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HomeMy WebLinkAboutBlde-19-004389 (2) Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-002148 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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:10/17/2019 City or Town of: YARMOUTH To the ector of Wires: By this application the undersigned gives notice of his or her intention to erto e electrical work descr ed below. Location(Street&Number) 15 BEACH RD T9 Owner or Tenant BARRY WILLIAM J Telephone No. Owner's Address WRIGHT EDWINA B,40 CEDAR ST ELLESLEY, MA 02181 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 Agrbbove ❑ In- ❑ No.of Emergency Lighting ta 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 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 Siens 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:$50.00 6)4 rJ l P (i s cern Yclo g vIf � a � C'ommonwealIh,o{fame Official Use Only , ' 1. c� c�� Permit No. �.2�G-Z``--r-'6 • m = ..Uspariment o`girs Serviced f; t ~, BOARD OF FIRE PREVENTION REGULATIONS O�'��'and Fee Checked ' [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 CMR 12.00 (PLEASE PRINT LV INK OR TYPE ALL INFORMA - Date: .7© / 4:7 p/9 City or Town of: y�gr�c.7O//// To the Ins•ector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) SAC,/Eig CU /g4P/ •wne or Tenant //,,/✓J ieA/ 7' Telephone No.'3 6r/- 90 5'8 I wner's Address ,S 47M/V. Is this permit in conjunction with a building permit? Yes ❑ No 2 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service/ap Amps i'„?o /)-x, Volts Overhea.,�/ Undgrd 0 No.of Meters New Service Amps / Volts Overhead E Undgrd :.� gr ❑ No.of Meters Number of Feeders and Ampacity • * Location and Nature of Proposed Electrical Work: af.„:,/i�. c- QX G "-p ftA?/iyr,tl ,y s A- 5 Completion of the following table may be waived b the Inspector of Wires. i NoTotal No.of Recessed Luminaires No.of.CeiL-Susp.(Paddle)Fans Tr.ofKVA. Trformers KVA hiKVA No.of Luminaire Outlets No.of Hot Tubs Generators r�. No.of Luminaires Swimming Pool Above ❑ In- ❑ 'No.of Emergency Lighting j grad. l;rnd. Battery Units 4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and No.of Switches No.of Gas Burners No.Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices f Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained • , � Totals: Detection/Alerting Devices l IVlunicipal 100 No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other `1' No.of Dryers Heating Appliances KW Security Systems:* . I I 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 O1•Ht;R: A, PA 41 • Attach additional detail if desiret4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: ea",a- (When required by municipal policy.) �pi, Work to Star j 6/9 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless 01 i t/ gV, the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The 'T •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 jpains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:!/J�J t0l/,-/ /•EG,�1CA�0'./°/ A6,,A .. Z z4c LIC.NO.��Of>C78 A • • Licensee:, 9v,,,A x o Signs -ylil.? i P LIC.NO. C7f C> jg (If applicable,enter "exempt"in the license number line) _ ' Bus.Tel.No.6-0 �.� d,/G Address: c 7' �d' if'f4j/A.S7jern/1 ���1Iit/rt///1 /Q, • Alt TeL No.-og73>70,J6 • *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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $