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Home My WebLink AboutBLDE-19-1890 i ,. Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001890 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:10/1/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electncafwork 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 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC.(UNIT A-4 Locksmith Shop) 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 ❑ Io- CINo.of Emergency lighting grnd. grad. 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 Totals: Detection/Alerting 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 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 perjury,that the information on this application is true and complete. FIRM NAME: Joseph W Silva Licensee: Joseph W Silva Signature LIC.NO.: 9147 (Ifapplicable,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 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:$80.00 ........„4Ca nm ..1't1 4//7..../aa lfl Baal Usel -u t c7 �7Permit No. ri Th.p.rlmontof.ties..stun Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Met: (leave blank) 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 INEORMATIOA9 Date:9 /7— /I: - Cityor Town of a tr-01-rir 1i+ To the Inspector of Wires: c 1csn rTl1- By this application the undersigned gives notice of his or her intention to perform the electrical work desaibed below.--1S1,44 p Location(Street&Number) 6 S r/ M 141%4 sr W y/M.nc•- Til U 4/1 f R 4 Owner or Tenant 5 + /JEA LTC/ Telephone No. Owner's Address S Pa C. Is this permit in conjunction with a building permit? Yes ❑ No [1CheckAppropriate Box) Purpose of Building -'g i p.tc_ Sr4C.t: Utility Authorization No. Existing Service Amps / Volts Overhead❑ 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: 14 aLf. ZcFcn ccri("Fr has CZi ...acs. 1- 11/L Ca act an— Completion ofthe followin• table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cent-Susp.(Paddle)Fans No. Transformers KVAformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA of Luminaires Swimmin Pool Above In- No.of Emergency Lighting No gprod ❑ 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 Initiating Devices No.of Ranges No.of Air Cond. Tocol o Tons No. f Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/AlertinDevices No.of Dishwashers Space/Area Heating KW Local❑ Connerecd n 0 Other No.of Dryers Heating Appliances get SecuritySystems•� No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eggnivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail rfdesired or as required by the Inspector of Wires. Estimated Value of Electrical (When required by municipal policy.) Work to Start: °/—/7— 1 W 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 cov in force,and has exhibited proof of same to the permit igving office CHECK ONE: INSURANCE cove-i. 0 OTHER 0 (Specify:) f L .. s L1 y I terrify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: S/LVA- '`rfr 7 c_r C- LIC.NO.:/J 9 i7 Licensee: j o S E:eh w Star¢ a_._ SignatureLIC.NO.�Z/6 cf[, Of applicable enter"exempt"in the license number line..) Bus.Tel.No.• tr-ti ZS-9 o 52- Address: 660 Zxjez.a E. II.7 RD Cagan",tt.N, M A a Cc 3 AIL TeL No.:w P-'4CP-g 3 l( *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER I am aware that the Llrenvr does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(cheek one)0 owner 0 owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE:$ u r-