Devices
No.of Dishwashers Space/Area Heating KW Local Municipal Other
No.of Dryers Heating Appliances KW Security Systems:*
lei tT_ T— 3
No.of Water No.of No.of KW 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
Attach additional detail natured,or as requtred'by the Dupector of vl ires.
Estimated Value of Electrical Work: N/A (When required by municipal policy.)
Work to Start: September 23,2019 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 • BOND ❑ OTHER El (Specify:)
I certify,under the pains and pent>Tfles of perjury,that the information on this application is true and complete
FIRM NAME: Murphy Electrical Construction,Inc. LIC.NO.:A17441
Licensee: Robert J Murphy—Pres. Signature '� `"`' � LIC.NO.:E38726
(If applicable,enter "exempt"in the license number line) Bus.Tel.No.: 1-518-896-862Q
Address:P.O.Box 1873 Brewster,MA 02631 Alt.Tel.No.:
*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) El owner owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$
Backside of permit
Murphy Electrical Construction, Inc.
P.O. Box 1873
Brewster, MA 02631
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 2006S and 2011S crimps are used
with their respective insulating caps#2007ߞ.
Date:September 23, 2019
Job Location:47 Capt Ryder Rd.
Owner: Mr. Dan Mueller
Description
Replace the 9 fluorescent lights in the basement with LED shop lights(owner supplied).
Remove the two shop lights hanging below the ceiling.
Replace existing exterior weather proof receptacle with GFCI near the front door.
Replace existing exterior weather proof receptacle with GFCI near the rear AC condenser.
Install a new exterior weather proof GFCI receptacle near the garage door.
Install a dedicated 20A/120V AFCl/GFCI receptacle circuit for the Microwave hood.