The URL can be used to link to this page

Home My WebLink AboutBlde-20-000919 Commonwealth of Official Use Only 0.fc Massachusetts Permit No. BLDE-20-000919 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:8/19/2019 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 electncal work described below. Location(Street&Number) 108 KATES PATH VILLAGE Owner or Tenant KELLY STANLEY R Telephone No. Owner's Address ' a s , 108 KATES PATH,YARMOUTH PORT, MA 02675-1449 Is this permit in conjunction wit a u..'mg permit? Yes ❑ 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 0 In- ElNo.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 Initiatinc 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/Alertinc 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 Sins 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 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 I t � e2o( vc Ch1s 7 h 4Rr i S Si cc_, c— "7' AO 7 161 v [�U 1••)j ,.-.-) NL'ILS I A,1 CO".2(-- . --7 - No Una i S /b1 z‘-f fGC_y t S" OrLoi_A- 1ao2 /pm7 t. mosonwea o/Nomad Official Use Onll�y, -Wei:= Permit No. ��'-(0 l 1 9 ....,.„,_ t;____ ,.. ��o/ s :c . _ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ` [Rev.l/07] �,e b�� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CUR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a- ( `(- City or Town of: er Gv7l� To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the a ectrical work described below. Location(Street St Number) lC I /'i f s ei4�q K+0-1 JS vs.4.y Owner or Tenant Ft`', Y Gl L c/ Telephone No. Owner's Address /2/t- / Is this permit in conjunction with a building permit? Yes ❑ No [F (Check Appropriate Box) Purpose of Building 5/aim'7i C— Utility Authorization No. i- Existing Service Amps / Volts Overhead❑ Uudgrd❑ No.of Meters New Service Amps / Volts OverheadU Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: fZ£-Ca,,..k..c„c.;7 Xsi-Ancc i-r ,JT 6'4J CompletionCr the ollow" table be waived the Inspector of f m� may by of Wires. N No.of Recessed Luminaires No.of CelL-Snap.(Paddle)Fans No.of Total Transformers KVA JNo.of Luminaire Outlets No.of Hot Tubs Generators KVA V No.of Luminaires Swimming Pool Above ❑ In- ❑ Na of EmergencyunitsLtghtiag trod. find. Battery units No.of Receptacle Outlets No.of Oti Burners FIRE ALARMS No.of Zones No.of Switches No,of Gas Burners Rio.of Detection and Initiating Devices No.of Ranges d No.of Air Cond. T otal No.of Alerting Devices -1 Heat Pump Number Tons KW No.of Self-Contained CO No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ MunicennaPeettn 0 Other No.of Dryers Heating Appliances I{Rr *rt3'Systems:* Na of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eq uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W�r��- _ Na of Devices or Equivalent OTHER Attach additional detail Vdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by Municipal policy.) Work to Start eY-`/Y-(Jc 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 cove is in force,and has exhibited proof of same to the permit issuing of cy. CHECK ONE: INSURANCE BOND Eln'`t OTHER 0 (Specify:) ed c-AzC. -�^rS 7 , I certify,under tite_ps and penaltks of perjury,that the information on this application is true and complete. FIRM NAME: i L-V Ir Lei K-/ L LIC.NO.:n91 V 7 Licensee:.J QPh .W Stt-I Ja_ Signature _LIC.NO.: EZl� Sl y (Ifapplicable enter`exempt"in the ljcense manber line.) Bus.Tel.No. sa -Y Z k-r!Q i Address: D &)ditAic �(f IZD Si�404d,c,I,fj /77A U2.r[3 AIL TeLNo.:, )Sr-36 tf- 93i / *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: ❑owner's agent. Owner/Agent a Signature Telephone Na I PERMIT FEE:$ f