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Home My WebLink AboutBlde-19-006989 Commonwealth of Official Use Only fLith°11 Massachusetts Permit No. BLDE-19-006989 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:6/11/2019 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) 5 MACKENZIE RD Owner or Tenant GALLINARO MARIA Telephone No. Owner's Address 5 MACKENZIE RD, 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. 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. 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 1 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 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DAVID W SILVA Licensee: David W Silva Signature LIC.NO.: 20608 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:55 THISTLE DR,CENTERVILLE MA 026322036 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:$100.00 14 C (1 ( (c0 [e/ cg , ... ... J ." COMMOKUlealk 01 Illti&SACIU4Sdith Official Use Only 0, .../ Permit No. aq- (CR ! i39 It ' Services! PP. 2,,,, ,,..,..., ,,,„„Services Occupancy and Fee Checked J BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) N1 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: 5/3e401, City or Town of: V,47/./1 v/1 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) .- /1---7,496-1( /ZA,C Red t •ner Tenant //t74740e47 ,..g/./;. /.094.1,7 Telephone No5728-..?6`7-2o5,8 i 'Der's Address Is this permit in conjunction with a building permit? Yes 0 No Eg (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 Ampadty Location and Nature of Proposed Electrical Work: /z..,• f 5-,e,"7 'c ,.. Y1 Completion of the following.table may be waived by the Inspector of Wires. vi No.or TotaT IA No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA V: ‹) No,of Luminaire Outlets No.of Hot Tubs Generators KVA Above r-i In- ri No.of Emergency Lighting -t. No.of Luminaires Swimming Pool Lj grnd. grnd. " Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones -t No.of Detection and z-- No.of Switches No.of Gas Burners Initiating Devices Total I 1-1 No.of Ranges No.of Air Cond. No.of Alerting Devices Tons Heat Pump Number Jolts_KW No.of Self-Contained No.of Waste Disposers Totals: . - ' . - Detection/Ale i . . Devices No.of Dishwashers Space/Area Heating KW Local ri mom, r-1 „,.... securii-ity sCyosrectir " "I''' e No.of Dryers Ille,of Water Heating Appliances No.of No.ofKW emr No.of Devices or Equivalent Data Wiring: ,::i- ..,,a,..... ., ,.,-- 1 Heaters KW Signs Ballasts No.of Devices or Equivalent , Telecommunications Wirmg: L.i..1!1/44. -, ,?146 Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent > - J ' :04-HER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 75-0, WZ, (When required by municipal policy.) Work to Start:fec2 6 ,7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless .7***..., • 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 and penalties of perjury,that the information on this application it true and complete. FIRM NAME,7-./-5. (9e/74-/fe,71// -/9/AP/ait4,/.1 2 i C LIC.NO. 0‘0 g LicenseeiG0,92, eAv. 1‘44 Signatu ,,- liveryg-,,/ /t,. LIC.NO.v9-01.060g (If applicable,enter"exempt"in(fie license nymber[Mel i Bus.Tel.No. --08-"/3"? Address:?`/66C/97A/if six/,//r a Alt TeL No.:r4K-7g7-01/6 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$