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Home My WebLink AboutE-20-335 c5� ommonwealth of Official Use Only ilk Massachusetts Permit No. BLDE-20-000335 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:7/19/2019 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) 18 CONWAY DR Owner or Tenant MCCARTHY CHARLES J Telephone No. Owner's Address MCCARTHY MARY WYSE,43 GARDEN ST, MILTON, MA 02186 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: Wiring for closets. 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 4 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 Securityty 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 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: CLINT W KELSALL Licensee: Clint W Kelsall Signature LIC.NO.: 28822 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CEDAR ST,W BARNSTABLE MA 026681332 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 ' 4. • ' lromrr-or-tvcr r}+ oil a3.ad-.u3e L5 Dil Use On _ rrfrr=fit o ro e � Permit No. BOARD OF FIRE PREVENTIONREGULA I IONS On��and Fee Checked Qezve blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be per formed in accortnce with doe Massachusetts Electrical Code(MEC),527 Cla I ZOO (PLEASE P- IThr OR TYPE AIf,DVFOR ATTON) Date: ?• �,__ City or To of: YARVIOU'�H . �67I`� To the Inspector of Wires: _ By this application the undersigneds notice of-his or her intention to perform the electrical work described below. 1c, Location (En-eat&Number) / e c›,clg 4y I Y oGf6V7ff - O`,Der or Tenant .f. ,4-/Z-7-1-1 y c 1 e6- i 5 • Telephone Na.77f45' '� i a ��Owner's Address ,y7 G .eicr <. to 1G7 rC( d2lg� Is this parrot in conjunction with a building permit? Yes ( No Purpose of atialmQ �G- LG er-f- (Check Apprapnst�Sox) G Uality Authorization No. Existing Service Amps / Volts Overhead ___I. IInti,srd L. No. of NIP.t_.r-s New Service Amps / Volts Overhead ❑ IIndard ❑ NO. of Meters Nt:mb`r of F =dens and Ampaoity Location and Nature of Proposed slect-icPl Work: AL -eieT psi .2 -- GGo !. GL��' - - .— _. r-.e7.5 / (d.¢G,C is<C e.i' ,—_ _ ComplPnon of the ILawinr table may be waived by the Impactor of F Ins. No. of Recssed Luminaires y Na of Cell-Susg.(Paddle)Fans No.of Total Transformers KVA Na. of Lun izzir_ Outl<*5 No.of Hot Tubs Generators bVA Na. of Luminaires 5wirr rT+T„aPool 1bov' ❑ - n.of gym:.-gency �Q —} stud_ �rtrd_ D f R�rp IIniis ' Na. of Receptacle Orra tr -t -- _ No.of OH EL*-oars 1FML ALARMS No.of Zones No. of Switches / No.of Gas Bm-hers • 4- a of Detection and No. of Ranges I Trriims Devices No_ of Air Cond_ Tots! • Tons D.of AIortiag Devices A>st Pump umber Tons I KW iNn,of ett-Con?-Airre. Totals: I IDeteeeQon/Aleri nz.Devi No.of Waste Disposers ces No. of Dishwashers Space./Asea Heating KW' Loma❑ Mttaicipal Connection 0 °Ither No. of Dryers Heating Appliances 5 S terns:' No.of suer I` e Nf D vices or E Heaters KW No. of No. of Data�, 4 alertt Sipas Ballasts 1; Nn.of Devices or E.uivalent No. of!Motors Iota!Hp Telecommunications Wiring Q No. Hydromassage Bathtubs OTHER Na of Devices or ;. .dent • Attach additionsl detail qr derir Estimated Value of Electrical Work �/d ad or required by the Inspector of Wires. Work to Start: /� (When required by municipal policy.) kl 7 .02 7 eons to be requested in accordance with MEC Rule I0,and upon completion. INSURANCE COVER4GE: Unless waived by the owner,no permit for the performance of electrical work may issue unle the licensee provides proof of liability insurance including"completed operation"coverage or its substantial e ss undersigned certifies that such coverage is in force, and l exhibited proof of same to the permit issuing office. Zbe CHECK ONE: NSURANCE g- BOND ❑ OTHER ❑ (Specify,) r cerfy, under the pains tract penalties o FIRM NAME: .fperlrrrp,that the information on this application is true and complete./ e _ G/ Licensee: GGIe LIC NO.:�,� 7� kl (If applicable, eater " Signature LIC 1�0. 2 g Z exe"ip�� e a�m er fine.) Address l�o GL 0�C�� 13". ' .71.- Per G.L. e, 147 s �7- �_ 61 security work requires Department of Public Safe _ Ti No.; NL - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability Lin No. required by law. By my signature below, I hereby waive this coverage normally, Oat•aer/Agent t3`insurance cov �-- requirement I am the(check one ❑ owner Signature ❑owner's ant Telephone No.__,_____-: PERMIT FEE: S 75-