HomeMy WebLinkAboutBLDE-21-006204 pl t, \ Commonwealth of Permit No. BLDE-21-006204 Official Use Only
_,,� Massachusetts
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.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:4/27/2021
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm th electrical work descri d below.
Location(Street&Number) 35 OYSTER COVE RD A-C iS V 1 «r
Owner or Tenant Telephone No.
Owner's Address _E___.._... 35 OYSTER COVE RD, SOUTH YARMOUTH, MA 02664-2320 r Pj�
Is this permit in conjunction with a building permit? Yes 0 No 0 (C *t ,,g�7
Purpose of Building Utili Authorization '`,--' _ .•0 C
P g tY r�:.. .�. , .
Existing Service Amps Volts Overhead 0 Undgrd
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Remodel
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 50 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 40 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 20 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 1 Space/Area Heating KW Local 0 Municipal ❑ Other:
Connection
No.of Dryers 1 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:) 4
IN A I certify,under the pains and penalties of perjury,that the information on this application is true and complete. � �
FIRM NAME: Shawn E Obrien
Licensee: Shawn E Obrien Signature LIC.NO.: 31974
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:64 OAK ST,COTUIT MA 026353507 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: $185.00
7J?(14 Pri IA)tiL cA)Ci o“tia-�S -e�/ INra fir erwle)
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7r23/?�t Ci. ,C 2 ea) Ell(P(u7 ,i /ti\143/17
Commonwealth,7 '!l Official Use Only
i. a glee
Permit No. — 1�
spa rrt a ,_lee-gereicee
f J
Occupancy and Fee Checked
t BOARD OF FIRE PREVENTION REGULATIONS
[Rev. )(( Tj (leave blank):
APPLICATION FOR PERMIT TO PERFORM I L WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) e Date: 4-{-2 0 z i
City or Town of: )& riaic;c, -r-Ii /4,(0 To the Inspector of Wires:
By this application the undersigned gives notice of his r h'erintention to perform the electrical work described below.
Location(Street&Number) 3G C*(S T# a 120
Owner or Tenant I�4G � f-E 1 $ t" Telephone No. j 4k'. .'`1 e 3
, Owner's Address S"t:}'llI E
Is this permit in conjunction with a buildlo perrnit? Yes: No 0 (Cheek Appropriate Box)
Purpose of Building_ Re t 1)d i +` 1 Utility Authorization No. /t/7
Existing Service /at' Amps fie./ l'ic Volts Overhead X Undgrd[3 No.of Meters f
New Service Amps / Volts Overhead 0 Undgrd Ej No.of Meters
Number of Feeders and Antpacity A
Location and Nature of Electrical Work: �� i l 1 i/lee ,Czl 1 t4ve d £Yfi5 i
4.j%L-e .�1, / l(it f of c(�sc. _ '
t Completion of the,following table moy be waived by the Inspector of fires.
s _ No.of Recessed Luminaires 4-0 No.of Cell.-Susp.(Paddle)Fans O No.of Total
m lTransformers KVA
No.of Lu iiralre Outlets f6 No.of Hot Tubs Generators KV A.
a. No.of Luminaires !` Swimming Pool Above ® In- re Battery
Emergency cy Lighting'
ggrad, grad, Battery Units
y
No.of Receptacle Outlets 4ec) No.of Olt Burners FIRE ALARMS No.of Zone'
No.of Detection and
No.of Switches �-0 No.of Gas Burners Initiating Devices
TO
'n No.of Ranges ---- No.of Air Cond. Ton No.of Alerting Devices
No,of Waste Disposers -Heat PumpNout er irons 'No.of Self-Contained
l — Total I ...__.. .._...._ Det Alertin D
evices
No.of Dishwashers I Space/Area Heating KW Local 0 Connlcacci ion al 0 Otter
No.of Dryers Heating Appliances KW Security Syystems:1
/ No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or _Divalent
No.A dromassa a Bathtubs No.of Motors Total HP "T`eleco of Deaviceso r RtirTng
y g ff A No.of Devices or Equivalent
OTHER: /Aie gip. (' cp ti re(�'z�G'.-'
Attach additional detail!Mewed or as r trit ed by the Inspector Wires.
Estimated Value of Electrical Work: f GFGGi1 + of
Lj (When required by municipal policy.)
Work to Start: ii'2 D"2/ 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 E BOND ❑ OTHER 0 (Specify:)
I certify,under ths,pains and penaltie of perjury,that the information on this application is true and complete.,
FIRM NAME: J7' C /) OA)i to ) LIC.NO.: /Z .(>P g 7f
a,t1w) Aat&_
Licensee: S'Gt. signature ---- LIC.NO.:
(If applicable, rater"exempt„in the license arm r line.} Bras,Tel.No.:
Address: C Y .3 r J'lGz r 1'v a C'_Cr-Gin /'47S Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURAN RIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by lam J?v stu below.I hereby waive this requirement, 1 am the "check one)0 owner owners a ent.
Owner/Agee! .:,r ' _ ffit°tjr
L/�
Signature '`1 'e Telephone No. PERMIT �S •-
Wednesday,June 23, 2021
Town Of Yarmouth
1146 MA-28
South Yarmouth,MA. 02664
Attn: Permit Issue
Re:Cancellation of Electrical Permit
Proj= -
Please cancel electrical permit for William Sheehan, I only rough wired the kitchen no
upgrade electrical service. The new electrician will finish out the job.
Thank you;
Sherwood/Levi.,
P.O. Box 669
Dennisport, Ma. 02639
License#11503
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