HomeMy WebLinkAboutBLDE-23-005778 Commonwealth of Official Use Only
fPermit No. BLDE-23-005778
,.y' 1. Massachusetts
%0 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:4/19/2023
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) 1376 BRIDGE ST UNIT 1
Owner or Tenant JOLLY CAPTAIN TOWNHOUSES Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 600 Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service 600 Amps Volts Overhead 0 Undgrd 0 No.9( fgters
Number of Feeders and Ampacity j //_��vii
Location and Nature of Proposed Electrical Work: Replace existing service conduit,wire , &main switcXt ...!,
. O
Completion of the following tab ve, i y tor of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of JO
Transformers
No.of Luminaire Outlets No.of Hot Tubs Generators O
No.of Luminaires Swimming Pool Above ❑ In- ❑ �No.of Emergency Lighting
grnd. grnd. ,Battery Units O
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 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 0 OTHER ❑ (Specify:) _7 7. - t ( e 4
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: REILLY ELECTRICAL CONTRACTORS
Licensee: Sean Reilly Signature LIC.NO.: 22960
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 14 Norfolk Avenue, Eastson MA 02375 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: $100.00
IG b `-t< (1(
RECEIVED
APR V23 •Commonwealth of Massachusetts o -- 7v,
*_ Permit No.:
1. - _,_-Ai MENT
BUILD' .1*== Department of Fire Services Occupancy and Fee Checked:
By. r_ ini=1�u-
• - -D OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
.-tom APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: South Yarmouth Date: 4/18/2023
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 1376 Bridge Street Unit No.: Main Elec. Rm.
Owner or Tenant: Jolly Captain Waterfront Townhouses Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No®Permit No.:
Purpose of Building: Commercial Utility Authorization No.:
Existing Service: 600 Amps 120/208 Volts Overhead® Underground❑ No.of Meters: 20
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Replace existing service entrance conduit/wire do to conduit deterioration.
Replace existing main switch and neutral lugs.
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1❑ Level 2 0 Level 3❑ Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $ 10,000.00 (When required by municipal policy)
Date Work to Start: 4/19/2023 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Reilley Electrical Contractos, Inc. A-1 ®or C-1 0 LIC.No.: 556
Master/Systems Licensee: Sean M. Reilly LIC.No.: 22960 A
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 110 Old Townhouse Road-South Yarmouth, MA 02664
Email: sventura@gorelco.com Telephone No.: 508-619-9029
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: 'Z4di- Print Name: Sean M. Reilly Cell.No.: 508-400-8936
INSURANCE COVERAGE:Unle ived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability 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❑ OTHER❑ Specify:
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)Owner 0 Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.:
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