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Home My WebLink AboutBLDE-22-007470 Commonwealth of Official use only Massachusetts Permit No. BLDE-22-007470 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:6/29/2022 City or Town of: YARMOUTH To the Inspector of Wires: 6 (18 e By this application the undersigned gives notice of his or her intention to perform the electrical work described below. r4- /) Location(Street&Number) 8 MAYO RD 119— ZZ4 1397 Owner or Tenant Brian Kearney •/7 Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Purpose of Building Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Number of Feeders and Ampacity Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: Wiring for existing shed. 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 0 In- CINo.of Emergency Lighting • grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiative Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water N No.of Devices or Equivalent Heaters ' o.of No.of Ballasts Data Wiring: Signs No.of Devics or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: .V" No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to start: (When required by municipal policy.) 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 I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: BRENDAN E DRISCOLL Licensee: Brendan E Driscoll Signature LIC.NO.: 17303 (If applicable,enter'exempt"in the license number line) Address:83 NEWBERN AVE, MEDFORD MA 021556430 Bus.Tel.No.: 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 FAMLAIO 4 tki29 mfz WC)) -2 RECEIVED 2"! 2�22 t'' ' ' saah of 7aseac (ti Official Use Only # r.e/vailment ol.tirs. Permit No. (✓2"L—7 Y C> 1 L., ', ' VE- - ENT spuic. G Ar B.n..o =' RE PREVENTION REGULATIONS Occupancy and Fee Checked [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 ORTVD' ,.rr rarnnar.rA'rrflfl Date: 6/27/2022 City or Town of: Yarmouth --- By this application the undersigned dives notice of his or her intention to T pero form Inspector of Wires:escr perform the electrical work described below. Location(Street&N..mho..1 8 Mayo Road Owner or Tenant Brian Kearney 617-640-4830 8 Mayo Rd, South Yarmouth Ma Telephone No Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No X (Check Ap propriate Box) Purpose of Building single family dwelling Utility Authorization No. Existing Service-X erhead 0 Undgrd X No.of Me 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wiring of exisitng shed Completion of the Jollowin&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.01 a mergency Lighting grad. 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. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons No.of Self-Contained Totals:l f "_� KW Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal focal❑ Connection ❑ Other No.of Dryers Heating Appliances Kr Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No. of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value nFPtaMrinal $2500 Attach additional detail if desired or as required by the Inspector of Wires. 6/27/22 Wes' (When required by municipal policy.) Work to Start: _ Inspections to be requested in accordance with MEC Rule 10,and upon INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work maytion.issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE, J BOND 0 OTHER I eet7i,fy,under the pains and ❑ (Specify:) penalties of perjury,that the information on this application is true and complete. FIRM NAME: Driscoll Electric Co. , Inc. Licensee; Brendan Driscoll .NO.: 2093 Al of applicable,[rater rom»/"in rho tiro"co nvmhor lino Signatur LID.NO.: 17303 A Address: 83 Newbern Ave, Medford, Ma Bus.Tel.No.;781-3_a99 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: �tLie.No.�� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this requirement. I am the(check one insurance coverage normally t. Owner/Agent )❑owner owner's went. Signature Telephone No. PERMIT FEE:$