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Home My WebLink AboutBLDE-21-006462 cl�a Commonwealth of r� Official Use Only ft. Massachusetts Permit No. BLDE-21-006462 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) DaTo the te: /7/2021 Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. City or Town of: YARMOUTH Location(Street&Number) 50 Center St Owner or Tenant MARK KELLEY Owner's Address 1500 MARY DUNN ROAD, BARNSTABLE, MA 02630 Telephone No. Is this permit in conjunction with a building permit? 1 Purpose of Building Yes 0 No 0 (Check A ,_: �� _ 4 (� nigi Existing Service Amps Utility Authorization No. /'+�r�,�~n P Volts Overhead ❑ � t' " CNG�'�► New Service Undgrd 0 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. 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 Transformers Total KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- grnd. ❑ grnd. ❑ No.of Emergency Lighting No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent Heaters Signs No.of Data Wiring: Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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 I certify,under the pains and penalties o OTHER 0 (Specify:) FIRM NAME: (perjury,that the information on this application is true and complete. Arthur P Doherty Licensee: Arthur P Doherty Signature (If applicable,enter"exempt"in the license number line.) Address:372 YARMOUTH RD, HYANNIS MA 026012043 TIC.NO.: 17197 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required b la signature below,I hereby waive this requirement.I am the(check ) ❑ owner 0 owner's agent. y But one Signature Telephone No. PERMIT FEE:$180.00 ( /2-4-e-ri 'Li"LW-- (4Ps" / N PCOCesiti Jl1riL l%/,i L % l �onantonwea[th n Offiee j., ' ♦f �cc��I dQCirlf01�6 ial Use Only / 3spartment el.1`ine Services Permit No. C� �(� t0� • BOARD OF FIRE PREVENTION REGULATIONS' Occupancy and Fee Checked 1/41/4 ,• Rev. I/07] APPLICATION FOR PERMIT TO (leave blank) vPERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 C (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: I'll / N By this application the undersigned gives notice of his or her intention torfo the Inspector of work descr Location(Street&Number) _3 Q ' performthe electrical described below. Co Owner or Tenant et I Owner's Address / Uo Telephone No. e tii4 30 Is this permit in conjunction with a building permit? Yes Purpose of Building ✓esldep1T'al Utility fir No ❑ (CheckionNo. Appropriate Box) Authorization No. Existing Service Amps / Volts Overhead ` ❑ Undgrd❑ No.of Meters !Y New rvice �'`QfZ Amps l (1 Volts Overhead 4� Number of Feeders and Ampacity ❑ Undgrd No.of Meters ` Location and Nature of Proposed Electrical Work: WI lei kil Com'tetlon o the ollowin:table m• be waived b the I , for o Wires. No.of Recessed Luminaires No.of Cell-Soa ptb, (Paddle)Fans '°•o ota NoTransformers KVA No.of Hot Tubs Generators KVA Luminaire Outlets No.of Luminaires Swimming Pool "ve ❑ n- o.o mergency , 'ng � No.of Receptacle Outlets No.of Oil Burners nd. � d. ❑ Butte Units ` FIRE ALARMS No.of Zones ' No.of Switches No.of Gas Burners 'o.o n etec on an 1 No.of Ranges Initiatin: Devices No.of Air Cond. ota n No.of Alerting Devices No.of Waste Disposers Tons 'eat 'ump 'um. r out • " 'o.o e I out: n-. Totals: .�.___.._._. No.of Dishwashers Detection/Ale • . Devices Space/Area Heating KW Local❑ No.of Dryers Heating Appliances u Connection ❑ + KW tY ystems: o.o er Heaters KW o.o `o.o No.of Devices or E.uivalent si a Ballasts Data Wiring: No.Hydromaasage Bathtubs No.of Devices or uivalent No.of Motors Total HP ecommun ca.ons "I- .gg. OTHER: No.of Devices or E+uivalent Attach additional detail tfdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liability Unless permit for the performance of electrical work may issue unless undersigned certifies that such coverage insurance in force,and has exhbiited roof of same to the operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE ►`i, BOND 0 OTHER / permit issuing office. I rerli under the pains and, nalties o 0 (Specify:) j)D wi 1,74 1- ' A/ FIRM NAME: t ,fperttry,that the information on this applica n Li , e a. i t, /� complete. �y Licensee: II I 41-1' u $•: f<7/`7 7 Licensee:(Ifapplicab enter"'exempt"in the license Horn r!i ) . I. Address: �"""�' Y Otti �( o2(P-7 2 S.TeL No. 7 'Per M.G.L.c. 147,s.57-61,securitywork ------_0270 OWNER'S INSURANCE requires- artment of Public Safety"S"License: Alt.Tel.No.: WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this Owner/edAgent requirement. I am the(check one ■ owner Signature III owner's a;ent. Telephone No. PERMIT FEE:$