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Home My WebLink AboutBLDE-21-004691 .- Commonwealth of Massachusetts Official Use Only Permit No. BLDE-21-004691 1E 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:2/18/2021 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) 7 SMITH RD Owner or Tenant MACROBERTS RICHARD Telephone No. Owner's Address CIO GANDERSON NORMA J, 5268 WETHERSFIELD RD, JAMESVILLE, NY 13078 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap i opriate Box),,/ Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 i.o `� New Service Amps Volts Overhead 0 Undgrd 0 o 4ty : OWIti lb tfe,. Number of Feeders and Ampacity � ,�0 Location and Nature of Proposed Electrical Work: Remodel 2nd floor bathroom. 0o Completion of the following table may be wai •. s t or of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ,liv Transformers No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 0 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/Alertine 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 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: Kevin M Walsh Licensee: Kevin M Walsh Signature LIC.NO.: 53542 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 MEADOW HAVEN DR, MASHPEE MA 026492442 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 R1QUC41 2.A.1 I' > DD MM�� // Commonwealth o////a3sachaiett� Official Use Only 1.-*#=, __ / c�r� Permit No. — `��o I( �!_ 2epartment o�_tire Servicee y Occupancyand Fee Checked --_f— BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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 j t 14 20 L 1 City or Town of: '/PQmcui-0, 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) 1 ' tlrt tTN- go Owner or Tenant R(c tkrtav Yvt AC 12,0O S Telephone No. Owner's Address 5Z653 WtsK..STrI L 9-0 .J1..rinec,,L L -tuq Is this permit in conjunction with a building permit? Yes 12I No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service tco Amps 12.0 / 24D 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 Work: R0u ci.ti W,€ 2.No. V-4002 ljffT-3 ()more-) , Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tof 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. Initiatingon Detectionand Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers 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 TelecommunicationsNofDevices or Wiring: No.of Devices Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2 i i.Z (When required by municipal policy.) 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 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: !ci✓vt to t,,101-C,5 tl Signature 4‹...._,- (..,J<.. LIC.NO.: S 35 t-12-13 (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: Address: 2S `NtE.DOL.. ekikticr\I D2 rhiNsH PC E Alt.Tel.No.: *Per M.G.L.c. 147, 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)❑owner !Downer's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Kew•. wc,1S1n 535L 2_ e9 mold. Co.., 'J 1 Ll c33io 4529