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Home My WebLink AboutBLDE-22-005432 C6. Commonwealth of Official Use Only ' i.. NI Massachusetts Permit No. BLDE-22-005432 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07j 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:3/29/2022 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) 280 OLD MAIN ST Owner or Tenant CALLAHAN EDWARD P Telephone No. Owner's Address CALLAHAN LESLEY A,83 RUFF CIR, GLASTONBURY,CT 06033 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 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 o In- ❑ No.of Emergency Lighting grnd. $rnd. 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. Totalon 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 0 Municipal 0 Other: --_—, Connectioq - 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 NQ.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eapivalent 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 �� 3/ 0/2 -/ Commonwealth.o/1//aaeachueetts OSicial Use TX lb qc� c�� Permit No. � : ? —5 ,7*-- ' - .23e�pariment o��tiire&mica Occupancy and Fee Checked r 0BOARD OF FIRE PREVENTION REGULATIONS [Rev,1/071 (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: 3--S _z Z City or Town of Y4./LiYr `1' 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) 9 O D 6-0 �4-i.3 ,� <'. _ 1/'- Owner or Tenant 2 08-4G4-i14,✓ Telephone No. ' Owner's Address D Lr (CheckA Appropriate Box) Is this permit in conjunction with a building permit? Yes No PProP � c9 Purpose of Building_ '/f c-C- 1''`G7 Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd 0 No.of Meters kr) New Service Amps / Volts Overhead❑ Undgrd L__t No.of Meters Number of Feeders and Ampacity 14 Location and Nature of Proposed Electrical Work: -C i' 7 ---' t)T ' - ICompletion ofthe followingtable be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Cert.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No.of Luminaires Swimming Pool d. ❑ fid. ❑ plarijnfts 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 � Na of Alerting Devices _ Heat PinupSelf-Contained Number Tons ICW No.of No.of Waste Disposers Totals:_ Detection/Alerting Devices cipal No.of Dishwashers Space/Area Heating KW Local❑ MuniConiston 0 Other Na of Dryers Heating Appliances KW 'SeNo.ofD or Equivalent No.of'WaterNo.of No.of Data ring: Heaters IC1N Wiring: Signs Ballasts No.of Devices or , i t No.Hydronmassage Bathtubs No.of Motors Total HP Telecommunications ` ",, ,. No.ofd or - , OTHER: Attach additional detail ifdesirea;or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 3`Z<'Zz--- 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 permit issuing office.--. CHECK ONE: INSURANCE [ BOND 0 OTHER 0 (Specify:) eo P7c0 ..1.;/1 I certify,under the pains and penalties ofperjury,that the information on this application is hue and complete. FIRM NAME: .�/LAM- Et L i0.rc,. LIC.No A-?/4747 Licensee: .i e>s�ph td J £i -fes— Sino LIG No:€Z4 �� (If applicable,enter"exempt"in the license number line. Bus.Tel.No.: Ir`eZ-t?-go ee Address: 3d +� .sf j ) ,o..�wcct /f' ov£S Alt.TeL No.: f-3(5F 13l 1 *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"5"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee cines 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 Signature Telephone No. I PERMIT PEE:$