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Home My WebLink AboutE-19-3161 c • 0. ttc 11 t 1 Commonwealth of Official Use Only Are Massachusetts Permit No. BLDE-19-003161 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/071 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 MINK OR TYPE ALL INFORMATION) Date:11/211 118 City or Town of: YARMOUTH To the Ins. of Wires: By this application the undersigned gives notice of ms or her intention to pertomr th..c?bcmcal workdescribed .. • . � Location(Street&Number) 11 PORT RUN t ( k 0 _.1 S Owner or Tenant AVANT) PROPERTIES LLC Telephone No. Owner's Address 60 FESSENDEN ST,NEWTON,MA 02460 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 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 oil boiler. 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- 13No.of Emergency Lighting Rind. grnd. Batten Units No.of Receptacle Outlets No.of Oil Burners 1 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump __Number Tons _I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 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 0 OTHER 0 (Specify:) I terrify,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 _ LTC.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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 oii- L lly If s g l.oeuaoemta 4/t/allaelueleflaOnly .._ Official Use C a , X14 --3 l �. c F.u,:1P /`� Permit No. 0 E.r apartment o3we Jsauced -ruff smi]f f 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 TYPE/ ALL INFORMATION) Date: 111- I.J— /g `7 City or Town of: A RM art a To the Inspector of Wires: By this application the undersigned 'ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) ' ' 1 I Po g--j— IZ-0 A) Owner or Tenant �/1-U LA p0 LLJS Telephone No. Owner's Address S A M E. Is this permit in conjunction with a building permit? Yes 0 No Qr (Check Appropriate Box) Purpose of Building SI"19 L-L. Fla/M// Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps I Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /,t//q ca£fZ.,sCtttlC..I> C it. F/C-(1—O Completion of the followin• table trbv be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cet-Susp.(Paddle)Fans Na of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Pool Above In- No.of Emergency Lighting Na of Luminaires Swimming Rind. ❑ rnd.A ❑ Battery Units No.of Receptacle Outlets Na 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. Total Na of Alerting Devices • Tons Na of Waste Disposers Heat Pump Number Tons KW 'Na of Sell-Contained Tote: Detection/AlertingDevices Na of Dishwashers Space/Area Hating KW Local❑ Municipal 0 Other Connection No.of Dryers Heating Appliances Kqt Security Systems:* Na of Water Na of Na of Data Na of Devices or Equivalent KW ta Wiring: Haters Signs Ballasts No.of Devices or Equivalent Na Hydromassage Bathtubs Na of Motors Total HP Telecommunications Wiring: Na of Devices or Equivalent OTHER Attach additional detail rfdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start / /-/3/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 covenjAis in force,and has exhibited proof of same to the permit issuing office CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) nIn:: -4-^-1-C s"l y I cent)",under the pains and penalties ofperjury,that the information on fhb application is true and complete. FIRM NAME: S/L'% C r re.rie./C— LIC.No:4 9 1 c j 7 Licensee ..-3 S Cleit W Sttrlatr__ Signature _ LIC.NOS t.././ Cf q Is (If applicable enter"exempt"in the license number line.) Bus.Tel.No /2 •-�'g—` 8— 0 Address: '30 74v lata E. 194-7 Ral SA-4 aw a ld 1 M A 0 2—CC S Alt Tel.Na:6n 8-'ct c'-9,T 1( `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)❑owner 0 owner's agent own I PERMIT FEE:$ Signature Telephone Na