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Home My WebLink AboutBLDE-23-006486 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006486 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:5/11/2022 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) 100 WHITE CEDAR RD Owner or Tenant BRADLEY TIMOTHY P TR Telephone No. Owner's Address THE ELIOT NOLEN 2010 RESIDENCE TRUST, 162 CLINTON ST, BROOKLYN, NY 11201 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 ❑ 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: Unidentified work. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs 1 Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 5 No.of Oil Burners FIRE ALARMS No.of Zones • No.of Switches 6 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 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: 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: Jay A Donnelly Licensee: Jay A Donnelly Signature LIC.NO.: 15717 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 158 PINE ST, RAYNHAM MA 027671121 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 (2.4A.)-644/ c/ r '1 ..•�--►' Clec s/ 2 3 ti 1 R..ECEIVED MAY 10 21I ��jj i -- Commonwealth o////aeeachuaatie Official Use Only 1 BUILDING D E v^ar R ". c� cc�� n aY ___________,s, ;N„„ �spart`msnf o�}' J Permit No. e-ZZ _Ca-f j(o it i.awsd ' `'w BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev. 1/071 (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) City or Town of: Date: /,,gam By this application the undersigned givesnonotice RM his O�THintention to perform the elTo the ectrical ector�kdescribed below. Location(Street&Number) C:?. v. Owner or Tenant ' '' - W- ititg<00-7- Owner's Address y Telephone No. 1 Is this permit in conjunction with a building permit? Yeso ``l r Purpose of Building ---- Cr Utility ❑ (Check Appropriate Box) �i� Authorization No. Existing Service rvr✓ Amps /b/ rtl�j,olts Overhead New ervice E] Undgrd V No.of Meters ---S---ce Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity ❑ No.of Meters . Location and Nature of Proposed Electrical Work: vi ‘A) Completion o the ollowin: table m be waived b the Inspector o Wires. U., No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans ota "=t No.of Lumiaalre Outlets Transformers KVANo.of Hot Tubs l Generators KVA ,�1" No.of Luminaires .z''' ,ove Swimming Pool .rnd. ❑ •° 'o.oate Units cy g tag `` No.of Receptacle Outlets nd. ❑ Bette Units No.of Oil Burners FIRE ALARMS No.of Zones <" No.of Switches No.of Gas Burners 'o.o electron an l`` No.of Ranges Initiatin t Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers 'eat 'ump `um er ons ' " Totals: et o e - onta ne No.of Dishwashers Detection/Alertin• Devices Space/Area Heating KW Local❑ •un crpa No.of Dryers Heating Appliances ecu Connection ❑ Other `o.o "a er KW h ystems: o.o No.of Devices or E,uivalent Heaters ' o.o Data Wiring:Sins Ballasts No.of Dvices or E.uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ons " rmg: OTHER: No.of Devices or E•uivalent Attach additional detail ifdesired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) �"'/O` Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no pennit 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER!certify,under the pains nd enalties o 0 (Specify;) FIRM NAME rperjury,that the information on this application is true and complete. 11 Licensee: LIC.NO.:g Signature (If applicable,enter , em Address: in the license nu ber in. LIC.NO.: r! *per M.G.L.c. 147,s.57-61,security work requires De Bus.Tel.No.; � cense: Lic.No. OWNER'S INSURANCE WAIVER: I am aware thatPnent of Public Safe S'� Alt.Tel.No.: the Licensee does not have the liability insurance coverage n� � � required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner's a Owner/Agent q Signatureowner .eat. Telephone No, PERMIT FEE:$