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Home My WebLink AboutBLDE-22-006200 �'� Commonwealth of Official Use Only i Massachusetts Permit No. BLDE-22-006200 Fes' 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:4/27/2022 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) 5 CHERRY LN Owner or Tenant KENNEALLY KEVIN T Telephone No. Owner's Address KENNEALLY RACHAEL M, 5 CHERRY LANE,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: miscellaneous work per attached 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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 ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,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: $75.00 Rel q3( / V-g. O v � �Gje9 7 i cfl� c)r- Frt Oil /}�I,L -7 2a•4� r r‘ovy� ✓ C,omawnwtth v/t/laoeachu3el Official Use Only - q j zoo c�} Permit No. i 'ip * is spar`,inert o�gips�Bwicaa �~ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �, `_r [Rev. 1/07] (leave blank) x-i, i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CM1t.12.00 (PLEASE PRINT IN INK OR INFORMATION) Date: -c)-(1 - ,--00--)- .�� City or Town of: j� 1 f q To the Inspector of Wires` By this application the undersign gi es notice of his or her intention to perform the electrical work described below. Location(Street&Number) .6 C`l,err L,� Owner or Tenantr_eut,tr' `� N4.. G Telephone No. 77q h'j 2'CC — Owner's Address ,`jia 1 Is this permit in conjunction with a building permit? Y No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. ExistingService Amps / Volts Overhead❑ Undgrd❑ No.of Meters -._.3 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work: 1 /`7`` ,t/t 0 LPL a l /s' JeL_d Ork p/ J i)40/; /7 pLJ(. Gi ICj �ii144-: L.JIrct'Ac4-J0 >-4 1 Al"'4t 17...?; /_t,Ca,,,d e/ Completion of the following table may be waived by the Inspector of Wires.-1--Sci..o No.of Recessed Luminaires No.of Cell-Snap.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires pool Above In- No.of Emergency Lighting Swimming grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners Na of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 1 I Tons 1I{W No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal unnechon 0 OtherNo.of DryersC Heating Appliances KW Security Systems:* No.of Water , No.of No.of No.of Devices or Equivalent Heaters Signs Ballasts NoData . Devices or Equivalent No.Rydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent OTHER: Attach additional detail(((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 J BOND 0 OTHER 0 (Specify:) I certify,under rig„,_.,,,,„.„,u,61/4/cry,t the information pn this up ikation u true and complete FIRM NAME: 0-11 Ci G� Lio C, LIC.NO.: f342 "ILicenses: ` (]�,..f� (If applicable,enter"exempt" � Signature U9ol ''-% V! .t --' LIC.NO.: 'J3/iI.— emp a license number line.) Address: __ '7 jA � �/ us.Tel.No.; tom' *Per M.G.L.c. 147,s.57-61,security work requires Departmentl� fe U �' t:Tel.No.: °'-�( --� l6J OWNER'S INSURANCE WAIVER: I am aware that the iceo Public Safety ot have5th License:i ity insurrant coverage normally required by law. By my signature below,I hereby waive this requirement. I ain the(check Owner/Agent one)❑owner ❑owner's agent Signature Telephone No. I PERMIT FEE:$ /`