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Home My WebLink AboutBLDE-23-001150 Commonwealth of Official Use Only 10 Massachusetts Permit No. BLDE-23-001150 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:9/1/2022 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) 75 ASTOR WAY Owner or Tenant KENNELLY VICKI Telephone No. Owner's Address 75 ASTOR WAY, SOUTH YARMOUTH, MA 02664 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: Remodel kitchen Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 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 ❑ Irnd. ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets 7 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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 1 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 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: MICHAEL S WALSH Licensee: Michael S Walsh Signature LIC.NO.: 51043 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:36 BOSUNS WAY, MARSTONS MLS MA 026481015 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: $75.00 taGA ( zjG, C� RECEIVED a. AUG 31 2022Ca aa!!h J y� / ///meachma(fe Official Use OnlyOnly '3 Y?t t7. c7 (� Permit No. C, \ �� •,:i UING ULRA RIM iP• tnrrrd�Jlrs. 'tees 3 o], > -- - - Occupancy and Fee Checked S. =•'-• • 'REVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -t All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8—3 I•Z 7-- City or Town of: YARMOUTH To the Inspector of Wires: 6 By this application the undersigned gives otice�of"his or her intention to perform the electrical work described below. /.1 Location(Street&Number) 15 A$l`Zl'S w M.1 Owner or Tenant \) t .k v Ken n e 1\I l Telephone No. c0 P S• 7S1-Igact Owner's Address S R^^e- Is this permit in conjunction with a building permit? Yes No Elt� �If (Check Appropriate Box) _3 Purpose of Building I�t•" } Utility Authorization No. 3 Existing Service t 6D Amps ' ( /21U Volts Overhead Q-----171-odgrd❑ No.of Meters 1 3 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters "fr l Number of Feeders and Ampacity G! Location and Nature of Proposed Electrical Work: pd! e...-.w i-af out Completion of the follow,,, table my be waived by the tospector of Wires. `I• No.of Recessed Luminaires No.of Ceil:Sasp.(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.01 Emergency Lighting .grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of OB Burners FIRE ALARMS 'No.of Zones No.of Switches P. No.of Gas Burners 'No.of Detection and Initiating Devices No.of Ranges Ex,1,, ` No.of Air Cond. Toms No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons. KW No.of Self-Contained Totals:f... _..(.. ._ .f....... 1l I - - Detection/Alerttnt[Devices No.of Dishwashers ] Space/Area Heating KW Local Municipal ❑Connection ❑other No.of Dryers Heating Appliances KWSecurity Systems:* No.of Water No.of Devices or Equivalent 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: ,;QUO (When required by municipal policy) Work to Start: 8-3 i 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 c�ov�e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE l BOND 0 OTHER ❑(Specify:) I certify,under the paint'and penal ies of erjury,that the information on this application is true and complete. FIRM NAME: f} IoL+,/l S jc-,(SI, LIC.NO.: s]0 y3 6--- Licensee: M,cL.-4 'S (,,1,--(-IL, Signature ��_/ pp F (If applicable.enter"exempt"in the license number line.) r"w"'1 `l2 � G LIC.NO.:rJ]O`( Address: Y<0 1f oX j}ZO rblr f liLM c(� `Bus.Tel.No` a$•6 -.So l° 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic1 No. OWNER'S INSURANCE WAIVER: i am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$