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Home My WebLink AboutBLDE-21-003380 (,( (eCommonwealth of Official Use Only 4. kor Massachusetts Permit No. BLDE-21-003380 `"' 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:12/15/2020 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) 45 CAPT PERCIVAL RD Owner or Tenant MURPHY MARIA F Telephone No. Owner's Address 153 CUMMINS HWY, ROSLINDALE, MA 02131-3733 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: Wiring of split system&add surge arrestor. 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- ElNo.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. 1 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 ❑ Municipal 0 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: Wafter 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: $50.00 114- q/g 124 rem (Ma eel k ifgA 44k cti/ 4C;bccr (g(k (e,(24 (Nfo Elio. f2f4) Click,p -)1-J%p) 6/2242.4 (' _ r milk Ca(f 4J � &� t.omntor.wsaifh,,raooac official Use Only `�1 1lgoart mant gl�iro Sctrrics3 _.Permit No.(�� -33 O ---:Tei='` Ocxupaacy and Fee Checked _ __ > BOARD OF FIRE PREVENTION REGULATIONS {Rero. 1/07] ��,e Manx) APPLICATION FOR•PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),D « r 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: `/,? I 01-6 City or Town of: YARMOIME1 To the Inspect of"fires: . By this application the r,mdersigned gives notice of his or her in "on to peri'orm the electrical work described below. Location(Street&Number) . ..h191:)/ 1 J C• r Owner*or Tenant / /7 it ,� 3 E. no n pay Telephone No.(o/7 v 1�—1 $ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No _ (Check Appropriate Box) Purpose of Budding Utility Authorization No. Existing Service Amps / Volts Overhead❑. Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Wo -- 6Ali ntxf Co - 6 ,5 Z7AJ /1-71W- E.-.) �j .44,1.=„9-e-151-7-i0Ar-le o y� e +4, Jd SSed C„�fe" n of 9 the fovt llawi„Stable may be watt' by the Inspector of-Wires. P ^ No.of Recessed Luminaires No.of CeiiL-Susp.(Paddle)Fans No.of Total J Transformers KVA f 6- No.of Luminaire Outlets No.of Hot Tubs Generators KVA U No.of LIImiaairec S�v;:.,m7ng Pool Above ❑ In- ❑ No.or r mergeacy uglinng grad. slid. 1--1 Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones —17 No.of Switches No.of Gas Burners No.of Detection and QiToInitiating Devices tal No.of Ranges lNo.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number-Tons KW No.of Self-Contained 1 Totals:1 ,DetectionlAlertina Devices No.of Dishwashers Space/Area Heating KW Local❑Connetctiion 0 Other 2 No.of Dryers Heating Appliances KW Security fSystems:*or E Devi quivalent No.of Waters KW INo.of No.of Data Wiring: 3 Heater Signs Bain No.of Devices or Equivalent •.7No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring- L�s' No.of Devices or Equivalent OTHER d Attach additional detail if desired or as required by the Inspector of Wires. 3 Estimated Value of Electrical Wonic ection (When required by municipal policy.) Work to Start Insps 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 mp pe or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing of-rice. CHECK ONE: INSURANCE$ BOND 0 OTHER 0 (Specify:) 1 certify,under the pains and penalties of perjury,that the in ,rmation onkthis application is true and complete. .� FIRM NAME: 1 e{ T ti -� t ) A3� LIC.NO.: Licensee: Cf f-t—R.r kQL 1/, gnature LA 11as.Q 4, J& LIC.NO. 3, (Ifapplicable,enter"exempt"in the liceie number l ne.) Address. f A)fl Y r + IP//P Bat TeL No.; -r 7 �� int _ �1v.P b� t'.t. ltrt t'�v IP/Pr Alt.TeL No.: J — ,� Per M G. 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 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 ❑owner's agent Owner/Agent Signature Taranhnna Nn 1 PERMIT FEE: S 6 ti