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Home My WebLink AboutBLDE-19-003428 ,. .'1VA'I I fficial Use Only ✓ � Commonwealth of Massachusetts Permit No. BLDE-19-003O428 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev../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 WINK OR TYPE ALL INFORMATION) Date:12/5/2018 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) 15 FOUR SEASONS DR Owner or Tenant CAPPADONA A PETER&SANDRA J Telephone No. Owner's Address CAPPADONA JOSEPH A&CAROLE M, 15 FOUR SEASONS DR,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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement air handler. 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 Ab ❑ In- ❑ No,of Emergency Lighting grnove d. grnd. 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. 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 ifdesired,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 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Jared P Macdonald Licensee: Jared P Macdonald Signature LIC.NO.: 14854 (If applicable,enter"exempt"in the license number line.) - Bus.Tel.No.: Address:809 Scenic Hwy,Buzzards Bay MA 025322202 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 I ( 1se ..r ` 47:1 gL‘ y _ Comnieravealth el///assachaself! Permit No. Official Use Only =,v T cc77� `�i g\— Nza -1 pcwt.!4..Yip+Swvicxa BOARD OF FIRE PREVENTION REGULATIONS ROvet.. 1/lrotmryandFeeChecked APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C), 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFOR c4770/9 Date: I/ jr icir City or Town of: YARMOUTH To the Inspector lllo f Wires: . By this application the pndersigned gives notice of his or her intention t¢perform the electrical work described below. • Location(Street&Number) /5" Ol.tf con_50AS \rt tie_ Owner or Tenant i l/ Telephone No. / - I 0010 Ili? ,, wner's Address 50_14,1/4D. i N ;rz' s this permit in conjunction�a but4.. g penult? Yes ❑ No ❑ (Check Appropriate Box) tri W urpose of Build ng (� S I Ce��, 11.1 O t�C UtllityAathorizatioallo ID risting Service_ Amps / Volts Overhead❑ Und () tviJ gid❑ No.of Meters _ t.7 ie., ew Service Amps / Volts Overhead 0 . Und gid ❑ No.of Meters 9 umber of Feeders and Ampacity -- CG •m tion and Nature of Proposed Electrical Work:. aCO, r� r�l�lcatc v�e��— t r I-fa,�lzf— o-'. r �r� L-E-i Ohs v9-, Completion of the following tab!e may be waived by the Inspector of Wires. No.of Recessed Luminaires Na of Cell-Stun.Susp.(Paddle)Fans • No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool emodve ❑ in-d. 0 No. cry U ergency Ltghttng - Battery Units No.of Receptacle Outlets . No.of OH Burners FIRE ALARMS 1No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Municipal - Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:• No.of Water No.of Devices or Equivalent No.of No. of HeatersData Wiring Signs Ballasts Na 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,EJec c$,WorE- son (When required by municipal policy.) Work to Start ( '/,3l I p Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 1�}.1 BOND 0 OTHER 0 (Specify:) I certify, under the pains and p aloes of.erju-• that the information on is application is true and complete. FIRM NAME: - 9 !lit_ $ ire_. e t __ LIC.NO.: 85N Licensee: S_ e • V err*a a ignature AV LW.NO.: _f L( Afapplicable,ptrter gnpt"in the lfcens •er l' J r\ Address. `�6((n be tr nsq • jfltt.f-yD , UO$`�a Bus.Tel.No. 3 j •Per M.G.L.c. 147,s.57-61,security work requires D artment/of Public SafetyJ Alt.Tel.No.: 0 7P OWNER'S INSURANCE WAIVER I am aware thate Licensee does not haveicense: Lie.No. Q the liability insurance coverage normally c required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's erg ` Owner/Agent Signature Telephone No. I PERMIT FEE: S 5"