The URL can be used to link to this page

Home My WebLink AboutBLDE-19-002259 • d Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-002259 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:10/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 481 BUCK ISLAND RD UNIT 30 Owner or Tenant CARPENTER GORDON A TR Telephone No. Owner's Address GORDON A CARPENTER NOMINEE TRUST,481 BUCK ISLAND RD #3B,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace GFI receptacle,NC disconnect,smoke detectors&ground pump. Completion of the following table maybe waived by the Inspector 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 ❑ In- 1:1No.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 0 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 Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent • OTHER: Attach additional detail ifdesired.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:) I certify,under the pains and penalties of perjury,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:$50.00 apt; (Q[2:24( . C.11 kir 9-1-' " ,i'r '° C'mmorsra a��o f auac lf! Official Use Only _ig .1 J ParlinsnE Serviced Permit No. G7 4--Z--e---S e( "nom a o `�- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. I/07) (leave blank) APPLICATION FORIPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Eiecaical Code(ME 527 12.00 C] —i W(i LEASEPRINT WINK OR TYPEALL INFORMATION) Date: /O /(o , W m �� City or Town o8 YARMOUTH ( fW e a N 1 B this application the tmdersi ed To the the elect or work fres: gn gives notice of his or her intention to perform electrical describe"below. co Iw tion(Street&Number) „IR, U/t/rT3f3 /J CLLSz 9 (2 r f.3 in 1 U IgOler'orTenant `Pn4 c ti (4 re_-e Telephone No. 0(— 1 /^ 4 Ua 0 o I er s Address S'-^"'42 `—� JCD !s is permit in conjunction with a building permit? Yes 0 No .-- (Check Appropriate Box) </o� lift" ose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters _ New Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity • VLocation and Nature of Proposed Electrical Work: , et `F/es fe/ /Q c „ J_ ol$coA A-er— teffar .t Pxit , C• �c� r -vi1 23 w 9trco re✓^ c Ol�� a. eenplerion eche follawin(table m be waved by the Inspecfor of Wirer. No.of Recessed Luminaires No.of Cert-Busy,(Paddle)Fan: No.of Total YVM� Transformers KVA _ b No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool Aboved. ❑ BIn- No.or 8mergency LtLighting — gr"ad. oraattery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones Ci 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 • No.of Waste Disposers Heat Pump Number}Tons KW No.of Self Contained Totals:I I Detection/Alerting Devices ,Is\ No.of Dishwashers Space/Area HeatingKW' Municipal focal❑Connection 0 other No.of Dryers Heating Appliances KW Security Systems:` No.of WaterNo.of Devices or Equivalent Heaters KW No.of No.of Data Wiring Signs Ballasts No.of Devices or Eq�uivalent No.Hydromassage Bathtubs OTHER: No.of Motors Total HP Telecommunications Wiling: . No.of Devices or Equivalent Attach additional detail tf desired or as required by the Inspector of Wires. I Estimated Value of Electrical Work: (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 1 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The \J undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. V ` CHECK ONE: INSURANCE 0,, BOND 0 OTHER 0 (Specify:) I art*under the pains and penalties ofp sty,/ at thein ormatio on this application is true and complete.agliP FIRM NAME: (,h/--kr G(/ l _y eC Neap LIC.NO.: .C/3f�'_'/e 3 Licensee: �0n Mac-tfLA Signature e,t( (ifapplicable,enter exempt"_ _ 7 Tel.NO.: in the license number line) Bus.Tel.No.; QO J Address. 7 Mhit1r1t1✓ LAr- 9 t `/urM fy tqc� . AIL Tel.No.: `Per M.G.L.tr. 147,s.57-61,security work requires Department of Public Safety"S^License: Lic.No. n ic— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner'sa/ _tee—ie i Owner/Agentg Signature Telephone No. I PERMITFEE: S