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Home My WebLink AboutBLDE-23-001172 'II 91k Commonwealth of Official Use Only %MMassachusetts Permit No. BLDE-23-001172 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:9/1/2022 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) 95 PINE CONE DR Owner or Tenant HAYES DANIEL F Telephone No. Owner's Address HAYES MARCELA M, 11 DARLENE DR, SOUTHBOROUGH, MA 01772 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 of addition&kitchen. 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- ❑ '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 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 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Alan R O'Reilly Licensee: Alan R O'Reilly Signature LIC.NO.: 51570 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 LENTELL ST, SANDWICH MA 025632116 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 u)0.0 (11 4'27 Nf}L oe izizz,122 .1 `47 3 `-t)i l l c0-11..0 Rw 'C'EIVED [SEP 01 2022 Cammonwaa[th o`Kldarhmerld Official Use Only ' ^r N'� cy� c7 Permit No. l�2� BUILDING Dt 'HRr";_r.,,'ir 2spartmsnl l-}Ls Serviced fly- --- _�:'; Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS Rev.1/07] (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: 9/i)„A City or Town of: YARMOUTH To the Inspect rbbf Wires: By this application the undersigned gives notice of his or her intention^to�perform the electrical work described below. Locaton(Street&Number) �5 ?or (e7inP �V�Wt. Owner or Tenant ri IO.v \-.\q,�p,5 Telephone No. X� Owner's Address A n_bc.."C.. Is this permit In conjunction with a building permit? Yes 171., No ❑ (Check Appropriate Box) Purpose of Building ' ,-KA ,,�u Utility Authorization No. C Existing Service Amps J/ Volts Overhead Undgrd �Ss1 ❑ g ❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity i Location and Nature of yroposed Electrical Work: W';r2. (t,J Ca,t j }'`6,,N 4-` \ev- Gt.<1 Ceao c.S\.e�x clew.rt. e.y ,,},n CA NA et it c,..1 en S ✓\ �r] 6alrplotion of the followinEtable m be waived by the Inspector of Wires. I. No.of Recessed Luminaires No.of Ceil:Sas No.of- 1 otal �..., . p.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting trod. g-rnd. 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 Alr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _.. �- Detection/Alertly Devices No.of Dishwashers Space/Area Heating KW Local❑Connnectioiecti n ❑Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromaaaage 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 Flectrical Work: (2)J (When required by municipal policy.) Work to Start: r7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E E: 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER❑ (Specify:) -+`AvCt�S I s1/do1 I certify,under the pain;an penalties o perfury,that the information on this application is true a d complete. FIRM NAME: a ] E Jy,,c,5J, LIC.NO.: Licensee: - Signature LIC.NO.:�5/5170 Ofm plicabl ter"exem t"ip the • we narnber Me) • I Bus.Tel.No.' Address: Len I T1�et— -v„r�,..ilC.`, JV1 vi�5 Alt.Tel.No.:C.b1'et'f.6—lag 'Per M.G.L.c.147,s.57-61,security work requires Departmebt of Public Safety" '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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 76-- Y v ,l`