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Home My WebLink AboutBLDE-23-001850 ij )1141'.�-a: `� Commonwealth of Official Use Only Massachusetts � Permit No. BLDE-23-001850 ‘ \' BOA�RD 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:10/6/2022 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) 236 CENTER ST Owner or Tenant JAMESON LARRY J Telephone No. Owner's Address JAMESON CATHY A, 39 HICKORY DR, MAPLEWOOD, NJ 07040 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install E.V. Charger 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 1 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 ❑ 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 ❑ (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.: 51391 (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(0kariert No. PERMIT FEE: $50.00 t l 1l C� i tla —36 " AkerC'vnG Alt EtPG CLRcc (oQr .411% fir _ =r E D �; j j OCT ji 2022 AA�� yyyy�� `� Comma alfh of rrlaesachuaelis Official Use Only it.+-:.-"rIt.Dily ,,e.--,,,I, NI <y�, y.: �e7/ [ Permit No. -tom,/ "�692 !.-� - nt o`Jire Serviced 11-;s Occupancy and Fee CheckedBOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME i,52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /C ,C City or Town of: YARMOUTH To the Inspecto of Wires: 11. By this application the undersigned gives notice of his or her-intention_ to perform the electrical work described below. Location(Street&Number) �j j�, ��/�\ S Owner or Tenant / k„.../-y 7'„,,,c•t pS cc,A Telephone No. 3 �O d V Owner's Address ,�,_, 7 , �r lJ) Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. �'\ Existing Service_ Amps / Volts Overhead❑ Undgrd❑ No.of Meters _ New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters 3 Number of Feeders and Ampadty / Location Nature proposed Work: LAI l i T,L A-57i t e._ ,v/ C`(C(i � a- e L(O-D Etta-ems fit— n) st)) ;time - Completion of the following le may be aived by the Inspector of Wires. otal U� No.of Recessed Luminaires No.of Celt. Transformers-Soap.(Paddle)Fans Tranf 7 sfTransformersKVAVA C No.of Lumiasire Outlets No.of Hot Tubs Generators KVA d` No.of Luminaires • Swlmmin Pool Above In- No. g g ftrnd. ❑ grnd. ❑ BattoferyEmer Unitsency Lighting zi 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 Ili No.of Ranges No.4Air Cond. Tons Total No.of Alerting Devices No.of Waste DisposersHeatPump Number Tons ,.,KW No.of Self-Contained Totals: ''""' "" Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal ❑Other are No.of Dryers Heating Appliances KW Security 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: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule I0,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 suchoffice. co erage is in force,and has exhibited proof of same to the permit issuing CHECK ONE: INSURANCE BOND❑ OTHER 0(Specify:) I certify,under the�a talus and penalties ofped ! the Information on Ih' application is true and complete. r- FIRM NAME: I.t j _ (K1- ) /f LIC.NO.: 5 / - • Licensee: l� S afore // C LIC.NO.: (If applicable,enter"esem t"in the lice a r tuber Iine.l /', Bus.Tel No: Address: 7 �'I'(ON/ Li(f I/v" {,T/uti( L'"� Alt.Tel No.: J� "Per M.O.L.c.147,s.57-61,security work requires Department of ublic Safety"S"License: Lic.No. /i I-�/ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally C' f required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ '�r<