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Home My WebLink AboutBlde-19-006979 (e<<-1/ Commonwealth of Official Use Only �E: Massachusetts Permit No. BLDE-19-006979 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:6/11/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention 16 rtonn the el c ai work described below. Location(Street&Number) 7 FIR LN Ae6 . f 0 Owner or Tenant BURKE JAMES F JR Telephone No. Owner's Address BURKE PATRICK T, PO BOX 51576, BOSTON, MA 02205 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: Install sub panel and work per attached. 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 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/Alertine 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 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: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 it t,,.Qyr iNv_eCf5ct- v-e.r) ,Tu& i; l-e- r4. - . Commonwealth of///a ac ffs ,. • Official Use Only _-/!�== Apartment of..�ires Permit No. arviuJ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked rRev. 1/07] (leave blank) --- APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMA77O19 Date: 6 /P City or Town of: YARMOUTH To the Inspect of Wires: =. By this application the pndersigned gives notice jhis or her intention to perform the electrical work described below. Location (Street&Nu ber) 7 / / /1 Li/ 1K --''' . Owner or Tenant IV Telephone No752i 9a iv, Owner's Address jam 14 4 rI�0/C., a 'J C 1 Neil GIs this permit in conjunction with a building permit? Yes ❑ No g (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑, Undgrd>;�' ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd I'T ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Pro e E ctrical Work•/ } J a • LT5 t Ar,�C� w/,L 4 - �D� �->Qf4(11��i �/1�2 2XIST/`N� �J ?- 1 _ I l d �/r/ v i v1-N k�,�' >N�t fit lawn M�''0 L z, p�i)6 o ( / elj f e- Completion of the followin table maybe waived� by the Inspector of Wires. No.of Recessed Luminaires No.of Cei1-Susp.(Paddle)Fans No.of Total CJ Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting - V -rnd. Qrnd. ❑ Battery Units r No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of SwitchesNo.of Detection and "I-- No.of Gas Burners Initiatitt_Devices No.of Ranges Tons No_of Air Cond. No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons `KW No.of Self-Contained Totals: J Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Omer No.of Dryers Heating Appliances K Security Systems:" No.of Water No.of Devices or Equi W valent NI of No. No.of Heaters KW No. Wiring: SipsBallasts No.of Devices or Equivalent 2 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: QL No.of Devices or Equivalent OTHER: T 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: 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,—BOND 0 OTHER ❑ (Specify:) I certify under the Mon n this appli�n is ue and complete, _� P penalties of perjury,t1� t� FIRM NAME: hj1„LI V C t(t r4L LIC.NO.: 5=� •—� Licensee: nature LIC.NO.: (If applicable,enter "er in the cYd'ease nU 3. Address: zA`y___ C e0 yAryt Bus.All Tel.No.: Tel.No.: - (5 j `Per M.G.L. c. 147,s.57-61,security work requires Dep`artrnent of Public Safety"S"License: Lie.No. - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally/ S required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner ❑owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE: $