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Home My WebLink AboutBLDE-22-001208 iir►, Commonwealth of Official Use Only 'E � Massachusetts Permit No. BLDE-22-001208 ' 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:9/1/2021 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) 59 WEBSTER RD Owner or Tenant Bernard Walsh 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Convert garage to living space. Completion of the following table may e wai •d by the Inspector of Wires. No.of Recessed Luminaires 30 No.of Ceil:Susp.(Paddle)Fans 1 No.of a Total Transfor KVA No.of Luminaire Outlets No.of Hot Tubs Ge . * 'rs kiltO ...2.> KVA No.of Luminaires Swimming Pool Above ❑ In- 0 N '• • 1: iill grnd. grnd. Bat • .i s No.of Receptacle Outlets 40 No.of Oil Burners FIRE AL,No.of Detection a . `✓ i o �/S� No.of Switches 20 No.of Gas Burners 1 Initiating Devices No.of Ranges 1 No.of Air Cond. Tootal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 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:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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. PER FEE: $75.00 Kueett1 3/vl .� 04400. `l t1� �aDtT�fdfh� /b8 Ate ( RECT17, ! VE_ 1 SEP 0 1 202 , pp,�� y�j� Conrmonw.attYi o/i//aeaac Official Use Only BUILDING, L P 1 ei ' c� cc7� n Permit No, ..---"L----IZ�'�j �[Jsivartinsnf ol�}u�r Serviced B — , A Occupancy and Fee Checked '11/4, _„/' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) -. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordant=with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: R`!)z--I City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or lizfr intention to perform the electrical work described below. O Location(Street&Number) t Pe_65+er tir 0" Owner or Tenant"rnco (At S k Telephone No.6(7 306 357U 1 Owner's Address 75- R t Rol 'Ft r yee m f `(O21� ; Is this permit in conjunction with a building permit? Yes igi No 0 (Check Appropriate Box) ` Purpose of Building(2 l vet+tray 4 1_1,,1 tui ift.0 f Utility Authorization No. Existing Service ICO Amps d / Volts ! Overhead Q Undgrd❑ No.of Meters / ) LNew Service 200 Amps / Volts Overhead 0 Undgrd 0 No.of Meters 1 MNumber of Feeders and Ampadty 1-2--= Location and Nature of Proposed Electrical Work: S'g v'kip 5.)2,, v�v Completion of the the followin&table m be waived by the Inspector of Wires. tit No.of Recessed Luminaires No.of Cdl.-SaNo.ofd Total 3 0 ap.(Paddle)Fans I Transformers KVA C.1 No.of Luminaire Outlets SO' No.of Hot Tubs 0 Generators 0 KVA n No.of Luminaires Swimmingpoo( Above In- No.of Emergency Lighting ' Qtnd. ❑ grad. ❑ Battery Units _ tt No.of Receptacle Outlets yp No.of Oil Burners p FIRE ALARMS No.of Zones No.of Switches ZO No.of Gas Burners / 'No.InitiatDetection n Devi es 11 r No.of Ranges I No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers p Heat Pump Number Tons 'kW No.of Self-Contained Totals: "" """'� "" Detection/Alertin Devices No.of Dishwashers l Space/Area Heating KW Local❑ Munidp Connection ❑ No.of Dryers I Heating Appliances KW No. f Devices or Equivalent No.of Waters [ , No.of No.of Data Wiring: HeaterSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 0 Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6 t d b — (When required by municipal policy.) Work to Start:4511(' 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 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: LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.TeL No.' Address: *Per M.G.L.c. 147,s.57-61,securityworkAlt.TeL No.: 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. my/ ature bel w,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent f/ ''l Signature ( W Telephone No.617 3 351 I PERMIT FEE:$ I