HomeMy WebLinkAboutBLDE-21-003017 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-003017
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:11/27/2020
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) 441A ROUTE 6A
Owner or Tenant KELLEY STERLING R Telephone No.
Owner's Address KELLEY JEAN,441A ROUTE 6A,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 El No.of Meters
Number of Feeders and Ampacity C.
Location and Nature of Proposed Electrical Work: Wire porch addition.
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 8 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 4 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 i
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 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: Paul E Ohara
Licensee: Paul E Ohara Signature LIC.NO.: 10323
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 143 SPRING ST, HANOVER MA 023392726 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
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c/� c7 Permit No. /- 30/7
-= 1- 2 epartmeni ol.iire Serviced
4
i F Occupancy and Fee Checked
y.— - 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: 11/2020
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)441A Main St 6,4.
Owner or Tenant Sterling Kelley Telephone No. 508-362-6605
Owner's Address SAME
Is this permit in conjunction with a building permit? Yes ❑� No n (Check Appropriate Box)
Purpose of Building Residence Utility Authorization No. N/A
Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Wire porch addition
Completion of the following table may be waived by the Inspector of Wires.
No.
rano
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVAVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires 3 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 4 No.of Gas Burners No. Initiatingon Detectionand
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 HeatingKW Local❑ Municipal ❑ Other
p Connection _
No.of DryersHeating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP
TelecommunicationsNofDeieor Wiring:
No.of Devices Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 1500.00 (When required by municipal policy.)
Work to Start: 11/19/20 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
e icense provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
l) -tmdtgn�d certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
NECK NE: INSURANCE ❑■ BOND ❑ OTHER ❑ (Specify:)
:'__ 'certii, nder the pains and penalties of perjury,that the information on this application is true and complete.
. iIR1VlN ME: O'Hara Electric, Faithful Security Systems, LLC LIC.NO.:A10323
U':' Licensee:1 PAul E. O'Hara,Jr. Signature // 1144* LIC.NO.:A10323
(` )If applrca le, enter "exempt"in the license number line.) Bus.Tel.No.:(617)827-2774
i -Address: 143 Spring Street,Hanover,MA 02339-2726 Alt.Tel.No.: (781)249-7081
L �' *Per M.GIL. c. 147,s. 57-61,security work requires Department of Public Safety` "License: Lic.No. SSCO-001625
OWNERS INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
"fe`attire law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent.
Owner/Agent PERMIT FEE: $75.00
Signature Telephone No.
.7-
9 :..COMM•NW • TH • • , HU i
DIVISION OF PROFESSIONAL LICENSURE
ELECTRICIANS
ISSUES THE FOLLOWING UCENSE • ••••
REGISTERED MASTER ELECTRICIAN
FAYI4 E OHARA JR
OHARA ELECTRIC FAITHFUL SECURITY SYSTENUt.1
143 SINONG..BT.
HANOVER,MA 023394272e •
)11
10323 A 0713112022 .. • • 691901 •••'••''''.1
LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER
I II • • • • '41
• DIVISION OF PROFESSIONAL LICENSURE
BOARD OF
ELECTRICIANS • I
• ..•'• ISSUES THE FOLLOWING UCENSE • : •
REG JOURNEYMAN,ELECTRICIAN
PAUL E OHARA JR
.1.. 143'81:MING ST ‘474,•: ,. •
HANOVER,MA 02339-2726
20844 E . 07/31/2022 • 692307
LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER
Commonwealth of Massachusetts
Division of Professional Licensure
Security•SjisteMii—S-License
SSCO-001625 Expires:05/12/2021
PAUL OHA ,
E_n_t01142
OH
ANA .
I(INN
Commissioner -