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Home My WebLink AboutBLDE-22-003823 Commonwealth of Official Use Only Massachusetts PemritNo. BLDE-22-003823 .. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked iRev.l/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/N INK OR TYPE ALL INFORMATION) Date:1/10/2022 City or Town of: YARMOUTH To the Inspector of Wires: 7 ((f By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 3 Location(Street&Number) 9 BASS RIVER RD 86 0—36C EXCia — Owner or Tenant Michael O'Leary Telephone No. Owner's Address 9 BASS RIVER RD,SOUTH YARMOUTH,MA 02664-3125 Is this permit in conjunction with a building permit? Yes❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Remodel 2nd floor bedrooms&bath room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 12 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 18 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/Alertine 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 Stens 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 ❑ 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Alt.Tel.No.: 'Ter 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) Cl owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$250.00 I/,o/ Ceti" 213 AZ' Etaltt rill)*5 i Commonwealth o/ MaMachuoette Official Use Only Permit No. cc�� C.-9/22.--. L.)epartment o f 3ire Service6 Occupancy and Fee Checked -�— BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) yV 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:January 7, 2022 City or Town of: Yarmouth, MA 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)9 Bass River Road Owner or Tenant Michael K. and Denise M. O'Leary Telephone No, 860-306-3532 Owner's Address 9 Bass River Road, Yarmouth, MA 02664 Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Finish upstairs of cape Utility Authorization No. Existing Service 100 Amps / Volts Overhead Vi Undgrd u No. of Meters 1 New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity adding two 15A circuts and one 20 A circut Location and Nature of Proposed Electrical Work: Installing electric circuts / outlets / lights for two bedrooms and in a presently unfinished upstaits of a cape house bath Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil:Susp. (Paddle) Fans TransT Tr formers KVA No. of Luminaire Outlets12 No. of Hot Tubs Generators KVA No. of Luminaires12 Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting grnd. grnd. Batter r�Units No. of Receptacle Outlets18 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches6 No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices g Tons No. of Waste Disposers Heat Pump Number Tons KW 'No. of Self-Contained p Totals: _ _ Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Connech'oln ❑ Other No. of D ers Heating Appliances KW Security Systems:* 1, r3' No. of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KWSigns Ballasts No. of Devices or Equivalent dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring: No. H y g _ No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $3000 (When required by municipal policy.) Work to Start:lmmediately 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 El BOND ❑ OTHER El (Specify:) 1 certify, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: LIC. NO.: Licensee: Signature LIC. NO.: (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: Address: 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 INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my _- .tur- ea-low, I hereby waive this requirement. I am the (check one) ® owner Elowner's agent. Owner/Age 860-306-3532' PERMIT FEE: $250 Signature il, . __ _. L \ ,i► Telephone No. wIMP I` • j aA7