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Home My WebLink AboutBLDE-22-005965 Commonwealth of Official Use Only ` Massachusetts Permit No. BLDE-22-005965 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:4/19/2022 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) 114 CENTER ST Owner or Tenant Denise Delaney 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: Install HVAC condenser and add CO detector. 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 Initiating Devices No.of Ranges No.of Air Cond. 1 Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Matthew C.Walsh Signature LIC.NO.: 55931 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 35 Sewall Drive,Mashpee MA 02649 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 Lji(/7r' w»414 -40 CommonweatlI o/MaoJachuiette Official Use Only "= _ft cc�� c�77 Permit No 22 '5 G 40 5 . be artment o1.}ire—.Cervical ____ Occupancy and Fee Checked \ 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 LL INFO TION) Date: —I 2- a D City or Town of: \j a r 1O 0 To the Inspector of Wires: By this application the undersigned gives notice of his or er intention to perfo the electrical work described below. Location(Street&Number) 1 1 if Cen T" t Owner or Tenant p 6 i S e `� ,/Telephone No. `7'�3-36 / yi 65 Owner's Address 5 I.° Is this permit in conjunction with a building per 't? Yes No ❑ (Check Appropriate Box) Purpose of Building S t 1,1 Utili uthorization No. Q Existing Service 141.) Amps ` i Volts Overhead Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead E Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical ork: N'eA.A.) H \Q CO( , Sep' Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans No.ofTVA P• Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Tots!HP Telecommunications NofDeieorWiring:q l y g No.of Devices Equivalent OTHER: Attach additional detail if desired,,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 5L -- (When required by municipal policy.) Work to Start: `l —1 t -. ..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 cover e 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 an penalties of perjury,that` the,�inf r ation on this application is true and complete. s FIRM NAME: 1• !u \Asa,1) C W a�s ''/ ? LIC.NO.: Licensee: 501/Ine Signature `i'�' � s —LIC.NO.: //�qq (If applicable,a ter"exempt"in the licen a number ine.) (�� Bus.Tel.No.: ? ' a''1p ,. Address: 3 Se L)2 \\ l- rme S r 1�7Le.Y .. Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public S fety"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 FEE: $ Signature Telephone No.