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Home My WebLink AboutBLDE-19-003160 Commonwealth of Official Use Only 'E. ,t Massachusetts Permit No. BLDE-19-003160 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:11/21/2018 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) 21 MOORING LN Owner or Tenant ROSS JOHN J TRS Telephone No. , Owner's Address ROSS MICHAELEA,21 MOORING LN,SOUTH YARMOUTH,MA 02664-2217 , 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 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- CINo.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 ❑ BOND 0 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 (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 cki S1 u2t1 I e e Commono/Maseaclueselie Official '' i,L 1JsparGmrat o!3snr&tanner Pamir No. I� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS .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 1.7FEALL INFORMATION) Date: J I — 1 2— l 8 City or Town of: h a.M.a'Til 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) (i't 0 o44 I.)`/ h.1J Owner or Tenant .J 'Oco5 S Telephone No. Owner's Address 5 4 ML Is this permit in conjunction with a building permit? Yes ❑ No ❑ -- (Check Appropriate Box) Purpose of Building S/A15 cC. pia-et c of Utility Authorization No. Existing Service Amps / Volts Overhead 0 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: gr.. —Ga.✓,ta-GT IZLPc.p-cLM Cs)f ,C/tc„/n c-c Completion ofthe followi - table nip be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cel-Susp.(Paddle)Fans No.of Total Tnasformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimmin Pool Above ❑ In- ❑ No.of tmergeney lighting Swimming grad. Elmet. Battery units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.TORS of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertln�Devices No.of Dishwashers Space/Area Heating KW Local 0 romannr n 0 Other No.of Dryers Heating Appliances ICW Security Systems:* No.of or Equivalent No.of Water KW No g: of No.of Data Wirin Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNevcer Warm No.of Devices or Equivalent 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: //—/Z-/S 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 coverffs. in force,and has exhibited proof of same to the permit issuing ofii CHECK ONE: INSURANCE BOND 0 OTAER 0 (Specify:) Lailtt,�,_ s Sf I cert jy,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: S/LV C/r 7.G L LIC.NO.:4 9 Licensee:5 c SE W Sits/4.S_ Signature • LIC.NO. Z/ ci plappltcabl enter"exempt"in the license member line.) Bus.TeLNo.•�C8—`/ZS—`t082- Address: 3,0 ;3«,a.a€ /).y Ri) SA"'OWtUJtMA pz5-LS AIL TeLNo.:TP-3GM-931( *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)0 owner Q owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE:S