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HomeMy WebLinkAboutBLDE-19-001274 e Commonwealth of Official Use Only tri.:*. Massachusetts Permit No. BLDE-19-001274 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:8/30/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention topert,o�r`m the elect`tc 1 work described below. opm Location(Street&Number) 38 MORNING DR Xie v Lh 14 © f4S Owner or Tenant Telephone No. Owner's Address , "" ^ 14870 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 ❑ 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: Replacement HVAC and Water heater. Completion of the,following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.Susp.(Paddle)Fans 'No,of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs 'Generators KVA No.of Luminaires Swimming Pool Above 0 In- 13No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained i Totals: Detection/Alertine 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 I No.of Water 1 KW No.of No.of Data Wiring: Heaters Stens 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: 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 Cl (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOSEPH W SILVA Licensee: Joseph W Silva Signature LIC.NO.: 9147 (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 BOURNE HAY RD,SANDWICH MA 025632761 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 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:$50.00 4 84crf6 c� a /� `' / ( rP-- oc h '�''a l.onrmoeruaa!!h of Vassar-Lab tial Use Only _._.= 9 -- ( X7'4 1/ "`_17j:�t' c�� Permit No. ` • -t=e,= ; apartment airs ':-.1-167 a' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS rev. UM] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 OAR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S Zi- /I,_ - City or Town of: '//1-t2.t`io U-Tlf- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Loation(Street&Number) 3g' nDR/..ti O2 --)41/1/0 Owner or Tenant /J4f/O /.LaL,C./AJS Telephone No. Owner's Address s/lrflt- Is this permit in conjnnon with a building permit? Yes ❑ No EV"(Check Appropriate Box) S/0-1 Purpose of Building N S CC. Aim/LI' Utility Authorization No. Existing Service Amps / Volts Overhead 9 Undgrd 9 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 W/ate 2MoaeowC✓7 cb.S ,iicn/A GS 11120 6^1 4-/C -74 IA/a i- r fC - (.4/4-7C/E- 1-104.-7:C/C.- Completion ofthe followin, 04lt CCompletionofthefollowln, table mgy be waived by the Inpector of Wires. No.of Recessed Luminaires No.of Cert-Sup.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires Swimmin pool Above In- No.of Emergency Lighting g gra du❑ Ernd. ❑ 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 Ieitiatifl Devices No.of Ranges No.of Air Cond. Total No.of AI Devices Tons ung No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Hating KW Local 0 Tamilann'Sn 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Deviecs or Equivalent KeyData Wiring. Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na of Devices or Equivaent OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:8-Z j= /8 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 covers in force,and has exhibited proof of same to the permit issuing office CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) t L -/-12-1-5 8' e I certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: S/`vii- •C.to-/ c./c. LIC.No.:A 9 / q 7 Licensee: JOSE-eh t.J Sada-3-"g— Signature _ LIC.NOE/G c(9 pfapplicab enter"exempt"in the license number line.) Bas.Tel.No.:. H-v/2A-9 o SL Address: 0 .t3cra-a /4 84"-'0"-i RD 84"-'0"cal r MQ OZ.ss S, Alt.Tel.No.:C P_ tc.Y=9 p 1 *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 ani 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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT"FEE:$