Loading...
HomeMy WebLinkAboutBlde-19-002255 Commonwealth of Official Use Only Permit No. BLDE-19-002255 .; kikMassachusetts ......,1,37 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:10/17/2018 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) 221 CENTER ST Owner or Tenant GREENHOW SEAN Telephone No. Owner's Address GREENHOW LAUREN,51 ALEXANDER AVE, BELMONT, MA 02478-4807 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A i propriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 ers New Service Amps Volts Overhead 0 Undgrd ❑ N \Zi Number of Feeders and Ampacity 7473 Location and Nature of Proposed Electrical Work: Wire cottage and install sub panel. O —4 (i 7 Completion of the following table may , 'ii b I ctor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) No.of Fans Transformers Total A No.of Luminaire Outlets No.of Hot Tubs Generators 4 4UF A 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 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 ❑ 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 perjury,that the information on this application is true and complete. FIRM NAME: ALAN R O'REILLY Licensee: Alan R O'Reilly Signature LIC.NO.: 51570 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 LENTELL ST, SANDWICH MA 025632116 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: $200.00 vs C ommonweatth of addac�xudattd Official Use Only �_ZZSS I T - �c-y`�, Permit No. -S— e .aGJepart n.nt of Kira Seruice4 445s P Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ✓ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),S 7 C,fR 12.00 \€ (PLEASE PRINT IN INK OR TYPE ALL INFQRRLTIQ1V) Date: /'p !6 1$ City or Town of: `-j o r y.1,> A4 To the Inspector of ires: Ji By this application the undersigned giv notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1 I hPrt ,r sA..r.„-E- 0 Owner or Tenant La JYeN Telephone No. c617 G199 - 3091 Owner's Address 'Sawwe_ H,S o. v-t. •___ rxvA o' Is this permit in conjunction with a building permit? Yes)No _ (Check Appropriate Box) , 0 Purpose of Building CA Utility Authorization Authorization No. n` Existing Service Amps /`� Volts Overhead I Undgrd C No.of Meters cr New Service Amps I Volts Overhead E Undgrd L No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: tat t (p er(2 _ G veecteA e. ` l IcSs.,‘., --r S.s� Y.,, ,,_ tU�` Completion of the,following,table may be waived by the Inspector of Wires. .of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • Na.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting g and. grnd. Battery Units • No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones No.of Switches Na.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonsi No.of Alerting Devices No.of Waste Disposers Beat PumpNumber Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Munsespa! ❑ Other Connection Heatin A fiances Security Systems:* /r No.of Dryers g pP KW No.of Devices or Equivalent `I No.of Water KW No.of No.of Data Wiring: - Heaters Signs Ballasts No.of Devices or Equivalent ('y) Na.I< dromassa a Bathtubs Na.of Motors Total HP `Telecommunications Wiring: t 1 y gNa.of Devices or Equivalent N.OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. . \.J ('j Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 14,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 verage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ►I BOND ❑ OTHER O. (Specify:) I(ego(ibis' 1?.j1 s/ I certify,under the pains d pen' 'es of erjury,that t e information on this application is tr a and complete. FIRM NAME: a c. `f G.,. ..„: LIC.NO.: Licensee:„ 6 i Signature c LIC.NO.: ES IS'7 d (If applicable, me "exec pt"in th keens numb ine) Bus.Tel.No.: Address: c,.. . i/tc l C .S Alt.Tel.No.:(5t ) 6`I1'-clft 7 *Per M.G.L.c. 147,s.57-61,security work requires Dep ent of-5ublic Safety" ' License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not h the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I the(cheek one)D owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ O.