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Home My WebLink AboutBlde-21-002628 Commonwealth of Official Use Only fE`0i Massachusetts BLDE-21-002628 Permit No. 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:11/10/2020 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) 11 REID AVE Owner or Tenant DENONCOURT ADAM Telephone No. Owner's Address DENONCOURT VANDA, 11 REID AVE,WEST YARMOUTH, MA 02673 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 HVAC. 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 1 No.of Detection and Initiatine 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/Alertine 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 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 V SLOWEY Licensee: Joseph V Slowey Signature LIC.NO.: 11186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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 • lv/A— (� 2 W� � � ,t-LIS( Commonwealth o/Mamachwelt4 �O�fficial iUse Only 'f� * l_.-2l — ze3 �= � t Apartment cc77 Permit No. '� ei_ 1 A artment of,}ire Service3 =F= 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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /i • j• 20 Zo City or Town of: Nict r nnOIT h 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 1 Re i cd Ave , v V e Sr YAr ni CILAAAA Owner or Tenant VQndq "Pe no n Co LA r t Telephone Notg•L1O g Owner's Address 31 6.--41 • Is this permit in conjunction with a building permit? Yes ❑ No n (Check Appropriate Box) is% Purpose of Building Re51 de ne Utility Authorization No. y, Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters 4 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: pip ijlsSconec.. ' w%re 44,, n Q ce- "3 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 C No.of Luminaire Outlets No.of Hot Tubs Generators KVA 0 V 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 Tot On No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices I) No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection 4 No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent V No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 4) No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by the Inspector of Wires. V) Estimated Value of Work to Start: Electrical Work: // •S• 20 (When required by municipal policy.) —3 $'a0. — 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 J undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. •¢ CHECK ONE: INSURANCE El BOND ❑ OTHER ❑ (Specify:) E I certify,under the pains and penalties of perjury,that the information on this application is true and complete. w FIRM NAME:Jp&ieOh \I. S1oWey LIC.NO.: ij/?ID tj Licensee: Joe sissy Signature ,_ j_ (�.0. 1 LIC.NO.: (If applicable,enter "exempt"in the license number line.) _ J" / Bus.Tel.No.:.SbS/•32/2 O Address: ye? \Awe((our se_ ()Lace PI -*1� �3 b * `�mou �and• 0 Alt.Tel.No.: Per M.G.L.c. 147,s. 57-61,security work requires ieparttnent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: lam 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)El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $.t• c'° MIL ,t i 1