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Home My WebLink AboutBLDE-22-006114 AV\ Commonwealth of Official Use Only i 1 : \ Massachusetts Permit No. BLDE-22-006114 U `^-� 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:4/25/2022 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) 63 SMITHS POINT RD Owner or Tenant Valone _ Telephone No. Owner's Address 63 SMITHS POINT RD,WEST YARMOUTH, MA 02673 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 150 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for guest house with 150 amp sub panel. 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. grad. 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 ION 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 Eauivalent 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 Eauivalent 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 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: $180.00 ► Qrie (42I-vv f-ciow (f tagi (fvr A-/v� n i &� li ECEIVED AA'' yyyy�� 1. —_._.___— ... ..thof/rlamacfiusefis Offi-icc7ialUse Only �,f Is - >r PR 212022 ► ec// Permit No. fZ2- (o(! 1 e •ykr,Gn,nl of.7irs.3eroicd i i. _ Occupancy and Fee Checked t DIN IP1.'RE 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 INF RMATION) Date: April 22,2022 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) 63 Smiths Point Rd Owner or Tenant Valone Residence CH Newton GC Telephone No.508-548-1353 Owner's Address 63 Smiths Point Rd.West Yarmouth.Ma 02673 Is this permit in conjunction with a building permit? Yes ❑ No Elk (Check Appropriate Box) Purpose of Building Single family welling Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters T New Service _ x Amps 120/240 Volts Overhead El Undgrd a No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Accessory Building-wiring for a Guest house with a IuUA Nub Panel Completion of the followin mble m be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ElNo.01 Emergency Lighting grid grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones oNo.of Switches No.of Gas Burners No.Initiatiandng on Devices No.of Ranges No.of Air Cond. Tens No.of Alerting Devices of WasteDis Disposers Rear Pump Number Tons KW No.of Self-Contained No. P Totals: ..." .....-.__._ -.........._DetectimilAlerting_�Devices No.of Dishwashers Space/Area Heating KW Local❑Munidonnectiopal n ❑Other C No.of Dryers Heating Appliances KW Security Systems:• rY No.of Devices or Equivalent No.of Water Kµ, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel N of Devices or Equivalent OTHER: Attach additional detail((desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: $79,650.00 (When required by municipal policy.) Work to Start: 04/25/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 1:K BOND❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Driscoll Electric Co., Inc. .,NO.: 2093 Al Licensee: Brendan Driscoll Signatu LIC NO.: 17303 A (If applicable,enter"exempt"in the license number line.) - Bus.Tel.No.*781-393-9299 Address: R3 Newborn Ave,Medford,Ma 02155 Alt.Tel.No.: 617-590-0015 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.