HomeMy WebLinkAboutBLDE-21-002369 0 A\`v Commonwealth of Official Use Only
'1. Massachusetts Permit No. BLDE-21-002369
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:10/29/2020
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) 133 SOUTH ST
Owner or Tenant SHIMMEL GARY A Telephone No.
Owner's Address SHIMMEL KATHLEEN M,456 NEWT-OWN RD, LITTLETON, MA 01460 C l/
Is this permit in conjunction with a building permit? Yes 0 No 0
(Check Ap ro •
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 o s I A
New Service Amps Volts Overhead 0 Undgrd 0 No. a rt, ' a/' A,
Number of Feeders and Ampacity ' 0 m
Location and Nature of Proposed Electrical Work: Work per attached . 4Zo ' i
Completion of the following table may be waived by the Th c'. " ires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Tot:
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
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 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Eauivalent
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: MICHAEL J MCSHEFFREY
Licensee: Michael J Mcsheffrey Signature LIC.NO.: 9897
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 1 LEONARD CIR, MANSFIELD MA 020482754 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
N))141C/30/wKf .
(Pali f ) it/ /- k6
'- Commonwealth o/Maddacettd Official Use Only
�E '/ c� Permit No. vl — 9
c .I "-, epartmen�t o/"ire Serviced
-1 f _, 2Occupancy 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: October 28, 2020
City or 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) 133 South Street
Owner or Tenant Gary& Kathleen Shimmel Telephone No. 978-257-5707
Owner's Address 456 Newtown Road, Littleton, MA 01460
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 200 Amps 120 /240 Volts Overhead X71 Undgrd n No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: see attached
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVAVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1
of
No.of Switches No.of Gas Burners No. InDeteand
Initiatinnggon Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: Detection/Alerting 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 No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP
Telecommunications NofDeiceorWiring:qal
No.of Devices Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $3000 (When required by municipal policy.)
Work to Start: 10/29/2020 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 ❑ (Specify:) GENERAL ACCIDENT INSURANCE Exp:07/31/2021
I certify,under the pains and penalties of perjuty,that the information on this application is true and complete.
FIRM NAME: REILLY ELECTRICAL CONTRACTORS, INC. LIC.NO.:9897A
Licensee: MICHAEL J. MCSHEFFREY Signature rll 'r" /.o;:.f5 LIC.NO.:9897A
(If applicable,enter "exempt"in the license number line.) _____. Bus.Tel.No.:508-394-3211
Address: 110 OLD TOWNHOUSE ROAD,SOUTH YARMOUTH,MA 02664 Alt.Tel.No.: 508-400-8936
*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)❑owner ❑owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.
11
REILLY ELECTRICAL CONTRACTORS,INC.
110 Old Townhouse Road-South Yarmouth,MA 02664
508-394-3211 •888-GO-RELCO•FAX 508-760-1425
October 22,2020
Pg. 1 of 2
CE20-154
via:whitehorsebuildersna,verizon.net
do Mr.Gary Shimmel
White Horse Builders
456 Newton Road
Littleton,MA 01460
Re: Misc.Electrical
133 South Street
South Yarmouth,MA
Dear Gary,
We are pleased to provide you our price for the electrical work for the above referenced project.
Our price is based on site visit,State/Local Codes and the scope of work listed below.
Our price includes the following:
• Sales Tax
• Permit fee
• Coordination/Supervision
• Insurance
• Normal working hours
• Furnish/Install eleven(11)duplex receptacle at rear family room.
• Furnish/Install two new 3-way switches at rear family room for control of existing lighting circuit.
• Furnish/Install four(4)new 4ft.LED strip lights at existing fixtures locations.
• Extend existing branch circuit(s)as required to accommodate new receptacles and switches.
• Relocate existing 240volt branch circuit at left rear corner of room to exterior and connect to new
HVAC unit via new Nema 3R disconnect switch.
• Install power wiring and connect to new HVC floor cassette.
• Furnish/Install new exterior GFI receptacle adjacent to exterior HVAC equipment per NEC.
• Furnish/Install new AFCI dead-front device adjacent to garage electrical panel for existing affected
circuits.
Our price excludes the following:
• Clear access to work areas.
• Premium time/shift work
• Removal of interior wall board and/or millwork to accommodate new branch wiring
• A/V wiring device and components
• HVAC controls and control wiring
• Excavation,backfill,loam,sod,seed and landscape materials or installation
• Main electrical service and panelboards(existing)
• Utility Company back charges
• Telephone Company back charges
• Cable Company back charges
• Engineering/Design fees
• Work other than listed under inclusions
Electrical Contracting•Design•Service&Maintenance