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Home My WebLink AboutBLDE-21-006723 Commonwealth of ��` Official Use Only Permit No. BLDE-21-006723 Massachusetts 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:5/20/2021 v 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 electncal work described below. Location(Street&Number) 15 HOLIDAY LN Owner or Tenant WEBBER JAMES A JR Telephone No. Owner's Address WEBBER SUZANNE M,619 WILLARD ST, QUINCY, MA 02169-7429 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 15 No.of Ceil:Susp.(Paddle)Fans 5 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 12 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 3 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 6 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 KW No.of No.of Data Wiring: Heaters Signs Ballasts 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. gg / l ` / y 4 / 17 e, (Specify:) CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 �' l I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Daniel P Walsh Licensee: Daniel P Walsh Signature LIC.NO.: 53521 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:51 KENT ST, QUINCY MA 021696410 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signaturat.9644 Telephone No. PERMIT FEE: $75.00 GI t I kii..,p ` /2_ —o cy eir z{fit ap ction44 S 121 I li ( ( - '/ AKA- e(13(v ((0: 164) A tt 1 <o( / qkyl-L, E ( 7/ ,z ..TM,,, Commonweal e`Mamaehe�affe Official Use y nt o cis Serviced a'•isi"_ Occupancy and Fee Checked r ,, 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 r- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I' . 'i , w, n, ' City or Town of: Y 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) /c 1010, d c'f (4N 4.4 r Owner or Tenant 16.i11C S �.t r + t l C vU1.. Telephone No.G 1 y,. ,,�;,• Owner s Address ! ., •r l,a 1 Is this permit in conjun tiop?with a building ymit? Yes Dv No Purpose of Building '� . �=)r• a(,Yg n, ❑ (Check Appropriate Box) Utility Authorization No. i Existing Service ! ..0 Amps / 4 ' .,Volts Overhead E Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters *- Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: i , r �t vl tl. Completion of the followinktable may be waived by the Inspector of Wires. No.of Recessed Luminaires d No.of Cell:Snap No.of Total (Paddle)Fans formers c-'t 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 's No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches ' ' N .of Detection and No.of Gas Burners 6 r Initiating Devices No.of Ranges No.of Air Cond. A Total Tons 00 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:l �_ Detection/Alerting Devices No.of Dishwashers I Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ "ner rY Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters t KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring; OTHER: No.of Devices or Equivalent Li Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f Electrical Work: 1 Work to Start: � (men required by municipal policy.) f ? I 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 g BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperfury,that the Information on this application La true and complete. FIRM NAME: ..- Licensee: 4`:t` t LIC.NO.: (If applicable,itrter"exempt"in the license numb fine. Signature .' _ LIC.NO. Address: - ' .r LA . Ai,_ :N:'./ Bus.Tel.No �5—." -w#1_ l .� > Alt.TeL No.. *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 normallyrequired by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent q owner owner's a.ent. Signature Telephone No. PERMIT FEE:$