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Home My WebLink AboutBLDE-22-004304 or_ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004304 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 (PLEA SE PRINT IN INK OR TYPE ALL INFORMATION) Date:2/3/2022 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) 136 KATES PATH VILLAGE Owner or Tenant Christine Young Telephone No. Owner's Address 136 KATES PATH,YARMOUTH PORT, MA 02675 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 ❑ 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 ❑ 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. 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 0 Other: Connection 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 Signs 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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $50.00 • 231w 1 ' enninonuroaltk al///aeaacXs Official UseOnly {� i! " 1 L J Permit No.E22-J "C 5°L I y �� men pl.,,firo fl%IlSP3 i _� II p�p�,and Fee Checked •' BOARD OF FIRE PREVENTION REGULATIONS fifes.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts EIectrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN IRK OR TYPEALL INFORMATION) Date: / 2--7—ZZ City or Town of: y#4,4-,z,12,1/74- . To the Inspector of Wires: By this application the undersigned gi notice of his or her intention to perform the electrical work described below. C Location(Street&Number) /3 �� I 'S /7l/ 8 Owner or Tenant (1WIZ/%/ \i/6d,1 Telephone No 5 Owner's Address 51).-11£-- it? Yes No (Check Appropriate E Is this permit in conjunction with a building permit? ❑ Box) Purpose of Building 5-ii�v7%e--- Utility Authorization No. 4 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ID lei New Service Amps / Volts Overhead❑ Undgrd 1:1 No.of Meters v 4 Number of Feeders and Ampacity V4 Location and Nature of Proposed Electrical Work: ,t?. 'd.)c7 ,c2..ae_t.''7£ --7,— t Completion ofthe folknvingtable may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceti.-Susp.(Paddle)Fans Transformers KVA tn No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- iNo.ofEmergency Lighting No.of Luminaires Swimming Pool grad. ❑ grad, ❑ Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Ranges No.of Air Cond. Total jNa of Alerting Devices _ Heat Pump Number Tons KW No.Delf-Contained ing Devices No.of Waste Disposers Totals:, No.of Dishwashers Space/Area Heating KW (Local❑ �n ❑ Other No.of Dryers Heating Appliances KW ` rfSecu �or Equivalent No. WaterION No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or 1 ' lent Telecommunications ' ., ,. No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or i ,; .; ,t 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:/Z —Z 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 covers a is in force,and has exhibited proof of same to the permitisssung o cg.— . __ CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) eO,41f1Z i2 Co ...,-ras � ci- I certffy,under the pains and penalties ofperjury,that the information on this application is true and conquer& FIRM NAME: .S-Su.. E_4fc gid-- LIC.NO:.4?/'17 Licensee: -�1 asg-pA t,-io pe Signa LIC.NO.:4 Z/4 VI (Ifapplicable,enter"exempt"in the license number line.)._ Bus.Tel.No.'s iez e-`1°`,? Address:OD 1.44-1g-O 44•J /rcl " °z-CA 3 AIL Tel.No.: £-3( t-`j3/1 *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 `PERMIT FEE:$ Signature Telephone No.