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Home My WebLink AboutBLDE-22-007143 _ 4 Aig) Commonwealth ofOfficial Use Only � � Permit No. BLDE-22-007143 Cf Massachusetts .,J 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 P K OR TYPE ALL LVFORAA,I TION) Date:6/9/2022 City or Town of YARMOUTH To the Inspector of fVires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 56 SUFFOLK AVE Owner or Tenant Kevin Wright Telephone No. Owner's.Address 56 SUFFOLK AVE, WEST YARMOUTH, MA 02673 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: In-ground pool. Completion of the fig/lowing 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. Total No.of Alerting Devices Tons No.of Waste Disposers Neat Pump Number Tons KW No.of Self-Contained Totats: Detection/Alerting Devices No.of Dishwashers Space/Area Heating NW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances fair Security Systems:* No.of Devices or Equivalent I . No.of Water KW No.of No.of Ballasts _ Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hvdroutassagc Bathtubs No.of Motors Total HP Telecommunications Wiring: —_ i No.of Devices or Equivalent OTHER: Attach additional detail ifdesired.nr 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 sanie to the permit issuing office. CHECK ONE: INSURANCE 0 BOND D OTHER 0 (Specify j I certifj•,under the pains and penalties of perjure,that the information on this application is true and complete. FIRM NAME: MICHAEL S WALSH Licensee: Michael S Walsh Signature LIC.NO.: 51043 (Ifappit cubic.enie;;.-c.w/npi"in the license rru1nber liar) Bus.Tel.No.: Address: 36 BOSUNS WAY, MARSTONS MLS MA 02648'1015, ll.Tel.No.: *Per M UL. c 147,s. 57-61,security work requires Department of Public Safety S' License: OWNER'S INSURANCE WAIVER: I ant as'.are that the License does not have the liability insurance coverage normally required by law. But my signature below. I hereby waive this requirement. 1 oat the(check one) 0 owner 0 owner's agent. Owner/Agent Signature _ 'Telephone No. PERMIT FEE: $85.00 Rp-e 146 qi 7J77- ,vim et Kt ,----- --,„,,, 4 coN,„_ ,,-7.-- --,/,/,..7,*(.... A)P-rc o 7j3/ M err 1 RECEIVED Q= -,, JUN 0 9 ZQ� a �l Otyicial Use Only C AR olirsPermit No. l/'L2—� jt—f'` ILDING DEPT ME T , I ',;e s.— :EVENTION REGULATIONSOccupang'and Fee Checked _ [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI 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: tp -a - 2-2- City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice ofhis or her intention to U Location(Street&Number) % perform the electrical work described below. Owner or Tenant K Cy si LO f l . Lk- Owner's Address '3 a It'e Telephone No. QJ Is this permit in conjunction with a building permit? Yes No 0 (Check Purpose of Building �la�((; Appropriate Box) Existing Service � Utility Authorization No. Amps / Volts Overhead❑ Undgrd 0 No.of Meters tn New Service Amps / Volts Overhead El Undgrd El No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: M As t4 be.)- :In) I!1 5 nd • Na of Recessed Laminairea Na of Cell. Completion of thefollowing abl m be waived by the/ for of Wires. Soap.(Paddle)Fans Transformers No.of Luminaire Outlets Na of Hot Tubs Generators KVA -47 No.of Luminaires Swimming Pool e 0 n- o.ee mergency ng ;,,/ No.of ReceptacleNo.of Oil Bunters Outletsd' (I. Bette Units FIRE ALARMS No.of Zones v. Na of Switches No.of Gas Burners a o ec on an It r No.of Ranges Initiatin Devices No. Air Cond. o Tons No.of Alerting Devices 'eat amp `um er ons o.o .a Totals: ' - -_ Detection/Alertin Na of Waste Disposers Devices Na KWof Dishwashers Space/Area Heating Local❑ 'un Na ofDryersConnection 0 ' Heating Appliances Kw • o.o Na of Devices or uivalent a o Aeartera �, S s Ballasts Data Wiring: Na Hydremassage Bathtubs No.of Motors Na of D or uivalent " gg OTHER; Total HP mm Na of Devices or uiva7ent Attach additional detail tf desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When Work to Start: �--c'j-Z2 required by municipal policy.) 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 tJ BOND I certli,)r,under the and ttaldes o ❑ OTHER 0 (Specify,;) FIRM NAME: f '�" • syotlon on this application is true and complete s �Gc. that the information � Licensee: �' (,t LIC.NO.: 0 (Ifapplicable.ent exempt in the license number line.) Sere LIC.NO.: t[3 Address: 0Bus.Tel.No.:_ap - to Z r - g,Oi9 'Per M.G.L.c. 147,s.57-61,security work requires Alt.Tel.No.: Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER:R: 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 II owner ■ owner's a;ent. Signature wnOwnetr//Agent Telephone No. PERMIT FEE:$