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Home My WebLink AboutBLDE-22-004134 or Avk Commonwealth of Official Use Only Permit No. BLDE-22-004134 Massachusetts 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:1/25/2022 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) 73 NEPTUNE LN Owner or Tenant DONAHUE JULIE A Telephone No. Owner's Address DONAHUE DANIEL J, 188 SOUTH ST, SOUTH YARMOUTH, MA 02664 6/tYfiii— fr Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building Utility Authorization N• ';';-..'...:'''A''''1' il, Existing Service 100 Amps Volts Overhead ❑ Undgrd ❑ - ` New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service&miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 14 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. Tonal No.of Alerting Devices 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: Gregory J Dailey Licensee: Gregory J Dailey Signature LIC.NO.: 40728 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 113 BRENTWOOD CIR, PLYMOUTH MA 023601000 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 /z / k • Appii r:.. I V E D C.I.D.# JA N 2 5 202 ,. o eafg of 1 'a. iachu3etts Official Use Only c Permit No. �ZZ-� 4l 314 ep ringed o�..fire Services ING uEPARTMEN Occupancy and Fee Checked PREVENTION REGULATIONS [Rev. 1/07] (leave blank) o 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: I < / Zoj )- i City or Town of: 64061100 Yci'r tM U tA+l 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) '7 3 A f fp±,4 h t'_ I ,h e Parcel ID: Owner or Tenant (,_U),.4 i b c I Telephone No. Owner's Address S Is this permit in cogjuntion with a building permit? v ! Yes No ❑ (Check Appropriate Box) Purpose of Building J t 41 ct,,,,,,c, Utility Authorization No. 76-71J-?d 0 i Existing Service a GU Amps ))-a /2..'0 Volts Overhead El Undgrd❑ No.of Meters ' ‘' New Service ) C'() Amps 0,0 0 / )-.U 4 Volts Overhead I UndgrdI N 0 No.of Meters Number of feeders and Ampacity 7-- ,^ Location and Nature of Proposed Electrical Work: N p w 'e✓,I c f , W►riot car h t , Y'vohet Iftrota4 Ol^, SecorLI Chief" dL,,1 tjtifI,Iao'vt c,„ fCCdb .r.4,,li Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires I If No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets / No.of Hot Tubs Generators KVA No.of Luminaires l Swimming Pool S ave ❑ in- ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS l No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Hot Pump Number Tons KW No.oT elf-Contained Totals: ( Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters No.of Data Wirin KW No.of g� Signs 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 litres. Estimated Value of lectrical Work: iY 1,Gd 0 (When required by municipal policy.) Work to Start: I ?..0),), Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C ER 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 c_oyvage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: (a {-e or �4, 1i 5iectr,ci an Licensee: r LIC.NO.: lau7, g rcyor T0uot6 r Signature LIC.NO.: tlU (If applicable,enter"efre i"in the licen number line.) 7), Address: i/3 I�rrn wilor� L't►c }7(7 ,tinf`f/ (J) j Bus.Tel.No.:_ �l 23- 1—2 *Per M.G.L.c. 147,s 57-61,securityworkoi C Alt.Tel.No.: 3� OWNER'S INSURANCE WAIVR:, I am aware thaa Departmente licensee does not lic thove the liability insuranicense: ce a C.coverage normally required by law.By my signature below,I hereby waive this requirement. I am the(check one) y Owner/Agent ❑owner 0 owner's a ent. Signature Telephone No. PERMIT FEE:$