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Home My WebLink AboutBLDE-19-006323 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-006323 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:5/8/2019 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) 20 COOLIDGE RD Owner or Tenant LEVASSEUR THOMAS C Telephone No. Owner's Address RAYMOND JEAN M,67 LAKE SHORE RD, PEABODY, MA 01960 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: Repairs due to water damage. Completion of the following table may he waived by the Inspector of Wires. No.of Recessed Luminaires 9 No.of Ceil:Susp.(Paddle)Fans No.of Total ,Transformers KVA No.of Luminaire Outlets 1 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 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 ❑ 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 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: Michael S Walsh Licensee: Michael S Walsh Signature LIC.NO.: 51043 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:36 BOSUNS WAY, MARSTONS MLS MA 026481015 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 CeP4IX L / ifs S�(7 (i? R s/tq jam- 8HO Commmumga th.o////afar f • Official Use Only • Permit No. j ` JZ3p:im _ __ Jeparfnanf olyira Serviced=__ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ' '` [Rev. lir) (leave blank) -- APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,5-7- J5 City or Town of: YAR1VIOUTH To the Inspector of Wires: By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 2.c C'oo1l ely D (,), _c avi Owner or ---. Tenant .�,1 LevGSSeo r Telephone No.-w Owner's Address Storn,,,c ; _ Is this permit in conjunction with a building permit? Yes C�No --.a BuildingTu•pose of f 4 `�`" /e_i ❑ (Check Appropriate Box) 5 Utility Authorization No. Exiting Service NJ Amps ia., l Z -/D Volts Overhead E! Undgrd❑ No.of Meters "`` N ..ServiNotce Amps / Volts Overhead❑ Undgrd ❑ No.of Meters c � Na ber of Feeders and Ainpacity Location and Nature of Proposed Electrical Work:, �eQt�\�5 T UUi `1� �,Jn l� h R n d Completion of the following table may be waived by the Inspector of Dices. c,-) No.of Recessed Luminaires 5 No.of Cer7.-Susp.(Paddle)Fans No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 1 Swimmia Pool Above In- ❑ No.of Emergency Lighting - g =rnd. ❑ grad. Battery Units No.of Receptacle Outlets ZO No.of OH Burners FIRE ALARMS INo.of Zones No.of Switches L. No.of Gas Burners No.of Detection and Initiating Devices ^) No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump!Number 1 Tons I KW No.of Self-Contained — Totals:I 1 Detection/Alerting Devices _ No.of Dishwashers Space/Area Heating KW Local❑ Municipal ) Connection ❑ Om' er J -. No.of Dryers Heating Appliances KW Security Systems:* co No.of Water No.of Devices or Equivalent No.of No.of 2 Heaters ' Data Wiring: Signs Ballasts No.of Devices or Equivalent 4. No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required the Estimated Value of Electrical Work: )tx�0 9u by Inspector of Wires. (When required by municipal policy.) Work to Start 5-7-I y Inspections to be requested in accordance with MEC Rule 10,and upon completion. aC INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless h the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. -4- CHECK ONE: INSURANCE [�BOND ❑ OTHER 0 (Specify) d I certify, under the pai s an penalties of perjury,that the information on this application is true and complete. � IUl FIRM NAME: �t �` u'fr \ LIC.NO.:J ID Y3 `E 0 Licensee: kil.ywu/ S (dial',!^ Signature � �` "1 .D1. L[C.NO.:5EdYjE._ (If applicable,enter"exempt"in the!'tense number line) ----�_ 'j ,McecL ( rt c llt,,skt°�� GZGK�- Bus.Tel.No.: 500-GS t�15, Address: 2 work requiresAft Tel.No.: S 6J'633'of S j "Per M.G.L. c. 147,s.57-61,security Department of Public Safety"S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n�otmally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent I Signature Telephone No. [ PERMIT FEE: $ 76—" l