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Home My WebLink AboutBLDE-21-005498 Commonwealth of Official Use Only triAltHf Massachusetts Permit No. BLDE-21-005498 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Codc (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3/24/2021 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) 85 NANTUCKET AVE Owner or Tenant Adrian O'Malley Telephone No. Owner's Address 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: Kitchen lights&receptacles. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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 7 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 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 1 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:) (. (7_Z9.3- D�g� I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Adrian P O'Malley Licensee: Adrian P O'Malley Signature LIC.NO.: 2414 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 167 COLWELL DR, DEDHAM MA 020266421 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 CRiz L)G,W 3 047.4 .14 Commonwsa/h o`Maddachudetto Official Use only,p, $.• 'lit •i c�r� Permit No. . in '-gc-1 • ' 2 epartinent e f Pro Serviced Occupancy and Fee Checked ly 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(.IEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Z. I - I2'Z) City or Town of: SoV \4 o�c Mot)� • To the Inspector of Wires: By this application the undersigned gives notice o his or her intention to perform the electrical work described below. Location(Street&Number) $5 ►1-kv GkeA'- k t•= Owner or Tenant �2N. Qj 2.\ Telephone No. (-Vhi-aStS-0762.. 1 Owner's Address Is this permit in conjunction with a building permit? Yes Er No 0 (Check Appropriate Box) Purpose of Building ewe l‘.wY4,0, e_ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service - -- Amps /_ -- Volts- Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1,k c6- iz,�c,cks,J._ \i��,0 e t Ic 4 ▪ ,M&cA-0.00„e_ c)v\-\fit bt•t ccx.,r`�- cw1•l� vc •co Z�C zt Cca .--t �. k Completion of the followingtable m be waived by the Inspector of Wires. ''' No.of' Total No.of Recessed Luminaires No,of Cell,-Snap.(Paddle)Fans Z-., g Transformers KVA CA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting } grad. Rind, Battery Units ''-s No.of Receptacle Outlets 1- No.of Oil Burners FIRE ALARMS No.of Zones .> No.of Switches No.of Gas Burners No.of Detection and S Initiating Devices Total l No.of Ranges I No.of Air Cond. Tons No.of Alerting Devices No.of Waste DisposersHeat Pumpmber Tons KW 'No.of Self-Contained 0 Totals: Detection/Alertin Devices No.of Dishwashers t Space/Area Heating KW Local 0 Conn�ectlon 0 other No.of Dryers Heating Appliances KW SecuriNo. f Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent _ No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications wiring• y g No.of Devices or Equivalent --OTHER: c•rbwcroe_ E‘ct.vk-k-- *- - 14- 64 .4 - - _ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Electrical Work: '4 f er00 (When required by municipal policy.) Work to Start: Z 2.0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: �0ZN Q\ A \�M �Signature ,, V""`�h�— LIC.NO. 4 r 4 (If applicable,enter"exempt"in the license tuber line.), Bus.Tel.No.:6%1-ttt1-on L Address: $S ,N`riu ekr L Sc�v L\coltArAA.L WM* 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $