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Home My WebLink AboutBLDE-22-005244 ,. Commonwealth of Official Use Only L. Massachusetts Permit No. BLDE-22-005244 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:3/21/2022 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) 35 PHEASANT COVE CIR Owner or Tenant MCDONOUGH PAUL V Telephone No. Owner's Address MCDONOUGH KATHERINE M, 15 MARLBORO ST, NORWOOD, MA 02062 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 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 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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. PERMIT FEE: $50.00 ci ,y) gf.-4-0 yOfficial Use Only ol?l1�� E-4=i Permit No. � 1 ' 1 , _.— :; .24,..,...top,,„..s.,„.., ,_ - .„ , --; _:_ ,,,„.,, ..,.- _---:, andaeaF • BOARD OF RRE PREVENTION REGULATIONS [Rev 11077]J blanke0d:ed • 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: 3 /,' -Z Zi • City or Town of: � To the Inspector of Wires: By this application the undersignedgives notice of his or her intention to perform the electrical work described below. C Location(Street&Number) 3.S P/-/EAS 444 T Lo' 1,C_- eliCelLL y,/2,,c.-7 8 Owner or Tenant Peg-(f L (i c- DOtJnci7'it Telephone No. zt Q Owner's Address S o-cie,— E Is this permit in conjunction with a building permit? Yes ❑ No EK (Check Appropriate Box) CI Purpose of Building ft S c 04_•"---1,a-4— Utility Authorization No. 4 Existing Service Amps I Volts Overhead 0 Undgrd 0 No.of Meters 11) No.of Meters Volts Overhead f Undgrd 0 v NewService_ Amps. / 4 Number of Feeders and Ampacity 14 Location and Nature of Proposed Electrical Work: g_t_,.1-e4,iivc.i 14,4_ c am✓ .04j" Completion of the followingtable maybe waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ced.-Smp.(Paddle)FansVI ,Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency ltimg No.of Luminad aires Swimming Pool g ❑ and, 1--i Batter,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. Toon No.of Alerting Devices Heat Pinup Number Tons KW No.of Self-Contained No.of Waste Disposers Totals:_ Detection/Alerting Devices Mmaicipal No.of Dishwashers Space/Area Heating KW •Local 0 Connection ❑ Otter Heating Appliances KW :* No.of Dryers NSecuo.of or Equivalent No.of Water KW No.of Ballasts of Data Wiring: f Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs_ No.of Motors Total HP Telecommunications Wiring: ofDevices or Et____ 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 5-1-- 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 permit issuing . « CHECK ONE: INSURANCE C OND 0 OTHER 0 (Std-) eCMAtFoC. _2.�l s - I certify,under the pains and penalties ofperjury,that the information on this application is true and compere. FIRM NAME: ,S[LVit F L EL JC LIC.NO.:A-?%q7 Licensee: S aSEQA ii-J S re—d:4-- Sigma LIC.NO.: ZfG '? (Ifapplicable,enter"exempt"M the license number line Bus.Tel.No. &'VZ-P"'`t6 g Address:� � �,�,1. pct A.4' o2..sd 3 Art.Tel.No.: .9.-340.+53/ *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 0 owner's agent. Owner/Agent I Signature Telephone No. PERMIT FEE:$