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Home My WebLink AboutE-19-4180 Commonwealth of Official Use Only tre Massachusetts Permit No. BLDE-19-004180 ��--� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:1/16/2019 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) 170 WENDWARD WAY Owner or Tenant CLARKE RICHARD F JR Telephone No. Owner's Address CLARKE SORAYA E, 170 WENDWARD WAY,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes ❑ 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: Add on NC. Completion of the following table may be waived by the Inspector of I{Sres. 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- 11No.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 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 ❑ 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 Si2ns Ballasts No.of Devices or Equivalent No.Ilydromassage 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 ❑ (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 MC.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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 gt.Z0 1 f1 mcer.,.vt2— / S Aiiaz 'i�J[[� AienL/ �L,I.x �1 e� Oro) w�we .stccr c c-7,-6,07c-7,-6,077 / t .4as� g &mrnonweah of Measaci. e" Official Use Only V Eiq ' 41ee V. WE"' PumitNo. c�A Apartment s, � i Iw BOARD OF FIRE PREVENTION REGULATIONS Oce [Rev.I/07] and Fee Checked /07J (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 INWK OR TYPE ALL INFORM/1770N) Date: 7-'10-- /7 City or Tovrn of: ')(l2/IZOd-174. 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) / 76 (O CvOWARO /Ua / Owner or Tenant jLC//�4� CO4.0 / Telephone No. Owner's Address SA.-c- • Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building ,Si' tC , -9--? p Utility Authorization No. Existing Service_ Amps / //Volts Overhead❑ Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampaeity Location and Nature of Proposed Electrical Work: /q/,CL N t 4u ij/G etheiDi-✓.CC't. ely06/Z6' Gro l49E/2- /,It_41t2 Sec-so/CIA— "SS/re4c1 /A/ ee:L a- t Completion of thefollowingtable be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans TaTotal Trans[ormen KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Leuniaaires swimmingPool Above 0 lo- ❑ No.of Emergency Lighting grad and Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Switches Na of Gas Burners Initiating of Detection and Initiating Devices No.of Ranges No.of Air Cond. TonsTotal No.of Alerting Devices Na of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detecton/Alertin'Devices No.of Dishwashers Spaee/Area Heating KW Local❑ Moeoectianieigloo 0 O C No.of Dryers Heating Appliances Security Systems:* Na of Devices or Equivalent No.of Water No.of No.of Data Wig: Beaten KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications of Devicesiiceo Wiring: Na of or EquWaleat OTHER Attach additional detail‘desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:1//-/9 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no pennit 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 coovege is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND 0 OTHER 0 (Specify:) Eonmcite‘ las, 8//7 I certify,under thspaIns and penalties of perjury,that the information on this application it due and complete. FIRM NAME: S iWA- (t Pr•f/CJ L LIG NO.:41/V7 ------ Licensee:,1 caS(p(1 W Crt-i/A• Sr_ Signature LIC.NO.: EZ/6 t/9 (Ifapplicable enter"exempt"in the license number line.) Bus.Tel.Na-SD b-t/a$-cho 5 Address: 3D &OOrWC lyIZp SS-rJOwt Jj /nD a 23 Alt TeLNeV,Sob-36 q- 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)❑owner. 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:S