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Home My WebLink AboutBLDE-23-001210 Commonwealth of Official Use Only � 7,,N Massachusetts Permit No. BLDE-23-001210 ��--' 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:9/6/2022 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) 879 ROUTE 6A Owner or Tenant JOE TAURUS Telephone No. , .. Owner's Address C�/ v Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)/ Purpose of Building Utility Authorization No. 10271025 —3 J 101�l L 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: Replacement panel 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 0 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. To 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 0 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 Siens 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 ❑ OTHER ❑ (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 / � 9 '2-* u I \ (cat I ► i L aQ Cn'-i )1- v /� `` qq�q�� Official Usc Only :._1 t�ommonweaf(/'o//ilassackaaits ( �. C cc-� c� {{�� Permit No. 2 C ' 7: i obparErrcnE o�JiPa Jerviccs • . . '_ Occupancy and Fee Checked x BOARD'itOF FIRE PREVENTION REGULA T IONS [Rev. 1/07] (leave blank) �I ,\ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK � All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 C R 12.00 (PLEASE PRINT IN INK OR TYPE INFORMATION) Date: 7; /eO v�? •. City or Town of: /' MC,U i ki To the inspector o,f fires: By this application the undersign g- ives notice of his or her intention to perform the electrical work described below. 77 c_ Location (Street cFi Number) (y VI 1 tit- Owner or Tenant )(; t Tvi,`>tJ S Telephone No.7 7/-/ — ,27 ce ---- Owner's Address :`57/t'1_5, t Is this permit in conjunction with a building permit? Yes —I No (Check Appropriate Box) Purpose of Building Utility Authorization No. / .),-A 7//O J. •°� Existing Service j C'O Amps / I �C Volts Overhead Undgrd_J No.of Meters .� New Service a# Amps / Volts Overhead Li Undgrd I I No.of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r(/� IZ' elC��•�4-Wr-- Completion of the.following table may be waived by the Inspector of Wires. r�to.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans ,Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Abo In- No.of Emergency Lighting No.of Luminaires Swimming Pool gradv.e 0 0 grad. Battery Units 11 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 'No.of Zones 1 of Detection and i No.of Switches No.of Gas Burners 1No. Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pumo I Number Tons ICW No.of Self-Contained 1 No.of Waste Disposers Totals: Detection/Alerting Devices Municipal •' No.of Dishwashers Space/Area Heating KWl ❑ Connection ❑ Outer No.of Dryers Heating Appliances KW Security Systems:" r y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: llasts Heaters Signs Ba No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: g 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: 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 jg BOND 0 OTHER 0 (Specify:) I certify, under theAairis and penalties of per ury,tl . the information an this application is true and complete. , zi FIRM NAME: R_ 1,4-Qf W. Lkj C_C"\----P i CA Co) L;U C' . LIC.NO.: /.� �- u_o Q t, n LW.NO.: /_37ir Licensee: (,,`�t ��VA SignatureQi ,.�� (Ifapplicable,enter"exempt"' t re license number lure.) /f/ us.Tel.No.: Address: 7�' '�`�Cl-0 t . L/-L y/,'yt ( C i /'/ • t Tel.Tito.: �( C 6/ '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)0 owner ❑owner's agent. Owner/Agent 1 Signature Telephone No. PERMIT FEE:$ �� z� • .--- •y • • • •