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Home My WebLink AboutBLDE-22-000952 Commonwealth of Official Use Only fi-. Massachusetts Permit No. BLDE-22-000952 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:8/19/2021 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) 51 FOUR SEASONS DR Owner or Tenant TORREY HAROLD P Telephone No. Owner's Address TORREY LINDA R, 51 FOUR SEASONS DR, SOUTH YARMOUTH, MA 02664-2136 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: Re-feed existing post light. 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- ❑ 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. Tonal No.of Alerting Devices 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 ❑ Municipal ❑ Other: 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 Eauivalent 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: Walter 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 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:$50.00 mac& (1'1124 . / ��C«- ('s oya-P J r i,Ov y /" / I - ,2 `v �'1/ / 14 Com nosuve lli DI Maddac%adsftd Official Use Only VVVV =._/ c^� Permit No. C..--.;-22— CO Z" ■ • -- �usPanEm l o f.tins�srr�ices -'4: Occupancy and Fee Checked IBOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) cli APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 R 12.00 ^—d' (PLEASE PRINT IN INK OR TY INFORMATION) Date: / /7�act �J City or Town of: PAC)U q To the Ins ctor of Wires: By this application the undersign es notice of his or her mtention to perform the electriM work described below. Location(Street&Num r) S � �{....S.0/1--- /' hh Owner or Tenant /((e ( j / Telephone No. 3?06j — : Owner's Address J" -A.I'' 1 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) 1 Purpose of Building Utility Authorization No. C Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters —; New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity _ A 3 Location and Nature of P Electrical Work: �i &'J f jz7(0.F bVL I>I��SM1®v^OJ_� '27) Q ' .. c 1-STI(1 ,) ftSI 44%,j1-7-- Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-S (Paddle)Fans To.of Total °�• Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting fond. t rod. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Na of Detection and L Initiating Devices t 4 No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste rs Heat Pump Number Tons_`_KW _ 'No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 C nnerh'on 0 Other No.of Dryers Heating Appliances KW Security o of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Bathtubs No.of Motors Total HP Telecommunications Wk No. HydromassageNo.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: 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 Z BOND 0 OTHER 0 (Specify:) I rertify,under the 'a^nd�na ' of , the information an this apvahan is true and complete. / ti FIRM NAME:��"V �h� t c._�r 1 Ca Cv} Li i C C . LIC.NO.: /3�� Licensee: W t v.,`tikSignature u.ga, Q ILA,i IOU—. LIC.NO.: 5--/37/r F (Ifapplicable.enter'exempt"ellre license num line. us.TeL No.: Address: 7 LAgt ( L D (/y, r �tl i t.TeL No.: DK^_ .0 -4417/ *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 akent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$5