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Home My WebLink AboutBLDE-22-000788 MCommonwealth of Official Use Only fill% Massachusetts Permit No. BLDE-22-000788 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:8/10/2021 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) 25 VINEYARD ST Owner or Tenant Colleen Herrington 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel 2 bathrooms, install exhaust fans, receptacles&lights. 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 o In- ❑ No.of Emergency hting C� grnd. grad. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALA• " ,. i .dr' -s ! No.of Switches 2 No.of Gas Burners No.of De iy d Initiatin. r No.of Ranges No.of Air Cond. ToNo.of Alertin i s0 n No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Containe // 4 8? Totals: Detection/Alerting Device No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ ,: 0 Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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: Michael S Walsh Licensee: Michael S Walsh Signature LIC.NO.: 51043 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:36 BOSUNS WAY, MARSTONS MLS MA 026481015 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 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:$75.00 1.1 gl(411 tf—' efri/zt Kt Commonwealth o/Mamachusetfe Official Use Only ' R E '.I i= t 0 c� C� Permit No. e2'Z' 0766 y =_:,„:,______iApartment o/ ire Jerviced _i 1 Occupancy and Fee Checked AUG'� �, O'RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDINGLAPP- A TION FOR PERMIT TO PERFORM ELECTRICAL WORK By _— -- — . ork to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8 - -1. 1 City or Town of: Y A f N4 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) 2-5 kj t i1 Oil () c S 4- Owner or Tenant C.c(t c.e. � sr L.)kr, / Telephone No. Owner's Address S .A. Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building `Dwi,l 414c, Utility Authorization No. Existing Service 1,0D Amps IZ 0/ Z 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: '..11„ � ',79onn 1nn A hvo LA 1. (-4,4.e.A e Z_ k nt C-t).05 Z.. G c,1 Z v/,..1 L c0,0 Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No. f TranoKVAsformers KVA No.of Luminaire Outlets L No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. g_rnd. Battery Units d No.of Receptacle Outlets 4\ No.of Oil Burners FIRE ALARMS No.of Zones Z No.of Switches . No.of Gas Burners No.of Detection and „2: No. Devices Tot r. No.of Ranges No.of Air Cond. Tons No.of Alerting Devices z.iNo.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices J No.of Dishwashers Space/Area Heating KW Local 1-1 Municipal ❑ Other C ) Connection ` � No.of DryersHeating Appliances KW �ecuri Systems:* A Dances tY y >r No.of Devices or Equivalent 1'7 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 L. - OTHER: J Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2 coo (When required by municipal policy.) 3 Work to Start: B-cv-'2,k Inspections to be requested in accordance with MEC Rule 10,and upon completion. c/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 certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0" BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: A c S )LL 7St. �-004'‘ LLA LIC.NO.: S 1 O 9 51. tV Licensee: S Ukk, -V\ Signature `I ...4! D L�(1� LIC.NO.: S 1,o 'IS E (If applicable, enkr "exempt"in the license number line.) Bus.Tel.No.: SO%-(o33-.5 aci Address: V.0 ' b'j 1520 16,40,4".‹. jt vw OfZ%M S 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 ❑owner's agent. Owner/Agent PERMIT 'ZS',CO Signature Telephone No. FEE: $ Ck4tI�3