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Home My WebLink AboutBlde-20-002218 �I Commonwealth o Official Use Only E`or �� Massachusetts Permit No. BLDE-20-002218 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:10/21/2019 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) 21 MERGANSER LN --(`'1►2L i A try KO CIF A-le. Owner or Tenant BENOIT ROBERT T Telephone No. Owner's Address BENOIT JANE P,21 MERGANSER LN,WEST YARMOUTH, MA 02673 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: Misc. items 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/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: 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 W/1-- (0/2.43/61 Ores1841 MA- 164964 (v33 ) 61E—t 1((q Jj i17.1ftsiciaesi_ i �,v c L p�_T0'9rt� r r/YL / : 30o.iifik se na 6 mmar.ui 7 p!___ _ _ y apartment o ,ire Services Permit No. =I l - Occupancy and Fee Checked - = _ : BOARD OF FIRE PREVENTION REGULATIONS , 1/07] (leave blank APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(IrlEC) 7 t z.00 FLEASE PRINT W INK OR TYPE ALL INFORMATION) Date: / o ,'/ / City or Town of YARMOIJTH To the Inspec or of Tres_ • By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) lg.-/ (R C, f.C._.Q( Owner.orTenant S Qk 3 V/Ot leAr Telephone No5(g-366- 6.� - Owner's Address �J �, A Is this permit in conjunction with a building permit? Yes 0 No fg (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: //1!£5 C .yLe,c.3 -5_12_ Q Q7,4aCIi,_e T Completion of the following table may be waived by the Inspector of Wirer. No.of Total J No.of Recessed Lnacinaaes No.of Ce .-Susp.(Paddle)Fans Transformers KVA 0- No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 5wiastnsing Pool Above ❑ In- ❑ No.of t mergeucy Ltgliang end. Battery units is c`' No.of Receptacle Outlets No.of On Burners FIRE ALARMS ENO.of Zones ti No.of Switches No.of Gas Burners • moo'Of In DttS ineecti Devi ces Oi ---.1 No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons c'4`t No.of Waste Disposers Heat Pump NumberI Tons KW No.of Self-Contained Totals:1 Detection/Alertins Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal 0 Other Connection 2No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water s KW No.of No.of Data Wiring:Heat — + Signs Ballasts No.of Devices or Equivalent c. ` No.I3ydromassage Bathtubs Oitih,R �No.of Motors Total HP Telecommunications Wiring: No.of Devices or F,Quiva'lPnt .._._. ., • RECEIV Attach additional derail ifdesirerj or as for of FVir Estimated Value of Electrical Work (When required by municipal policy.) 1 2019 Work to Start Inspections to be requested in accordance with IvIEC Rule 10,and c le on. krAI INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electicq 1 t T V"V n the licensee provides proof of liability insurance including"completed operation"coverage or its sue _ stgptial equiv_alent._1be.. undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE 1NSURANCES BOND 0 OTHER 0 (specify:) ��-' I certify,under the pains and penalties ofperjtcry,that the iri nnertion orkthis application is true and complete. FIRM NAME: et 1 p t). k-Q..t i.=t-€ct?'%e_;r &l 3 C. LIC.NO.: t j D Licensee: Ct 4.t )40.1l *nature LA Nt.Q b/, LIC.NO. 3 (If applicable,enter"exempt"in the licehl number l ne.) Bus.Tel.No_; Address:7 IJl r0A;f cam-e A t _ ii0,P ST y&r/AA trs U4'k 1 1 ' Alt.TeL No.:,hPc)-,,5624_2s'9 7 *Per M:G. c. 14 ,s.57-61,security work requires Department of Public Safety"5"License: Lie.No. — OWNER'S INSURANCE WAIVER I am aware that the Licensee does 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 0 owner's agent. 7 Owner/Agent 1 Signature Taranheina Nn I PERMIT FEE: .S57) q) Contract Walter W Kelly Electrician, Inc Master License#21302-A PO Box 663 South Yarmouth, MA 02664 508-360-6471 www.walterwkellyelectrician.com DATE 10/11/2019 NAME/ADDRESS CONTRACT NO. 1947 Stephany Kovar 21 Merganser In JOB West Yarmouth,MA 02673 QTY DESCRIPTION This is a price for the installation of the following electrical apparatus at the job location.(see job above) Replace dishwasher and washing machine gfci plugs Remove shed wiring from laundry circuit Upgrade both circuits to afci protected 1.75 Licensed Master Electrician 10/11 2 GFI 15a receptacle TR 2 Murray 115-120 afci breaker 4 wirenut yellow,orange,OR SMALL BLUE+GRAY 1 grounding screw 4 wire 12/2 rx per ft. Permit Fee Wire and install ceiling light with dimmer in rear bed Wire and install dup receptacle in hall closet Fasten existing gft plug and install plate(right of sink 3 Licensed Master Electrician 1 duplex receptacle 15a-120v TR 1 ARIADNI AYCL 153P DIMMER(cfUled/incand) 1pole/3way 3 1-gang nylon plt 1 box 3.5in old-work round 1 1-gang deep ow pl box 2 6/32 x 1 1/"'/2"screw 6 wirenut yellow,orange,OR SMALL BLUE+GRAY 60 wire 14-2 rx per ft Thank you for your business. TOTAL TERMS OF PAYMENT: SIGNATURE