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Home My WebLink AboutBLDE-21-006236 or - '4'"".` Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-21-006236 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:4/28/2021 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 electncal work described below. Location(Street&Number) 8 MAYO RD Owner or Tenant Brian Kearney Telephone No. Owner's Address 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: Wiring for remodel basement. 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 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 Siens 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 ❑ (Specify:) I certify,under the pains and penalties ofperjury,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.) Bus.Tel.No.: Address:83 NEWBERN AVE, MEDFORD MA 021556430 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 (. .t-o-edi- ri:1)A- ery) (Ail iz.r, l l2 - € -- '57 0 el°4 14 Costmonwes&Pnakuschasalld �-orncio!Use opty rx�e at' s Permit No. 024 '(Q �n Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07J owe blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATJO,N) Date: 21.04.22 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. Loation(Street&Number) 8 Mayo Rd Owner or Tenant Brian Kearney Telephone No. 339.221.3753 Owner's Address Is Ibis permit in conjunction with a building permit? Yes ® No 0 (Check Appropriate Box) Purpose of Building Single Family Dwelling Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps l Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders end Ampacity Location and Nature of Proposed Electrical Work: Installing wiring to finish basement Completion oft a robfeomay be waived by f ley fiTotal ts arrows. of Recessed Luminaires No.of Coll.-Sup.(Paddle)Pang 1Yepa:formere ]KVA No.of Luminaire Outlets No.of Het Tubs Generators KVA No. Above Lagrange of Luminaires Swimming Pool grad. ❑ I ❑ Battery so.of RUni c3' No.of Receptacle Outlets No.of Oil Busmen FIRE ALARMS No.of Zones No.of Switches No.of Gas Bnraera No.ofDetection and bitiatbsg Devices otal No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Totrehx Numbert Pump row KW NoDeste odf Se� No.of Dishwashers Space/Area Heating ICW Local❑M� ❑ Other No.of Dryers Heating Appliances ICW Securityf�=1;;er Equivalent No.of Warms KW No.of No. Data Wirer: Signs No.TaDevices or om mu �No.Hydromossage Bathtubs No.of Moron Total HP No.of Deniciilons vices or OTHER: Attach additional detail fdesired ores requires'by the inspector of Wes. Estimated Value of Electrical Work (Wiese required by municipal policy.) Work to Start: 04.22.21 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 forte,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 7corms ande r the pains and penalties ofpetjww,dtathe infferpratfon on this application is true anti aosrple& FIRM NAME: Driscoll Electric Co. , Inc. NO.: A17303 Li, ee: Brendan Driscoll gign,apr LIC.NO.: E34220 al applicable,eater'exempt"in the license number line.) Address; 83 Newbern Ave. Medford, MA 02155 Blt.Tl.No„617-590-0015 "Per M.G.L.c.147 s.57-61 Alt.Td.No.: > security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doss 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 j]owner's agent. Otner/Signature Telephone No. I PERMIT PER:$ Tecn:,�s0As"' lle�ec-�; .net