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Home My WebLink AboutBLDE-22-006455 Commonwealth of Official Use Only `e°‘ Permit No. BLDE-22-006455 - '"-' "E Massachusetts B ARD 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:5/10/2022 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) 2 SANDY LN Owner or Tenant Richard Bevilaqua Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ 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 of bedroom, bathroom, &laundry room 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 Signs 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: Alan R O'Reilly Licensee: Alan R O'Reilly Signature LTC.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. I PERMIT FEE: $75.00 I RECEI / ED 'coy 4 G 6 2022 BUILDING DEP TMENT Commonweal/1 ol a oach (fo Official Use Only By _ 1.ryc� cc77 � //__ . Ft_ 2)epart`insnit o�}Ira Serviced Permit No.C �� `�� y '-• z''`i Occupancy1/07] and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. V (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S 6 t�City or Town of: YARMOUTH To the Inspecto of ires: By this application the undersigned gives notice of his or her intention to perform the electrical w rk described below. Location(Street&Number) a :5 o f c '( L do"e__ � c a„t Owner or Tenant , "-a B e_.j,. Q v 4Owner's Address -5��,�4 0.5 b o � Telephone No. Sas a Is this permit in conjunction with a building rmit? Yes. —No Purpose of Building C \ aA f 0 (Check Appropriate Box) �liN�_I.t,v,j Utility Authorization No. 0 Existing Service Amps / !! Volts Overhead 0 Undgrd 4El No.of Meters C New Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters a Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,,. �0.-Q -200vv\ X` ~° W 1� �e� 1�ec�,�cx0v`n 8 u c`cA�wk 4 kel > V�_ es`�U Completion of the following table may be waived by the Inspector of Wires. s No.of Recessed Luminaires No.of Cell:Sas . No.of Total U. p (Paddle)Fans Transformers KVA No.of Luminaire Outlets KVA _ No.of Hot Tubs Generators KVA t:` 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 INo.of Zones a No.of Switches No.of Gas Burners No.of Detection and `t' No.of Ran es Initiating Devices g No.of Air Cond. otal Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number(1 ors (kW No.of Self-Containe(U Totals: ( ) Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ Other tY Heating Appliances KW Security Systems:* No.of Water , No.of No.of Devices or Equivalent Heaters 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 of El etr'eal Work: Attach additional detail if desired,or as required by the Inspector of Wires, Work to Start: (When required by municipal policy.) 5 C Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: 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 covers a is in force,and has exhibited proof of same tote permiit issuing o ice. CHECK ONE: INSURANCE BOND �, 0 OTHER 0 I certify,under the psi an p�ena ies ofpe (Specify:) f Je VS �a o2t� FIRM NAME. rJury,th t the information on this application is true and omplete. Licensee: �� ``� LIC.NO.:_ (If applicable,enter"exem Signatur LIC.NO.: Sf Address: -gyp in the lice se iu� ber line) Bus.TeL No.• *Per M.G.L.c. 147,s.57-61,security work requires Department f Public Sa ety"S"License: Alt. c.No. ri OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally cal required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent ■ owner ■ owner's a:ent. Signature Telephone No. PERMIT FEE:$