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Home My WebLink AboutBLDE-19-2050 4� V" M Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-002050 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.l/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:10/5/2018 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) 657 ROUTE 28 Owner or Tenant MITROKOSTAS NAFSIKA E TR Telephone No. Owner's Address S&N REALTY TRUST, PO BOX 260,SOUTH YARMOUTH,MA 02664 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 0 Undgrd ❑ 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: Replacement furnace(UNIT A-CNA TRAINING CENTER) 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- 1:1No.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. 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of 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: 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 0 (Specify:) I certify,under the pains and penalties of pedury,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 Mt.Tel No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S LNSURANCE 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:$80.00 Cainnumuveateg of///aeuacluteeite OfEcial Use Only �-y_, ' E_c'IApartment of.tin Jeralaer Permit No. _ nd Fee BOARD OF FIRE PREVENTION REGULATIONS (Rev.Occupan1/07)cy a(leave blCheckedank) 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 ININK OR TYPE ALL INFORMATION) Date: /0—Z—/cf. - City or Town of: g2rno flL To the Inspector of Wires: By this application the undersi gives notice of his or her intention to perform the electrical work described below. aniA. Location(Street&Number) ' C•7 r74. a S-7 4,-11 yWr/i'iw711- Urn- 4.-4 i azp 4 Owner or Tenant S—f-,u G'Eda L-1r-f Telephone No. Owner's Address San a Is this permit in conjunction with a building permit? Yes ❑ No 0 -- (fleck Appropriate Box) Purpose of Building DceFi CC S,•49-CC Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead D Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /eZ_CrNti f T aegotacr.yW/ as Fr..)/4414-CE. Completion of the follow • table may be waived by the Inspector ofWhzs. Total Na of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans Na n Transs KVAformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators IOTA Na of Luminaires Swimmiu Above In No.of Emergency Lighting g Pool and. ❑ gird ❑ Battery Units Na of Receptacle Outlets Na of OR Burners FIRE ALARMS Na of Zones Na of Switches Na of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tocol No.ofDevices TonsAlerting Na of Waste Disposers Heat Pump Number Tons KW Na of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Mannectionicipan 0 Other Con No.of Dryers Heating Appliances KW Security Systems:* Na of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Haters Signs Ballasts No.of Devices orEsivalent_.-- -- Na Hydromassage Bathtubs Na of Motors Total HP Telernmmanications W Na of Devices or Equivalent OTHER Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: -" s C (When required by municipal policy.) Work to Start/o- Z-/F 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 in force,and has exhibited proof of same to the permit issuing o CHECK ONE: INSURANCE ErBOND 0 OTHER 0 (Specify.) Cennt,C•EL -1 s gild I certify,under th�!,p�a'hn°'�and penalties ofperjury,that the information on this application I due and complete. FIRM NAME: s/L-141- '0/rc?",C./L LIC.NO.:4 9 / q 7 Licensee: _,)o S£.ph (A) S:c,t . R— Signature _ MC.NO.: (If applicable enter"exempt"in the license number line.) Bus.Tel.No.- H • ^ - 2 - aXZ Address: h60 3cx>tta g. 14A-7 Rte a4-40€4 telj, m4 o z.s c s Alt TeL Na::Co P-1'L.4- to 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 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)❑owner 0 owner's agent Owner/Agent Signature Telephone Na I PERMTI'FEE:$