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Home My WebLink AboutBLDE-23-004449 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004449 0BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked rRev.1/071 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:2/13/2023 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) 72 MAYFLOWER TERR Owner or Tenant XIN ZHANG Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr�P late Box) Purpose of Building Utility Authorization No. /O) 47 Existing Service Amps Volts Overhead 0 Undgrd ❑ . f Number fe Amps Volts Overhead 0 Undgrd 0 //\�,�'.. 1_� Number of Feeders and Ampacity /.:3 h ..� Location and Nature of Proposed Electrical Work: Disconnect&rewire 2 bathrooms on 2nd floor. /S Sc Completion of the following table may be waive t e nA 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 0 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 ❑ 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 Simns No.of Devices or Eauivalent 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 petsaldes 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 Ika 3123 RECEIVED ,.1 FEB 10 2023 , ( Q` Com n o ea[i o/Maseachweite Official Usc Only .1"..;'," 111.40.*4 . - Ce.:'.2_.,3 -- 4 4(7 ,t, " ' DINGUEI'AkTN Ji Permit No. :q; • id 0/3. ` ' ervicod 1/07] l BOARD OF FIRE PREVENTION REGULATIONS Rev. y and Fee Checked i� c blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK J 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 c 3 (T City or Town of: YARMOUTH To the Inspecto ofWires: By this application the undersigned gives notice o> his or h intention to perform the electrical work described below. J Location (Street & Number) a fy (A • io4 r "E r co,G-e _ Owner or Tenant \/ • X 1 i Z hCLV1 / Telephone No 7 35/ ,j Owner's Address CA- 0 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building `� 0,--\\A coo,M k\t c,Ae\ lity Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd I I No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: `�; \ J�� •�- C "\?.Z, o L�T'�\ ` ' _ 0.) Ypck--1-V\r-oc) S v/1 a•A • - \(),z)C_. vi Completion of the following table nay be waived by the Inspector of Wires. l!F No. of Recessed Luminaires No.of Ceil.-Susp. (Paddle) Fans No. of Total 0/ Transformers KVA �1 No. of Luminaire Outlets No. of Hot Tubs Generators KVA ,t` 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 1 No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers -Beat Pump Number 'Tons KW No. of Self-Conte nia Totals: - Detection/Alerting Devices No. of Dishwashers Space/Area HeatingMunicipal P KW Local (] Connection ❑ Other No. of Dryers Heating Appliances KW Security gystems:* No. of Water , Heaters Signs Ballasts Data Wiring: No. of No. of No. of Devices or Equivalent 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 Electri al Work: t UO 0 (When required by municipal policy.) Work to Start: > Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COV 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 +ve . :e is in force, and has exhibited proof of sam to the permit issuing office. CHECK ONE: INSURANCE tii BOND 0 OTHER 0 (Specify:) j e ,Z-3 I certify, under the pa s an, penal ies of perjury, that the formation on this a Cication is true and complete. FIRM NAME: A a • • 7 c (_ G 4N LIC. NO.: Licensee: 'op 't;tv a_ • I SignatureZ___--------7. J 7 0 (If applicable, rater "exempt"in the licens numbs line.) , LIC. o.N 5 Address: j tO t. C II Bus. Tel. No.: `>�t�ClvocL� m ✓� - -S Alt. Tel. No.. 0) (7 LA " c *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety " " License: Lic. No. 1(�OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not 'e 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 agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 75 j