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Home My WebLink AboutBlde-21-006049 �� Commonwealth of Official Use Only iti Massachusetts Permit No. BLDE-21-006049 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:4/21/2021 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) 90 SEAVIEW AVE UNIT 6F Owner or Tenant Alan Theriault Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Water heater replacement 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 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 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 ❑ (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. LERMIT FEE: $50.00 WA- q(3(21 6/AJ 9,540 ) C q-23-k(A t < -/l Cell t �N r -ck4 �lrJ � i• Cowmarwca o/c��Maio[[a��ch”40tf{ • (OOr!cirrl Use Only /� n `' a1 J aretinsrl`o/�te�s Jarviec5 L; Permit NO. l_/(� C�C'� 1 f _ BOARD OF FIRE PREVENTION REGULATIONS .1/073. eave b and Fee�) 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: 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� work described below. Location(Street&Number) .1Z7 9,e A)r C� ( L \!J 0 Owner or Tenant /l Qr r ev it Telephone No. t i'6-913z',-t7 / Owner's Address,5 O 111►NC11 Hi")J inct cn(t ." Cr b e 0J-7' uil Is this permit in conjunction with a building permit? YesJ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead❑. Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ trndgrd ❑ No.of meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work. t IA4 MC . C F- of 0 C: f-4-67- ki0 A f7 - - Completion of thefollaw rs table miry be waived ay the Inspector of Fires. Toftl j Cep.- No.of Recessed Luminaires No.of S:�.(Paddle) 1No.of ITransformars KVA c.. - No.of L minaire Outlets No.of Hot Tubs (Generators KVA Swig Fool'J • Na of LLuminairesairLuminairesAbove In- 0Pio.or mergency uguung stud. and. Battery Units No.of Receptacle Outlets No.of Oil Burners FIILE Af6RMS (No.of Zones :.) No.of Switches No.of Gas Burners No.of Detection and 0,1 Initiatine Devices , No.of Ranges (No.of Air Cond. Tons No.of Alerting Devices � No.of Waste Disposers Heat Pump Number Tons KW No.of Sel€Contained Totals:I Detec ionfAiert me Devices mod No.of Dishwashers {Space/Area Heating KW- Local❑laur P5da 0 Other No.of Dryers Heating Appliances Security •e i No.of or Equivalent No.of Water KW �No.of No.of Data Wiring: 2 HeatersSigns Ballasts _ No.of Devices or Equivalent - t., No.Hydromassage Bathtubs (No.of Motors Total HP !e[Na of Devices or Equivalent OitihiR: Attach additional detail if desired or as required by the Inspector of Wires Estimated Value of Electrical Works (When required by municipal policy.) Work to Start; Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1.)--1 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 c�fies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCES BONS ❑ OTHER ❑ (Specify:) I certify,under the pants and penalties ofpulaY,that the�rm�n or'kthis application is true and complete. j _FIRM NAME: J30t I�r 1) W�.1 L� -°C`"C1t C`_i t �t) 5ut: LIC.NO.: ,1( ;3 a,21af3- r Licensee: (,3c 1--et" ZQ(1 hStature `� Q !! L LIC.NO.. -r' (If applicable.enter"exempt"in the liceze number!'n.) 't ,CW�!� Jl�. '- �' n Bus.TeL No.; .3 Address: "7 (tA AI t,r�c L to _ 1li to CT Ve,�'l1.4 tri pe l{Y Alt Tel.No.:.62P ;p`'�%,li- s !�/ j *Per Karl c. 14 ,s.57-61,security work requires Departlitent 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 0 owner's agent er/Agent �- O Tafpnhnna NnS 1 PERMIT FEE: ) L 1