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Home My WebLink AboutBlde-19-006156 or 'N\ Commonwealth of Official Use Only �� Massachusetts Permit No. BLDE-19-006156 4,.--' 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:4/30/2019 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) 32 NEW HAMPSHIRE AVE /01 C,a I to Owner or Tenant ST C 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 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Update smoke detectors. Completion of the following table may be 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- ❑ 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 Initiatine 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/Alertine 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 Siens 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 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 penalties of perjury,that the information on this application is true and complete. FIRM NAME: Craig S Killilea Licensee: Craig S Killilea Signature LIC.NO.: 37368 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 FARWELL ST,APT A,NEWTON MA 024601010 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 J2A- ' 11 #1 6 /t ' I- Com+nonwcatth of ma6sachtts • Official Use Only =�i== �7� n Permit No. -1 �epart ent o f Jire Dery cgs ^� BOARD OF ARE PREVENTION REGULATIONS Occupancy and Fee Checked Y-`''�%'`�' tRev. l/07) (leave blank) APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: eft 1 ct ByCity or Town of: YARMOUTH To the Inspector of Wires: this application the undersigned gives notice of his or her intention to perform th electrical work described below. ` Location (Street&Number) 20-4 e ' e \f 6 e t Itre- Owner or Tenant !VC, cjc oi. v "'I Telephone No.SQ�'7767-7a.i Owner's Address Is this permit in conjur�on 't a buildin pe 't? Yes ❑ No al (Check Appropriate Box) '.., '•v -Purpose of Building A IAA. Np iv \- Utility Authorization No. n.�. Existing Service Amps / Volt Overhead ❑ Undgrd gr ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ) C m d'/,� �l(^or) \-14 J1-' ` `'-aC J Completion of the following table may be waived by the Inspector of Wirer. 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- 'No.of l!mergency Lighting grnd. rrnd. ❑ 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 Total No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained J Totals: Detection/Alerting Devices No.of Dishwashers SpacefArea HeatingKW' Municipal - ❑ Connection ❑ OtherNo.of Dryers Heating Appliances , ,Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No Signs Ballasts of No.of Data Wiring: No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent OTHER: d 0 0 Attach additional detail desir p k Vdesired,or as required the Inspector of Wires. Estimated Value f Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVERAGE: 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 ❑ (Specify:) I certify, under the pains and enalties of perjury,that the information on this ap lication is true and complete FIRM NA ` 7�]2(��^ Licensee: �1�14 �'\ Ntik.� � JLJ�Q Signature\� LIC.NO.: (If applicable, t¢¢++ pt' n the li nm r 1 O . Address: � P` � pt1 CND 1 "`,(�y✓I,....\„4. _ �( Bus.Tel.No.: S j "Per M.G.L. c. 147,s.57-61,securitywork requiresAlt.Tel.No.: 1{?C,I Department of Public Safety"S"License: Lic.No.— J -1 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage no rmally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent - Owner/Agent I Signature Telephone No. I PERMIT FEE: $ (46 1