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Home My WebLink AboutBLDE-20-000062 rtitiAlteim Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000062 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:7/5/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 63 MARSH SIDE DR Owner or Tenant MCGUIRE EDMUND J Telephone No. Owner's Address 63 MARSHSIDE DR,YARMOUTH PORT, MA 02675-1568 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: Replacement pool heater. Completion of the following table may be waived by the Inspc,cLo"r 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 1 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 Totals: Detection/Alertine 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 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 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 &e- i(elI � - 9A-a- /5 /.� 0/e_.d 4, 441 Commonwealth.oi m .th Official Use Only p� ' �I e[J.Parin..at 7 s.,vic.e Permit No. ( (`)�Q Occupancy and Fee Checked �.., BOARD OF FIRE PREVENTION REGULATIONS [Rev.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 OAR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:‘--Z 7—i 1 City or Town of: ,Lu ats-7 g To the Inspector of Wires: By this application the undersi'4 I ' gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 63 AI Ass IJ S,PC p2. Owner or Tenant P O i C-6 u/P4. Telephone No. Owner's Address S/j Is this permit in conjunction with a building permit? Yes ❑ No Er (Check Appropriate Box) Purpose of Building _Sievfi L.4, 173-,7 1 Utility Authorization No. • Existing Service Amps / i Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampacity rLocation and Nature of Proposed Electrical Work: (Ai iht ree./64 CE/9(A7 Po�aL ,„/F�--,f/t_ j Completion of thefollowing,table may be waived by the Inspector of Wires. VtNo.of Recessed Luminaires No.of Ceti-Susp.(Paddle)Fans No.of TotalTransformers KVA (NI No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting N _ grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas 'No.of Detection and Burners Initiating Devices 1 No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ,Detection/Alerting Devices JNo.of Dishwashers Space/Area Heating KW Local El tiout:untWal.dion ElOther No.of Dryers Heating Appliances Na 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 Wiringg•� -_-- -- No.of Devices or Equivalent OTHER: Attach additional detail ifdesire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Star 27—/?c 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 coy is in force,and has exhibited proof ofsame to the permit issuing officy. CHECK ONE: INSURANCE [ BOND 0 OTHER 0 (Specify:) a'rim —A' 8// I certify,under thins and penalties of perjury,that the information on this application is true and complete FIRM NAME: S f 1-114- r Lee';—I c. LIC.NO.:/49/V 7 Liceasee:�j QS(R`h W St c-Ji- -SZ Signature LIC.NO.: eZ C 5/9 (Ifapplicable enter"exempt"in the tense number line.) Bus.TeL No.:6-0,�-V Z E-Yd F e- Address: D t0vU A l &( IRp -5�-‘✓ow1c1,j iO7B OZT-43 Art.Tel.No.•Sv5--36 ((- 93l / *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)E owner. 0 owner's agent Owner/Agent i Signature Telephone No. I PERMIT FEE:$