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Home My WebLink AboutBLDE-23-003809 (4[0 Commonwealth of Official Use Only ��` 0Massachusetts ' BOARD OF FIRE PREVENTION REGULA TIONS Permit No. BLDE-23-003809 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) City or Town of: YARMOUTH Date:theInspector of Wires: 1/13/2023 By this application the undersigned gives notice of his or her intention to perform the electrical work described be Location(Street&Number) 59 WEBSTER RD �g Owner or Tenant BERNARD WALSH `3o.-3 !7 Owner's Address Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) Existing Service Am s Utility Authorization No. p Volts Overhead ❑ 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: Permit to close out expired permit(Convert garage to livin�c space) 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 geld. 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 Ton No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: Address: Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$50.00 J Et3tZT ` 3(t4 .3 r � R "CEIVED 1 JAN 11202, Comnwnwsa/h el Maddachudet?id Official Use Only .a� t Permit No. e � —, E--_ c7 n BUILDING U ETi--; ii T s/oarfii.d o/. irs Serviced sy . BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked v [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 ALL INFORMATTON) Date: City or Town of: Irk" 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) 51 W C g5T-E 2_ 4 Owner or Tenant -3 E f A.L's FrJ Telephone No. (p 17 Z 3 S`i'7 1 Owner's Address "is- R► i .g(L6 INTO-Ef 1'Vi 4 62,1 Is this permit in conjunction with a building permit? Yes IE No (Check Appropriate Box) Purpose of Building tan Vert �{(,t,tr�c,:2 d --faLLv ity Utility Authorization No. Existing Service i c1 Amps / VoltsOverhead[ J Undgrd❑ No.of Meters 1 New Service WO Amps / Volts Overhead® Undgrd❑ No.of Meters 1 Number of Feeders and Ampadty I Location and Nature of Proposed Electrical Work: eR WO g.ST RI) Completion of the followinxtable may be waived by the Inspector of Wires. t!h No.of Recessed Luminaires No.of Ceil.-Sus No.ofTotal „! 3 p.(Paddle)Fans Transformers 0 KVA . 'Z No.of Luminaire Outlets 3 O No.of Hot Tubs T�j Generators G KVA ,t' No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting g gind Battery Units fp `' No.of Receptacle Outlets '30 No.of Oil Burners 0 FIRE ALARMS No.of Zones i No.of Switches 2� No.of Gas Burners No.of Detection and < GAS �'�� Initiating Devices _ 1!,1 No.of Ranges I GAS-S No.of Air Cond. I Tons No.of Alerting Devices lG No.of Waste Disposers Heat Pump Number Tons_ KW "No.of Serf-Contained Totals: ' " ' Detection/Alertin Devices No.of Dishwashers i Space/Area Heating KW 66 Local❑ Municipl Connection ❑ Other No.of Dryers 1 _ i.e.fi(uc Heating Appliances S KW Security Systems:* 1 No.of Water No.of Devices or Equivalent 0 Heaters 1 KW No.of ;C o.of Data Wiring: Signs cU Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 3 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Wort z (When required by municipal policy.) Work to Start:"ji.2i3 21 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 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: / LIC.NO.: Q Licensee: Signature i(" (AL( LIC.NO.: (If applicable,enter"exempt"in the license number line.) ti Address: Bus.Tel.No.• T*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by la By m i atur b, o`,I hereby waive this requirement. I am the(check one)❑owner Elowner's agent. Owner/Agent //Signature l/'r' Telephone No.11?3v(°357 7 I PERMIT FEE:$ I