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Home My WebLink AboutBLDE-22-005631 oll A k'1/ Commonwealth of Official Use Only 11%1i , Massachusetts Permit No. BLDE-22-005631 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:4/4/2022 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) 53 GINGERBREAD LN Owner or Tenant PHELPS JUDSON HTelephone No. Owner's Address PHELPS BARBARA RAY,53 GINGERBREAD LN,YARMOUTH PORT, MA 02675 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: Wiring for 2 NC systems& 1 receptacle. 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. grad. Battery Units 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 Initiating Devices No.of Ranges No.of Air Cond. 2 Ton Total No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Siens 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 ❑ 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 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: $50.00 A 4/, 7? RECEIVED MAR 3 1 202.11 , Commonwealth.ol Maddachweite Official Use OA BUILDING D E N' r ;Iii:..:.; c� cc77 Permit No. 2Z ' 6,3 ( 4 „� 2epartmeni o�.tiro serviced By — 11 3 a',.' BOARD OF FIRE PREVENTION REGULATIONS [Rev. and Fee Checkedn ) �. ) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 3 i Date: ,,.. City or Town of: YARMOUTH To the Inspect r of ires: By this application the undersigned gives notice of his or her i tention to perform the electrical work described below. Location(Street&Number) 53 GtiAy./‘')r 1-4.0 f Owner or Tenant `-3--,)A5.,„\., ?h e\ 1N s Telephone No( rill Owner's Address :Sck �� v►nZ ra.S alo�.rc iN Is this permit in conjunction with a building ermit? Yes 0 No X (Check Appropriate Box) Purpose of Building )JQy, A tOt}'tnq tool,n� S•1S}CMUtility Authorization No. Existing Service Amps / J / Volts Overhead[11Uodgrd EJ No.of Meters New Service Amps Number of Feeders and Ampacity Volts Overhead El rd Undgrd EDNo.of Meters I Location and Nature of Proposed Electrical Work: ' a E ( ) kr140,4A\er 0...1 1.k-- _ —/-ns k b.YtA...,..r r %r. _ r Completion ofdee followinvable may be waived by the Invector of Wires. U. No.of Recessed Luminaires No.of Ceil:Sas . No.of Total �t p (Paddle)Fans Transformers KVA 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA A= No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting gr nd• grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners µ FIRE ALARMS INo.of Zones ,, •-= No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Tota II' No.of Ranges No.of Air Cond. Tons INo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons . �KW No.of Self-Contained Totals:I""'_.._____ [Tags _....._ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 °ther No.of Dryers Heating Appliances KW Security Systems:* '' No.of Water No.of Devices or Equivalent _ 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 ifdesired,or as required by the Inspector of Wires. Estimated Value of lectrical Work: (When required by municipal policy.) Work to Start: 3 9 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: 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 is ing office. CHECK ONE: INSURANCEBOND� 0 OTHER 0 (Specify:) 174 JGigf,$Y /,) a I certlfy,under the pains a enalties of.erj ry,that the nforma lon on this application is fru and complete. FIRM NAME: 4 a, I Let 'ae 4 LIC.NO.: Licensee: AMP.. Signature LIC.NO.: 515 r10 (If applicable,enter"exe pt';* the I ense mber li ) Bus.Tel.No.: Address: ' ._ - . c -int'Ci M oo -.4,. o.:G 3) ti� 1lal *Per M.G.L.c. 147,s.57-61,security work requires Department'of Public Sal • S”License: Alt.Lic.No. `�a b • 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 Signature Telephone No. ( PERMIT FEE:$