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Home My WebLink AboutBLDE-22-002813 a_ Or -y . Commonwealth of Official Use Only fill% 4\ Massachusetts Permit No. BLDE-22-002813 ' y 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:11/16/2021 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) 15 ANDRINA RD Owner or Tenant HUDSON KIRK M Telephone No. Owner's Address HUDSON SANDRA P, 9125 LAKELAND VALLEY COURT, SPRINGFIELD,VA 22153 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity til Location and Nature of Proposed Electrical Work: Upgrade service&hot tub wiring Completion of the following table may be waived by the Inspector of Wires. 1 No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total 1"--- Transformers KVA 0 No.of Luminaire Outlets No.of Hot Tubs 1 Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units 43 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones l' No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 1 No.of Ranges No.of Air Cond. Total No.of Alerting Devices Z Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Z. 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 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: REILLY ELECTRICAL CONTRACTORS Licensee: Sean Reilly Signature LIC.NO.: 22960 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 Norfolk Avenue, Eastson MA 02375 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 F . ,-tr -6 4 t's2.s+eU1c6 it(t7(v et Commonwealth o/Maaaachu.ett Official Use Only gg it e / Permit No. GZ2-- �J 4#ic. cc�� t_ a[JePartment oi ire�ervices CI 1/411 __- _= Occupancy and Fee Checked �— -�':' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 ( lil :, leave blank) r ' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ,Ry All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 • t >. 6'L.ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: November 11, 2021 ka Z a \ City or Town of: YARMOUTH To the Inspector of Wires: ti {t i s application the undersigned gives notice of his or her intention to perform the electrical work described below. �''Li"c4 ion(Street&Number) 15 Andrina Road Owner or Tenant Kirk Hudson Telephone No. 703-440-5979 Owner's Address 9125 Lakeland Valley Ct., Springfield,VA 22153 Is this permit in conjunction with a building permit? Yes n No V (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120/240 Volts Overhead ❑ Undgrd® No.of Meters 1 New Service 200 Amps 120/240 Volts Overhead n Undgrd F71 No.of Meters 1 Number of Feeders and Ampacity 1 @ 200 Location and Nature of Proposed Electrical Work: 200 amp service upgrade, installation of new 40 circuit panel, power wiring,disconnect switch and connection to new hot tub Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)FansTf 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 of No.of Switches No.of Gas Burners No. Initiating Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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 Dryers Heating Appliances KW 'Security Systems:* ►Y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeieor Wiring: Y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: A 1‘ v O U. '. (When required by municipal policy.) Work to Start: I 1 I 1 Y dt 1 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND El OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information n this plication is true and complete. FIRM NAME: Reilly Electrical Contractors, Inc. LIC.NO.: 556 Al Licensee: Sean Michael Reilly Signature LIC.NO.: 22960-A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-394-3211 Address: 14 Norfolk Avenue,Easton,MA 02375 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.