HomeMy WebLinkAboutBLDE-23-005903 0 Commonwealth of Official Use Only
�Elk Massachusetts
Permit No. BLDE-23-005903
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:4/24/2023
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) 7 BENNETT AVE
Owner or Tenant RENAUD THOMAS H Telephone No.
Owner's Address RENAUD SUSAN M,235 PUTNAM HILL RD, SUTTON, MA 01590
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 f Meters_
Number of Feeders and Ampacity 7
Location and Nature of Proposed Electrical Work: Miscellaneous work per attached.
v
Completion of the,followi Y 8 Spector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal
Transformers /p . KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lightin
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
Initiatine 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 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 ❑ 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 LW.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) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $50.00
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Commonevaalfh AA��0/tt Official Use Only
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cy n Permit No. (Z ✓u
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Occupancy and Fee Checked
'^'��''i' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)
`� '( .r
��j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME ).527 9MR I2.00
-v/ (PLEASE PRINT IN INK OR TYP nI/NFORMATION) Date: y �f � C a 3
City or Town of: yj 1'Ci i To the Inspector 6j Wires:
By this application the undersign gi es notice of his or her intention to perform the electrical work described below.
Location(Street&Number) '7 3n� L fi- U . !^' /tr ^c.t-7�
Owner or Tenant r)fv V U-,t/.t�LN 4 V Telephone No. TO( SC p y 16f::'
-- Owner's Address 5 A
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 IIIUndgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
_NJ
3 Location and Nature of Proposed Electrical Work: AA1,S L e L P WO(Iv 5-e e /41TGC//L4_ Jt} t
ci,✓vct GZ,
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Celt .(Paddle)Fans No.-Snap. Transformers KVAVA
No.of Lumianire Outlets No.of Hot Tubs Generators A
No.of Luminaires Swimming Pool Above 0 gr In- ❑ No.of Emergency Lighting
grad ad. 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
Qy�-- -1 z No.of Ranges No.of Air Cond. TTons otal
No.of Alerting Devices
MII�t w Heat Pump _Number Tons KW No.of Self-Contained
N go.of Waste Disposers Totals: Detection/Alerting Devices
71 c" Q to.of Dishwashers Space/Area Heating KW Local 0 lillConnicci al ❑Other I
SecuritySystems:*
W � 3ia.of Dryers Heating�p�° No. f Devices or Equivalent
i o.of Water No.of No.of Data Wiring:
V i Q c Heaters KW Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring
��mr
drromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
R:
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 J BOND 0 OTHER 0 (Specify:)
I certify,under the paints and penallie ofpf ury, the information an this ap 1�icatian is true and complete.? 2 ,r ..
FIRM NAME:U 1 U� l�l Q_C r 1 Ci C'v) I C C. LIC.NO.: I✓&2'7
Licensee: CO t V\`A Signature( l Q j�i t/,eL'(--- LIC.NO.: I 3 C,/t
(If applicable,enter'exempt'e t re license menberline., v'✓ I n /h,.�us.Tel.No.'
Address: '7 L A)V �L-O G 7 t� (ti Y-/YLR)U t Tel.No.: 5OF---S(aCI--4 4
"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)0 owner 0 owner's agent.
Owner/Agent PERMIT FEE:$ 4-0 x
Signature Telephone No.
Contract Walter W Kelly Electrician, Inc
PO Box 663
Master License # 21302-A I South Yarmouth, MA 02664
i941+isA-t •o 508-360-6471
www walte8- 611y61Prtricin rpm
wkel ly@walterwkellyelectrician.corn
NAME / ADDRESS DATE 4/21/2023
Tom Renaud
7 Bennett CONTRACT NO. 2931
West Yarmouth MA
02673 JOB
QTY DESCRIPTION
This is a price for the installation of the following electrical apparatus at the job location.(see job
above)
Wire and install 2-4"LED recess in kitchen on with existing 3 recess
Replace 3 existing 4" recess in kitchen with 4" LED DM recess ( existing cans not is rated)
Replace living hall and main bath recess trims with LED type
Repair loose living room existing recess cans
Wire and install bath heat lamp in master bath front of shower
Wire and install 4-4" LED recess lights in each of 2 guest bedrooms with dimmers
Wire and install duplex receptacle in mid bed right of closet door
Wire and install 2 head flood on rear of bedroom gable
Install afci ckt breakers on all modified circuits
1 ****** If the installation of afci breaker trips due to existing conditions in wiring other charges will
apply *******
1 Labor - Master Electrician 1st hour
6.25 Labor - Licensed Master Electrician
1 Labor - Master Electrician 1st hour
6 Labor - Licensed Master Electrician
1 Labor - Master Electrician 1st hour
3.5 Labor - Licensed Master Electrician
13 Halo 4" LED direct mount recess light
1 9-15 WATT LED A-19 BULB
12 1/2 rx conn metal
50 wirenut yellow , orange, OR SMALL BLUE+GRAY
180 wire 14-2 rx per ft
1 decora tandem 1-pole x2 switch
1 Nutone Single bulb bath heat fan W/ 250 heat bulb
10 RETROFIT 5"/6" LED HALO TRIM
2 DIVA DIMMER DVCL-153P ( 3W/SP-CFL/LED/INC/HAL - ADJ LOW SETTING)
3 2-gang decora plate white
1 Diva Fan Control
4 homeline 115-120 afci breaker
Thank you for your business. TOTAL
TERMS OF
PAYMENT: Due on receipt
SIGNATURE
Page 1
Contract Walter W Kelly Electrician, Inc
PO Box 663
• Master License#21302-A South Yarmouth, MA 02664
508-360-6471
www waltrrwkrllyrlrrtririan rnm
wkelly@walterwkellyelectrician.com
NAME/ADDRESS DATE 4/21/2023
Tom Renaud
7 Bennett CONTRACT NO. 2931
West Yarmouth MA
02673 JOB
QTY DESCRIPTION
1 Permit Fee
1 15 AMP DECORA DUPLEX RECEPTACLE
1 1-gang decora plt
1 1-gang deep ow pl box
2 weather proof round box
1 weather proof 1 OR 3-hole cover
2 RED-DOT WEATHER PROOF FLOOD HOLDER
2 15 watt wp LED flood
Thank you for your business. TOTAL EOM
TERMS OF
PAYMENT: Due on receipt
SIGNATURE
Page 2