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Home My WebLink AboutE-20-2890 f ��A Commonwealth of Official Use Only €l '11\ Massachusetts Permit No. BLDE-20-002890 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:11/18/2019 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) 22 OUT OF BOUNDS DR Owner or Tenant MAHONEY EUGENE D Telephone No. Owner's Address MAHONEY ANN M,22 OUT OF BOUNDS DRIVE,SOUTH YARMOUTH, MA 02664-2041 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 inlet receptacle&manual transfer switch. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 ❑ 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.: 21302 (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 ad R\ -2( q kg- 10/ L '- TH„et '� �0)3f_eC�-�'I C1) 40,, '71-1- .)1,1k..5 I/A 0'7 /14°171)):ilec'eflpl 5-it‘tAxe-j- Cm:HIPrweatis o/cc�7� a3saciOffici Use O ' 1"` g �f 2spartanant of ins�arviaH Permit No. ., _. 4p BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee C'hP�ked - /.'' . I/073 (leave bitsil) NOV 1 a9r��.- 1 At.''LICATfON FOR:PERMIT TO PERFORM ELECTRICAL WORK B L ,i)i! L_.rA i i=f,i L i V T All work to be performed in accordance with the Massachusetts Electrical Coe=(ME ,527 12.00 L F: _. .PRINT IN INK OR TYPE ALL INFORMATION Date: // // /7 City or Town of: YARMOUTII To the I for of Wires_ (A By this application the nndersigned gives notice of his or her intention to perform the electrical work described below. " / Location(Street&N umber)6201 A U T OF k k.),Np c S ..v,cD Ov+n er or Tenant i''°'Tp ti _Q �, Telephone No.770-IX-le" Owner's Address �/ -� Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Build-mg Utility Authorization No. Existing Service Amps / Volts Overhead 0 Und,grd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: bt}t' 't ,.i• La 11 1 t3 Aren1s d ec'P,t,Qrati- ,..) T st ' Pi (t) 1 ft. -'alp) 1,0(P T 6 . Consolation of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Celt..-Susp.(Paddle)Fans ITraasformers is VA 0- No.of Luminamp Outlets No.of Hot Tubs (Generators IV A Above In- No.of imer Icy ugllting '� • No.of Luminaires Swimming Pool grad.. mid. ❑ Battery Units c`- No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS (No.of Zones No.of Switches No.of Gas Ban No.of Detection and ners _tal. - .To Initiating Devices --1 No.of Ranges INo.of Air Cond.PumpTons N-o.of Alerting Devices { No.of Waste Disposers !Heat P Tons KW No.of Sell'-CCoutained I Totals:I NumberDetection/AlertingDevices '' No.of Dishwashers ISpace/Area Heating ICW- Local❑Municipal ❑ der No.of Dryers !Heating Appliances Kr "Security Systems:2 . 1`s( No.of Devices or Equivalent No.of Water KW 1No.of No.of Data Wiring: -, Heaters Signs Ballasts No.of Dvices or Equivalent t No.Hydromassage Bathtubs OTHER: INo_of Motorsotors Total HP Telecommunications Wiring: No.of Devices or Equivalent F Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) d 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 Im.:3. 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. CxECK ONE: �iSUR ANCE . BOND ❑ orl�x ❑ (Specify)f ',un they P ofperfwy,that the rmation or this application is true and complete. FIRM NAME: U. C.1 I'-e r' () k PJ L (' C k C`_1 fi r:l TUC L IC.NO.: /3O D," Licensee: A.A.1 -Zr ;�Q E t r� Signature [;'(.')a.,Qom'/t. i2.. L. LIC.NO.:G ,1 0'//''r.,-'- (If applicable.enter'exempt"in the liters`a number line) A Bus.Tel.Pip. Address:'i III )Ah'&Q . Ii 1 _ Irtv.?_T VArit4 t^v t Alt.TeL No.:;`tPci�5%. 6-y 7 i *Per M:G.L.c. 14 ,s.57-61,security work requires Department of Public Safety"S"License:: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent Owner/Agent It p A�rT //�� . �iarta47,rP Tarnr.hnna Nn PERMIT FEE: