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Home My WebLink AboutBLDE-22-002294 or _ , Commonwealth of Official Use Only iff en Massachusetts Permit No. BLDE-22-002294 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:10/21/2021 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) 50 NEPTUNE LN Owner or Tenant Andrew Gallagher Telephone No. Owner's Address 39 TOURO ST, NEWPORT, RI 02840 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: Rough&final of residence modifications. 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. $rnd. 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 Initiatinu Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons J KW No.of Self-Contained 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 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 perjwy,that the information on this application is true and complete. FIRM NAME: Charles P Gallagher Licensee: Charles P Gallagher Signature LIC.NO.: 35141 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 West Ave, Spencer MA 015622927 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: $75.00 4MG& ?iv' CAS VVl Gc i r'C -+- t ►'1 sic,r CEQVED OCT 2 0 201L aa`` yy��j Commonwsa[th o`///asaachweite Official Use Only BUILDING DC' '=fi �iZ'7j7i? 1 rt `� t / Pcrmit No. - By..---- k N . .� spartmsni a!�ipe Ssrvicse a.`l'.. REGULATIONS BOARD OF FIRE PREVENTION 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(NEC).527 CMR 12.00 }\ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: \ City or Town of: YARMOUTH To the Inspector of Wires: J� By this application the undersigned gives no' e of his or her intention to perform the electrical work described below. 11,_ Location(Street&Nu er) _22 Owner or Tenant 41�' 4,t/ 7 p 7ua1 er /l�' A711-C / Telephone No. Owner's Address / L-.G1 4-= Is this permit In conjunction;yip a (ding, rmit? Yes No ❑ (Check Appropriate Box) Purpose of Building iLcv-iyiy Utility Authorization No. xisting Service Atnps / IVolts Overhead❑ Undgrd I g ❑ N o.of Meters INew Service Amps / Volts Overhead❑ Undgrd g El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: jexii4 4. fiii " 4 /(1 7r- r'/V/5201 AS" kel °� Completion of the following table nut),be waived by the Inspector of Wires. ill; No.of Recessed Luminaires No.of Ceil:Sas . No.off Total ,.. p (Paddle)Fans Transformers '=;t No.of Luminaire Outlets No.of Hot TubsA r=� Generators KVA i No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting fund. and. ❑ 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 No.of Ran es Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number'Tons I KW No.of Self-Contained Totals: Detection/Alertinf_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Heating Appliances KW Security Systems:*Connection ❑ other No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin OTHER: No.of Devices or Equivalent �� Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of El tric 1 Work: (When required by municipal policy.) Work to Stan: 0 U J 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�coqv,erage is in force,and has exhibited proof of same to the permit issuini office. CHECK ONE: INSURANCE XI BOND 0 OTHER I certify,under the El (Specify:) p s anfl pens',es peg ur), that the Infr r r.r oar on this application is true and complete. FIRM NAME: ,p 40 `� / i LIC.NO.:SILL/ EL Licensee: _ A Signature ��/�� (If applicable,en rxem. 'in the c e mbe n•J �� ''� --""�" -TIC.NO.: Address: /S� G. ,(� Bus.Tel.No.• oZ( *Per M.G.L.c. 147,s.57-61,security •rk requires Department of Public SafetyAlt.TeL No.: OWNER'S INSURANCE WAIVE': 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/Agent ❑owner • owner's a:ent. Signature Telephone No. PERMIT FEE:$ 9 S