The URL can be used to link to this page

Home My WebLink AboutBLDE-19-1889 a Commonwealth of ofeoialUaeOnly are.‘" Massachusetts Permit No. BLDE-19-001889 �- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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: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 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 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 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC.(UNIT A-2 Embroidery 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 0 In- ❑ No.of Emergency Lighting grnd. rnd. 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water ICY 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 0 OTHER 0 (Specify:) I certtfy,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:$80.00 3Y.`a 10/i/(t '' SS, a, ,era a/Mautacktudis Official Use = Onl V ,� t t7., Permit No. i - (an s9a7it , Tparmn. t ofJan Sendai ,�,1£ > Occupancy and Fee Checked ° a ^,,' -,, ' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (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 INFORMATION) Date: 9'-Zo—/a- ,. - City or Town of: '9 Aelm vUTf To the Inspector of Wires: finBl-o, By this application the undersigned gives notice of his or her Intention to perform the electrical work described below. S noif Location(Street&Number) /PCe7 M4 t^I Si. t Af, yyte ;t Tfl (/tin- A.-vZ Owner or Tenant g—t N Kari Telephone No. Owner's Address Sn Pu C. Is this permit in conjunction with a building permit? Yes 0 No 0/(Check Appropriate Box) Purpose of Building Tai L S Fall Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters )`iew Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (AhlrE /'/f,o„i a 4x KJ C.alnCC 4, /1-/C etn102..rst11-- Completion ofthe followinvable may be waived by the Inspector ofWires. No. Totaof Recessed Luminaires No.of Cetl-Susp.(Paddle)Fans No.of Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Pool Above In No.or Emergency Lighting Na of Luminaires Swimming grad. ❑ ernd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Switches Na of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tool No.of Alerting Devices Na of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 coneecdon actio n 0 Other Co No.of Dryers Hating Appliances KW Security Systems:* Na of Devices or Equivalent No.of Water KW No. Wiring: of No.of Data ring: Haters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications NofDevor ,quiag. Na of Devices Equivalent OTHER Attach additional detail(1desired or as required by the Inspector of Wires. Estimated Value of Electri Work (When required by municipal policy.) Work to Start 9-Zo i t 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 :) dal/lintBOND 0 OTHER 0 (Specifdal/lints S4 y I cearify,ander the pains and penalties ofperjary,that the information on this application is tare and complete FIRM NAME: S/-VA- Cip.�7c c LIC.No.:49 / q 7 Licensee: CO SEMI u') Stt_Ja a_ signature LIC.NO.: It/G ti 51 (IfapplicableJeater",ez�emlx"in the license number lire) Bus.Tel.No.-.*:?—`/ZS—9 flat Address: 30 3Wet.at:. /meq Rip an-sow add iP74 02sG3 AM.Tel.Na: ic-vc,cf—c37( *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 Licensee does not have the liability insuragce 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 Signature Telephone No. I PERMIT"FEE:S OO r