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HomeMy WebLinkAboutBld-21-004797 (% 2& Zi21 E LCGITzt c--u-1)SP€xo2 Co (A1&) orYA-Mourt-t e,1-6ANG.5 OF L_ t c. EL Tot c,A, N`zd 7°t? 4ZL1€PO c_ DR ui& R tto ?otzT RE-A(56- Ae T L.-EZzER As Wo-rLit Z4z1a 6.1 -TRAT LAiM BL D1 L. WILL L3E 7Zc. PLACED TO Co MP LET EtiJD FZK AT 71-1 E ZE D p12D pE rY AS iFMAY -28, 2021. A.1)9- AVZCA ILL r (ouL,1 Er0 CELL Spa. 3z1 ‘ 101 d �,� Commonwealth of Official Use Only Permit No. BLDE-21-004797 Massachusetts 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:2/25/2021 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) 42 LIVERPOOL DR IJA11 h SC.A-(e-0-I Owner or Tenant K Telephone No. Owner's Address KE-L•efutitMeAfterAMi=2.91"101XLifFFE5,%131:t1GaM-Midirtfe Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 4699434 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: Replace distribution panel&remodel kitchen. 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 7 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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 1 Space/Area Heating KW Local ❑ 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: William M Blundell Licensee: William M Blundell Signature LIC.NO.: 24332 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:295 SUMMER ST, SOUTH WALPOLE MA 020711018 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 1 Doti /Ca t Af r-ou - 3/ 24 (fit , i v Conunonweakh,of MaMachatette �.—Official Use `Only q P� _.a-: .�/ c� Serviced Permit No. - - f 7 _� ;�. ' ', 2)spar6nsni'o`�irs Serviced 1 BOARD OF FIRE PREVENTION REGULATIONS 7)y and Fee Checked (leave blank) E APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Cr".0 All work to be performed in accordance with the Massachusetts Electrical Code( C,5 7 CMR 12.00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a al City or Town of: YARMOUTH To the Inspector of Wires: 1_ By this application the undersigned gives notice of ltis or her intention to perform the electrical work described below. v l Location(Street& umber) p�i - / 1e r co/ A rive L Owner or Tenant j C Q.(�C h i l i Telephone No SO 8 -36 7' ,/d I ) Owner's Address O{ 4 l Ve-r J 6 o/ .L r/ Y ^1 3 Is this permit in conju ction with buil permit? Yes No 0 (Check Appropriate Box) R C Purpose of Building Nt�_s) Q eir1 t 4 Utility Authorization No. '< l 7 34 Existing Sewice`Q0 Amps /07 0/c23CiVolb Overhead❑ Undgrd D-----No.of Meters j New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters k t. Number of Feeders and Ampadty 31 Location and N re of Pro ed Electrical Work: 1 Q cp_ +h e_ i I i e et iL'e r- anei CI rt le >A n v vci �-e , c ei Completion of thefollowing.table may be waived by the Lector of Wires. Total 1.b p Transformers VA No.of Recessed Luminaires No.of Ceil.-Sus .(Paddle)Fans To.of KVA nNo.of Luminaire Outlets '7 No.of Hot Tubs Generators KVA No.of Luminaires 7 Swimming Pool Above¢t ❑ In- ❑ d No.of Emergency Lighten, 1 nd. grad. Battery Units `I No.of Receptacle Outlets 4'- No.of Oil Burners FIRE ALARMS No ,f AilitcI ✓ No.of Switches `o.o f tec i i n a, A No.of Gas Burners Initiatin, D, _-• 11-i No.of Ranges No.of Air Cond. Tons No.of Alerting D es< ,� tP. ` le"• <`w Na of Waste Disposers Heat Pump Number Tons KW No.of Self-Contain , O, �� .{''�t4 X' Totals: Detection/Alerting De • 'fQ ©�/ No.of Dishwashers / Space/Area Heating KW Local❑ Municipal ❑i 0 Connection ,o 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: eib Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of flectilical Work:4 y_s-Od. (When required by municipal policy.) Work to Start:07/q/ 1 I 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 [rBOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is ue and complete. FIRM NAME: i / �� LIC.NO.0 7 3 3� l' Licensee:W)'!1 i A fil ]t u n d e t I �,Signatur4,1 'Iq��li �'( LIC.NO.: (If applicable,en er" t' tin the li ise.Nonber :nil? J Address:,'' 13 r, r-wbG aWQ 1. $` h e ' ,57 C30 (�/ But.Tel.No.: 7 e� I J }� Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work ires Departnfent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 7/0 Do? u—r ,�.�