The URL can be used to link to this page

Home My WebLink AboutBLDE-21-005713 Commonwealth of Official Use Only �,� Massachusetts Permit No. BLDE-21-005713 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev.l/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 PR/NT IN/NK OR TYPE ALL INFORMATION) Date:4/5/2021 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) 321 PINE ST Owner or Tenant BREESE PROPERTIES LLC Telephone No. Owner's Address 411 EAST CRESCENT PL, CHANDLER,AZ 85249 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: Second fllolr addition. Install smoke detectors&CO detectors. 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 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: 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:$75.00 I� .c 4(60(-)A l 14 Conunonwoa[A o`Maddaclus6d16 Official Use Only p• ' q c�ft c7 Permit No. 1:�( —c? /3 �.parGndnE o j A.Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) el APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,52 CMR 12.00 1 (PLEASE PRINT IN INK OR TYPE ALL INFOR TION) Date: 4 iI 02 i City or Town of: LIarm ray To the Inspect r Wires: By this application the undersigned givE;s notice of his or intentiQ�to perform the electrical work described below. Ilk Location(Street&Number) " T Owner or Tenant L Telephone No.(b� �� • a, Owner's Address V Is this permit in conjunction with a building permit? Yes(No 0 (Check Appropriate Box) Purpose of Building .--bc,..)41,\1‘‘v, Utility Authorization No. Existing Service cz/ Amps [I O/C oats Overheadj< Undgrd 0 No.of Meters , New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ll Location and Nature of Proposed E ork: 't pi" Act,...) I A. c t ar. n� ro> . t �_s .' y ih� s+ �Z Sdt'to C o r'�.S- v} 1' / - Completion of the follow gtable may be waived by the Inector of Wires. `� No.of Total U. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA T KVA �1 No.of Luminaire Outlets No.of Hot Tubs Generators Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad ❑ 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 Detectionn and initiating Devices i I] No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump Number Toes__._w TKW � o.of Self-Contained Totals: Detectlon/AlerDevices No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equuivirvaalent unications No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of El- ' al Work: (When required by municipal policy.) Work to Start: /U, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ' G : Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provide:proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such . era a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC BOND 0 OTHER 0 (Specify:) I certify,under the pains - 'pe „es f pe ry',that information on this application is true and compkte. FIRM NAME: r6,�t 0 ` P„ c 714 L:4.� LIC.NO.: Licensee: � ,.., k p. l S ature .- , LIC.NO.: �s/. " 70 (If applicable,'pier Frempt int a ber re.) r Bus.TeL No.. Address: DC (,p a / �] G.-1 C h Alt Tel.No.: •7/g7 *Per M.G.L.c. 147,s.57-61,security work requires Departm t of Public Safety" 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. I PERMIT FEE:$