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Home My WebLink AboutBLDE-15-005195Commonwealth of Official Use Only Massachusetts Permit No. BLDE-15-005195 �-' 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 INFORAIATION) Date: 4 /2 412 0 1 5 City or Town of: YARMOUTH To the Inspector oflVires: By this application the undersigned gives notice ol his or her m noon to perform the a ec i � work described below. Location (Street & Number) 361 GREAT ISLAND RD Owner or Tenant SWEAT MICHAEL D Telephone No. Owntes Address SWEAT RITA R 91 SPOFFORD ST, GEORGETOWN, MA 01833 Is this permit in conjunction with a building permit' Yes ❑ No ❑ (Check Appropriate Bos) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Dieters New Service Amps Volts Overhead ❑ Undgrd ❑ No. ofMtters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Megohm 1st floor branch Circuit wiring. Replace devices & fixtures. Comolelion of the followitiv rahle may be waived by the Invnertar of lViroc No. of Recessed Luminaires No. of CeiL-Susp.(Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Ilot Tubs Generators KVA No. of Luminaires Swimming Pool Above [3In- [3No. rnd. rnd. of Emergency Lighting Ba r t its No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initialing No. of Ranges No, of Air Cond. Total No. of Alerting Devices No. of Waste Disposers lieat Pump Totals: ns Numher ToKW No. of Self -Contained Detection/Alertine Devices No. of Dishwashers Space/Area Ileating KW Local ❑ Municipal (3Other: Conner inn No. of Dryers Heating Appliances KW SecuriS stems:• No. v s or Foulvalent No. of Water KW Heaters No. of No. of ins Ballasts Data Wiring: No f Devices or Enuivalent No. Ilydromassage Bathtubs No. of Motors Total IIP TelecommunicaionsWiring: Y o vi or F: uival nt OTHER: Attach additional detail U destre4 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 ❑ OTIIER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the Information on this application Is true and complete. FIRM NAME: REILLY ELECTRICAL CONTRACTORS DBA RELCOM Licensee: JAMES J REILLY Signature LIC. NO.: (Ifapplicable, enter "exempt' in the license number line.) Bus. Tel. No.: 16666 Address: 14 NORFOLK AVE, EASTON MA 02375 Alt. TeL No.: *Per M.G.L. c. 147, s. 57-61, security work requires Ikpartinent of Public Safety "S" License: OWNER'S INSURANCE WAIVER: I am aware that the License does not h ne the liability insurance coverage normally required by law. But signature below, I hereby waive this requiremcnL I am the (check one) Owner/Agent Signature Telephone No. _ q -2-ql e,s 1 ❑ owner ❑ owner's agent. PERAIIT FEE: $75.00 ` Official Use only ' : t Commonwealth of Massachusetts Permit No. 6/s -S/96-" Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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 PRINTININK OR TYPEALL INFORMATION) Date 4/22/15 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) 361 GREAT ISLAND ROAD Owner or Tenant SWEAT, MICHAEL Telephone No: Owner's Address 91 SPOFFORD STREET, GEORGETOWN, DIA 01833 Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Building RESIDENCE Utility Authorization No. Existing Service Amps Volts Overhead Undgrd No. of Meters New Service Amps Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Volts Overhead Undgrd No. of Aleters 111EGOIINI IST FLOOR BRANCH WIRING, REPLACE DEVICES & LIGHT FIXTURES Completion of the followine table may be waived by the Inspector of {Vires. No. of Recessed Luminaires No. orCei6-Susp. (Paddle) Fans No. or Total Transformers kVA No. of Luminarie Outlets No. of Hot Tubs Generators kVA No. of Luminaires Above In- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. or Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. orAlerting Devices No. of Waste Disposers Heat Pump Totals: Number lTons IKW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Treating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances hW Security Systems: No. of Devices or E uivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: 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 {Vires. Estimated Value of Electrical Work: S (When required by municipal policy.) Work to Start 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 pro- vides 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 X BOND ❑ OTHER ❑ (Specify:) f;FNFRAr.ArrIpENTINS- 7/31115 *Per M.G.L. c. 147, s 57-61, security work requires Department of Public Safety "S" License (Expiration Date) I certify, under the pains and penalties of perjury, that the information on this application Is true and complete. FIRM NAAIE: REILLY ELECTRICAL CONTRACTORS, INC / RELCO LIC. NO.: Licensee: (AMPS l RF.ILLY Signature r " t LIC. NO.: A 16666 (Ifopplicable, enter "exempt" in the license number line.) Address: 110 OLD TOWNHOUSE ROAD, SOUTH YARMOUTH, MA 02664 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have law. By my signature below, I hereby waive this requirement I am the (check one) Owner/Agent Signature Telephone No. Bus. Tel. No.: 508-771-2040 Au Td= . 1 sns_tna (nd; 7l sArTwi nA�Mwv 110 Old Townhouse Road, South Yarmouth, MA 02664 (508) 771-2040 • FAX (508) 760-1425 April 28, 2015 Ken Elliott Town of Yarmouth Wire Inspector 1146 Rte 28 South Yarmouth, MA 02664 Re; 361 Great Island Road West Yarmouth Tested and boxed wires involved in dishwasher water leak Megohmmeter: Amprobe AMB -40 Tested circuit 11 in panel and all associated switches and outlets in wet area Tested circuit 30 in emergency panel and all associated receptacles and switches In wet area Removed old work boxes and replaced with new work plastic boxes Circuit 10 and 11 tested, found no problems, all working correctly, both circuits read one on megohmmeter Test performed by electrician Brian Stlames Sincerely Reilly Electric Electrical Contracting • Design • Service & Maintenance 7/132015 SlipGen- Portal Hone Town of Yarmouth LU UJI111 Template [Building Dept] LE Slipshed Identifier [sg32295] Document Category Building Permits Map -Block Number 014.2 Street Number 0361 Street Name GREAT ISLAND RD Department Building Parcel ID 93 Backfile Batch Scan No Document? Additional Naming Info Index Operator Operator, Yarmscan Date - Time 2015-07-13 - 14:11 httpJAaterfiche121SlipGerV 1/1