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Home My WebLink AboutBLDE-22-005573 \`i • 7 Commonwealth of Official Use Only • `; Massachusetts Permit No. BLDE-22-005573 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FORf �ed� accordancen the PERMIT TO PERFORM ELECTRICAL WORK All work to be(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Code (MEC),527 CMR 12.00 Date:4/1/2022 City or Town of: YARMOUTH To the Inspect of Wires: By this application the undersigned gives notice of his or her intention to perfonn the electrical work described be% r i Log c Location(Street&Number) 42 LOOKOUT RD �j Owner or Tenant KELLPETE REALTY TRUST ph Owner's Address CIO PETER DOHERTY, 10 GLAD VALLEY RD, BILLERICA, MA 01821 Tel phone No. Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service gNo.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel 3 bathrooms 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 ❑ gIrnd. ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW Signs No.of Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 ofperjury,that the information on this application is true and complete. FIRM NAME: THOMAS P SULLIVAN Licensee: Thomas P Sullivan Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 18182 Address: 71 WAQUOIT RD, COTUIT MA 026353517 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)) ❑ owner ❑ owner's agent.Owner/Agent Signature Telephone No. !PERMIT FEE: $75.00 I 1-4-0-64/ 07 Commonwealth o///laJsachudetLs Official Use Only 1 -rye= t Permit No. ZZ— -17 iml .2)epartment o� ire Services _=-— Occupcy and Fee Checked == BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/0an7] (leave blank) 4 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:3/31/22 CI City or Town of: YARMOUTH To the Inspector of Wires: r ii• .pplication the undersigned gives notice of his or her intention to perform the electrical work described below. III L 1 n(Street&Number)42 LOOKOUT ROAD c� ~ R O e or Tenant DOHERTY Telephone No. W r co O o e s Address SAME 0 Isjtbis 1 ermit in conjunction with a building permit? Yes 2 No ❑ (Check Appropriate Box) LL) g Too: of Building RESIDENTIAL Utility Authorization No. 'I . Service Amps / Volts Overhead Undgrd No.of Meters mm ❑ g ❑ ice Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 3 BATHROOM REMODELS Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf 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 AlertingDevices 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❑ Municipal El Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 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: 9500 (When required by municipal policy.) Work to Start:3/31/22 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 ® 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:TOM SULLIVAN ELECTRIC LIC.NO.:A18182 Licensee: THOMAS SULLIVAN Signatu t LIC.NO.:E31011 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508/477/3300 Address: 71 WAQUOIT RD COTUIT MA 02635 Alt.Tel.No.:508/280/5616 *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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.