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Home My WebLink AboutBLDE-23-001947 up1i‘ Commonwealth of Official Use Only ••i* Massachusetts Permit No. BLDE-23-001947 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.1/071 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:10/12/2022 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) 189 SILVER LEAF LN Owner or Tenant CRAIG VANDERAW Telephone No. Owner's Address 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 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: 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- a No.of Emergency Lighting grad. 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. TotalTon No.of Alerting Devices 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 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 Sinus 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,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 Qo _ b - 4 I O/-1811h ( t %/(- U `' /� ��11�// /�)/)j//// ff 23l U .`) M ( cnrnwnweat ll a/if/ad6ac1ut4a/ti 7 _ --- c� c�77 C� Permit No. ,: }l 2apartmanl`0/ irc Service 4—, a l .ti Occupancy and Fee Checked `i`{ ' BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] (leave blank) ��'rLr'Y APPLICATION ®R PERMIT TO PERFORM ELECTRICAL WfoRK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 i CMR '2.00 �{ (PLEASE PRINT IN INK OR TYPE • INFORMATION) Date: /07 n a ---)--- -J City or Town of: 'V Ca U t Vt. To the Inspector of Wit es: By this application the undersign l gives notice of his or her intention to perform the electrical work described below. G. Location (Street&?Number) i f 5 iii,I Ery! /YGc{ a I't^" Owner or Tenant ) C.,:, 1;1 L.,, f- r,-,`- 'Z ✓.' r A. Telephone No.c/,1., -6,))-' Owner's Address i ` f.1 Oh i tv 1e C 1 r 1`lt C i LAn) tt:)/)1 c.23/ Is this permit in conjunction with a building permit? Yes No n (Check Appropriate Box) Purpose of Building Utility Authorization No. Q� Existing Service Amps / Volts Overhead Undgrd E No.of Meters —� ps New Service Am / Volts Overhead Undgrd I 1 No.of Meters 'J Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: /t f ti' 7 �� ,� f� � - A) AP4r 2P17 ram,) i;,''I/l c t— •Viz r/ '/ L,j :7- -Completion of the following table may be waived by the Inspector of Wires. f Total No.of Recessed Luminaires No.of Ceil.Su `No.o sp.(Paddle)Fans (Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of imergency Lighting No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners !FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. InDetention and itiatins Devices No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices Heat Pump I Number Tons KW ___ 1INo.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Dti_o_- Connection No.of Dryers Heating Appliances KW Security Systems No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: g No.of Devices orr Eqnuivaalent 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: 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 Z. BOND ❑ OTHER ❑ (Specify:) I certify, under the pairts and penalties ofperjury,tl the information on this application is true and complete. ,, FIRM NAME: � `1fl L� Q=_1(,.f 'k 1 1 't C�UC . LIC.NO.: ;2/ 0U= /7 �G'_C_ C NiL:i. _ rr Licensee: ( 3 t 1 tA Signature ( of(1 4lc t t(iL L LIC.NO.: J.3r�/! (If applicable,enter"exempt"Out he license number line.) • v //� Us.Tel.No.; Address: 2 , �r i'1c e- �� (% %; r/�r 1�1 t Tel.No.: U�,'—:�(rC. E'L'147. L: 147. :57-61,security work requires Department of Public Safety"S"License: Lie_No. ' IIURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally y'lawiL By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑owner's agent. egent Telephone iNTo. P R IT Tf