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Home My WebLink AboutBLDE-21-006235 o• Commonwealth of Official Use Only ii- Massachusetts Permit No. BLDE-21-006235 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 mtention'to perform the electrical 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 HVAC. 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- ElNo.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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 ❑ Municipal ❑ 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 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 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: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 4-r (74 eE. 14 assimemsisoilk of fassaeheeelts Official Use On 2iepR.tahent 4 Permit No. 2A-6z�S Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] {leave blink) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wink to be performed is accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRAT IN MK OR TYPE ALL INFORMATION) 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. Location(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 ❑ (Check Appropriate Box) Purpose of Building Single Family Dwelling Utility Autiroriaatien No. Existing Service Amps / Volts Overhead❑ Uudgrd 0 No.of Meters New Se ice Amps l Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install wiring for HVAC system Completion of the following table may be waived by haymow tel ut. Tohd No.of Reid Luminaires No.of CeILSusp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Poolrado ❑ I ❑ Batters unite �' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Bunten No.ofInitiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste DisposersKent PompNumber I Tons KW No.ofSelf-Contalned DNact[on, Devises No.of Dishwashers Span/Area Heating KW Local 0 Ma ' ',at, 0 Oder No.of Dryers Heating Appliances KW Security of Devices or Egrdtvalmt No.of Waters KW No.of No.of Date Wiring• HeaterSigns Ballasts Na,of Devices or E�fi� No.Hydromassage Bathtubs No.of Motors Total HP Telecommunieations No,of Devices or t OTHER: Attach additional detail fdes at4 ores required by the Inspector of W1r a Estimated Value of Electrical Worst (When 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 force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER 0 (Specif}+:) IcertIA Bader the pains and potables ofpeyarp,that the informed on on th►s application is bwe and complete. FIRMNAME: Driscoll Electric Co., Inc. NO.: A17303 Licence: Brendan Driscoll Signatu �� /LiC.NO.: E34220 (lf appllaable,enter'exempt"in the lice=aiimber line.) Address: 83 Newbern Ave. Medford, MA 02155 Bus.Tel.No.:617-590-0015 •Per M.G.L.c.147 s.57-61 Alt.Tel•No.: . security work requires Department of Public Safety"S"License: Luc.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)0 owner j]owner's agent. Signature Telephone No. I PERMIT FEE:$ ?eV-er 1/4--s @dui sco Ile-teckr;c .A e-1-