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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 v � 1k\I Cell .1 INletatirc — a- Commonevaalfh AA��0/tt Official Use Only Viaeeae�utaelLs `�/'� cy n Permit No. (Z ✓u L- c^:41 'r ✓Japarlmanl of giro Serviced 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