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Home My WebLink AboutBLDE-21-001054 of-,•a, U\\° P Commonwealth of Official Use Only mgt-. ;1 Massachusetts Permit No. BLDE-21-001054 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:8/31/2020 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) 100 WEBBERS PATH Owner or Tenant HAAG LISA ANN Telephone No. Owner's Address 144 CHAPPAQUIDDICK RD, EDGARTOWN, MA 02539 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: Repairs to receptacles&lights as needed. `//� Completion of the following to le , . ;„1: . t eijilitor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.offo ® Tital Transo No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Po #.0? grnd. grnd. Battery Units O No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zo No.of Switches No.of Gas Burners No.of Detection andCr 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 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: 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: $50.00 (\)11Z., 'q (Ziet(.0 Kg- / e)147.o 61tosf.A9 tl-b14.- Q l (8(2-0Cl °" 3s � aa,, ///�j Official Use Only Commonwealth o/ ae�acea Vb _` �� t c� Permit No. (�! t� —AC), -1 l M .2)epartment o/Sire Serviced c II -" Occupancy 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:August 26, 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) 100 Webbers Path Owner or Tenant Lisa Ann Haag Telephone No. 508-292-2673 Owner's Address 144 Chappaquiddick Road, Edgartown, MA 02539 Is this permit in conjunction with a building permit? Yes ❑ No V (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. N/A Existing Service 100 Amps 120/240 Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repair receptacles and install light fixtures. Run wiring and install AFCI breakers as needed. Completion of the followingiable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- LINo.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. Initiating of Detectionand Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons PumNo.of Self-Contained No.of Waste Disposers Heat Totals Number Tons KW Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Di 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 NofDeieor qu val No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $1000 (When required by municipal policy.) Work to Start: 8/28/2020 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 El OTHER El (Specify:) GENERAL ACCIDENT INSURANCE Exp:07/31/2021 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: REILLY ELECTRICAL CONTRACTORS, INC. LIC.NO.:9897A Licensee: MICHAEL J. MCSHEFFREY Signature �t'/ //r�'yj LIC.NO.:9897A (If applicable,enter "exempt"in the license number line.) L 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)El owner ['owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $