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Home My WebLink AboutBLDE-19-000214 Jor \ Commonwealth of Official Use Only titled Massachusetts Permit No. BLDE-19-000214 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 IN INK OR TYPE ALL INFORMATION) Date:7/11/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention-To perlorm the electrical work described below. Location(Street&Number) 189 SILVER LEAF LN Owner or Tenant POWIN ROY D Telephone No. Owner's Address POWIN EILEEN T,21 BRATTLE ST,WORCESTER,MA 01606 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen&livingroom remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- 0 No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 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 Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 2 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 ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perfuty,that the information on this application is true and complete. FIRM NAME: WALTER W KELLY Licensee: Walter W Kelly Signature LIC.NO.: 51391 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 MONROE LN,WEST YARMOUTH MA 026732731 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 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 4E ?flc/' e -' evio, G ( 7 k�`i tr- -pito t 1l cce)i tAttv n2ot t Va OL-19-/Q cow , r ,../..s." ammonareaL o/e7/rlamac efte Official Use Only Or i.'IiI T eparlmant ofI gin-Services Permit No. _ Occupancy and Fee Checked .0; BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/0 r (leave blank) r, APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK ...1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 27 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/ 1 g City or Town of: YARMOUTH To the Inspe or of fres: . By this application the undersigned gives notice of his or •er intention to • rform the electrical work described below. • , Location(Street&Number) f t r W co vi- Oer or Tenant 7N, "i•- '7, o z wnt q Ar '/(44109> .S Telephone No. -22E: c+ i • Owner's Address 5_ /LfnkindeC� Qr I ..__ /ib j in 4 Is this permit in conjunction with a building permit? es 1 1 No (Check Appropriate Box) U J Purpose of Bmldino trHty Authorization No. in -' Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters _ L'' N New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity • -- Location and Nature of Proposed Electrical Work: kJ r ftt p,ti t l ✓,;v f /Zemoc L e /I_fu �4.fi e042-N si,vk - 8 fres c FIs - /�dF�,. - _RAr.Jza'Gs# 400P 1uL - .+�QiLl IJTa f S /JQA,ti itiry J Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 0S;o.of Ceil.Susp.(Paddle)Fags • f No.of Total ,�/� Transformers KVA _ J� No.of Luminaire Outlets 07 INo,cf Hot Tubs Generators • EVA ' S (Q'� • No.of Luminaires ISwimmiag pool Above 0 In- No.of Emergency Lightin V stud. In-el. 0 !Battery Units g No.of Receptacle Outlets/3,P(t"7 o.of OR Bnraers IFIRE ALARMS INo.of Zones No.of Switches t t / No.of Ranges No.of Gas Burners • 'No.of Detection and {o • Total Initfatine Devices U Na of Air Cond Tons No.of Alerting Devices P No.of Waste Disposers Heat Pump I Number I'Tons I KW No.of Self-Contained J Totals: Detection/Alertins Devices No.of Dishwashers ' ( Space/Area Heating KW'rCII Municipal - I o�Q Connectiong I t6\i No.of Dryers Heating App[iaacesr Security Systems:* Devices or Equivalent No.of No.of Water No.of Dati NA Heaters KW Sins Ballasts Na of Devices or Equivalent G No.Hydromassage Bathtubs No.of Motors Total HP 'TelecommunicationsNofDecsor Wiring No.of Devices or Equivalent 2- P 3 OTHER: /—piaty/ �/-2.e . Attach additional detail if desired,oras required by the Inspector of Fives. Estimated Value of Electrical Wor!` (When required by municipaloli Work to Start p ry') 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 gr.. BOND 0 OTHER 0 (Specify) C cent)", under the pains and penalties of perjury,that the i o anon oneis application is true and complete. \ FIRM NAME: _ (sJ. I ° _ LIC.N0.: 132/ VJ Licensee: : Ilirer e A _ ignattire 1 j jvr;L�� LIC.NO.: 3 (If applicable,6tfer'exempt"in a lecke number IMO Bus.TeL No.: — t Address. .&\ pp)(AQt P I I1/ i,,ASd'`{DcpAni yh ,'/f�- �/'� J *Per M.G.L. . 147,s.57-61,securitywork re t y " Alt TeL No: "7�� quires 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 o�- Owner/Agent by law. By my signature below,I hereby waive this requirement I am the(check one) owner 0 owner Signature Telephone No. I PER7KITFEE: $