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HomeMy WebLinkAboutBLDE-22-002524 Commonwealth of Official Use Only 11.Q Massachusetts Permit No. BLDE-22-002524 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:11/3/2021 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 '��� r ���� Location(Street&Number) 10 SATURN LN '^/ YG Owner or Tenant MCELHINEY RICHARD F Telephone No. Owner's Address MCELHINEY LESLIE J, 10 SATURN LN, SOUTH YARMOUTH, MA 02664-4335 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 ❑ 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 boiler. 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 grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners 1 FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine_Devices n 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Cgnnection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 ❑ (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 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: $50.00 Ole q?1217, ( ' .3 (077, to . & Commonweal&di Mama/meth Official Use Only i._ _iIi Permit No. t om ✓ . _=i apartment° S I 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 FRtNT IN INK OR TYPE ALL INFORMATION) Date: /(,-Z-g-2-/ City or Town of: VA4/'-/a- Al To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. t Location(Street&Number) ,/ -CA-i c/2..✓ L c 1 10_+'-; 8 Owner or Tenant L S L, - bil4 c-E-L i L l .cy Telephone No. Zt d Owner's Address 1- E Is this permit in conjunction with a building permit? Yes ❑ No [jam(Check Appropriate Box) Nl Purpose of Building ig-f Si,o /d-L- Utility Authorization No. 4 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 11) _ ki New Service Amps / Volts Overhead❑ Undgrd n No.of Meters . 4 Number of Feeders and Ampacity I4 Location and Nature of Proposed Electrical Work: W/4.4. Nth /'-6 c.s-el r-v� OIL d i/Z /'3 i - Completion ofthe following_table may be waived by the Inspector of Wires. `i No.of Recessed Luminaires No.of Ced.-Snsp.(Paddle)Fans Na of Total .. _Transformers KVA No.of Lumi naire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In ❑ No.of Units Lighting grad, grad. Battery Units 1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS1No.of Zones Na of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Ranges No.of Air Cond. Pont No.of Alerting Devices ed No.of Waste Hest Pump Number Tons KW No.ofDetecti��o Devicesrting Totals: _ Na of Dishwashers Space/Area Heating KW Local ElC nill 0 Other Na of Dryers Heating Appliances KW Security Na ofsDevices or Equivalent No.of Water ItW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or . 1 ' -,t Telecommunications , ' . --No,- -No.of lylotors __ — _ TntalHP_ Noy°f Telecommunications or . OTHER Attach additional detail ffdesireca or as required by the Inspector of Wires Estimated Value of Electrical Work (When required by municipal policy.) Work to Start /©-Zi-Z/ 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 coverage is in force,and has exhibited proof of same to the permitissuing ._- __ CHECK ONE: INSURANCE [ BOND 0 OTHER El (Specify:) GO/j'I/�9.E2C CIS TOT:9:: I certify,under the pains and penalties ofpe►jury,that the information on this application is true and compete. FIRM NAME: S II—Wt. EL.EL=i2.tC-- LIC.NO.:/¢'?/417 Licensee: --�asS-Qh tit .5 it...i*- Siena LIC.NO.:.ZfG Y? Of applicable, the license number line Bus.TeL No. k YZ-g'�'0 F, Address: � �'A J � /fl* 07-5°4 5 Alt.Tel.No.: g'-3(`f-73/ *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 0 owner's agent. Owner/Agent `PERMIT PEE:$ Signature Telephone No.