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Home My WebLink AboutE-19-2467 �� Commonwealth of fen Use Only �,TJ\ Massachusetts Permit No. BLDE-19-002467 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:10/25/2018 City or Town of: YARMOUTH To the Inspector of Wires: 1 /D • Igo O By this application the undersigned gives notice of his or her intentio^n to�ertonu the eleetri work described below. �C�, l r ` Location(Street&Number) 43 HOWES RD I V I K " �fraC Owner or Tenant DION FRANCIS B Telephone No., r}€1- /2-2/ 0 a Owner's Address DION JOAN M, 104 PIERCE ST,WEST BOYLSTON, MA 01583-2012 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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 furnace. 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- ❑ No.of Emergency Lighting grnd. Rind. 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 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 In 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 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) ❑ owner ❑ owner's agent. Owner/Agent Signature',__ Telephone No. PERMIT FEE:$50.00 1si4 Ie(zf,8 & I I . . ri.nov /(rO£ 4- Cly O1"-I Jtx5 ega- f i A tmag.4 Mammas& Oki.s1Use Only v ki c� c7 p Permit No. 0` ` Z144-7 .Ue�erfivat o`yire Santa ecked BOARD OF FIRE PREVENTION REGULATIONSOccupancy Fee mak) [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00Q (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 47 -29—tf NI te City or Town of: �(4ttMD✓f/i To the Inspector of Wires;,- t By this application the undersigned gives notice of his or her intention to perform the electrical work de 'bIt -.AO ,2 Location(Street&Number) 513 `/OWLS p 'C'4Ut- Owner or Tenant /Yf/IC E 4 g$OAJ Telephone o. U. . 1. 3eF Owner's Address S'/Q int- ncciG Is this permit in conjunction with a building permit? Yes 0 No lir-(CheckAppropria *ix Purpose of Building.c1/419C-C_ / 4 M/c� Utility Authorization Na 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: Et_co,./ait .,! uEOtRccmc,n e 11-2 rJ9 A c.E Completion of thefoll. ; tablemy be waived by the Inspector ofWires. Total No.of Recessed Luminaires No.of Cell-Susp.(Paddle)Fans Tr of KVA Transformers KVA No.of Luminaire Outlets Na of Hot Tubs Generators EVA Na of Luminaires swimmingPool Above ❑ Io- ❑ DiamergLighting grad grad BatteryofEUnitsency No.of Receptacle Outlets Na of Oil Burners FIRE ALARMS JNa of Zones Na of Switches Na of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Con& Tons No.of Alerting Devices Na of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Akrtingpevices No.of Dishwashers Space/Area Heating KW Local❑ Conn Ju 0 Other T No.of Dryers Heating Appliances KWNa of Deems:or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs Na Na of Devices of Motors Total HP Tel Nommneice o r W or Equivalent OTHER Attach additional detail iideshed or as required by the Inspector of Wires. Estimated Value of Electrical W (When required by municipal policy.) Work to Start /4' Z/-i aIInspections 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 officer CHECK ONE: INSURANCEBorn 0 OTHER ❑ (Specify:) &yintettL -7--"-C 8.11 y lent undo the pains andpeuaWes ofperjary,that the information on this application is true and complete. FIRM NAME: St4LV% C'E'cT.uC- LIC.NO.:/J9 / in Licensee: _J TO S£441 t,3 StL I4 Ca- Signature LIC.NO.: (Ifappltcable neer"exempt"in the license number line.) Bus.Tel.No: ?- Z - 0 SZ- Address: TOO 3cxpla t 144-7 Ka SA-4ofri t.iJ t M4 O ZSC 3 Alt.TeL Na:S P-'eC,c#-gal( *Per Ma c.147,s.57-61,security work requires Department of Public Safety"5"License: Lic.No. OWNER'S INSURANCE WAIVER: I air aware that the Licensee does not have the liability insurance coverage normally required bye• By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent. re Signature Telephone Na I PERMITtFEE:$