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Home My WebLink AboutBLDE-22-002891 #440 Commonwealth of Official Use Only : ; �. Massachusetts Permit No. BLDE-22-002891 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:11/18/2021 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) 400 HIGGINS CROWELL RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 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.o Meters New Service Amps Volts Overhead 0 Undgrd ❑ Nters Number of Feeders and Ampacity •N,Location and Nature of Proposed Electrical Work: Install receptacle for book vending machine at M. . ch al,:44 gins Crowell Road. Completion of the following tab a re*tivedsbxi vector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of `, f,: '1,:v,,, • g, No.of Hot Tubs 20 Transformers ., •, „,./ r° No.of Luminaire Outlets Generators ..,,/, ....,, e No.of Luminaires a Swimming Pool grnd.Above ❑ RI In-nd. ❑ No.of Emergency Lightin 44 Batter,Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of •. No.of Switches No.of Gas Burners No.of Detection and �� Initiating Devices �„�,,5 No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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: s 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: REILLY ELECTRICAL CONTRACTORS Licensee: Sean Reilly Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 22960 Address: 14 Norfolk Avenue, Eastson MA 02375 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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)) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$0.00 I .RE, EI I D 00// // ,� Commonwealth o1�addachudettd Official Use Only NOV r`'_ a"_ .2e artment o 7ire Serviced Permit No. == Occupancy and Fee Checked BUILDING u;3 ENTB�ARD OF FIRE PREVENTION REGULATIONS [Rev. it:. /07] (leave blank) 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: November 8, 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)440 Higgins Crowell Road Owner or Tenant Dennis Yarmouth Schools Telephone No. 508-398-7670 Owner's Address 296 Station Avenue, South Yarmouth, MA 02664 Is this permit in conjunction with a building permit? Yes n No VI (Check Appropriate Box) Purpose of Building School Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install new book vending machine receptacle in lobby Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above r—i❑ In- ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool 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 AlertingDevices 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 No.of No.of Heaters KW Data Wiring: 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: $900 (When required by municipal policy.) Work to Start: 11/8/2021 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 El (Specify:) I certify,under the pains and penalties of perjury,that the information n this plication is true and complete. FIRM NAME: Reilly Electrical Contractors, Inc. LIC.NO.: 556 Al Licensee: Sean Michael Reilly Signature LIC.NO.: 22960-A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-394-3211 Address: 14 Norfolk Avenue,Easton,MA 02375 Alt.Tel.No.:508-400-8936 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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)❑owner ❑owner's nt. Owner/Agent Signature Telephone No. PERMIT FEE: $