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Home My WebLink AboutBLDE-21-004526 �'' Commonwealth of '�' Official Use Only Permit No. BLDE-21-004526 :„...i, _ Massachusetts ''�'' • 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:2/10/2021 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. Location(Street&Number) 7 FILLMORE RD Owner or Tenant BOTROS INJY Telephone No. Owner's Address 7 FILLMORE RD,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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Addition&service. 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. grad. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners 1 No.of Detection and _ Initiating Devices No.of Ranges No.of Air Cond. 1 Total 1 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KV1 No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs 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:) sin-0 4 2S I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ERIC J SYLVIA Licensee: Eric J Sylvia Signature LIC.NO.: 13901 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 LAUREL ST, FAIRHAVEN MA 027193836 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: $125.00 r &1116u'�b "amp- ONO5/311 Z1 /e ' l�72 t.3(2 OE 4 Aco c 4(2 (u le10- RECEIVED a/`� �1�?�j FEB 0 9 2021 Commonwealth o`///a4oae Official Use Only ,I NG DEPA TMCl /_ZA-- �gE V .C)sparlmenf o� }ins�e�,��.:= Permit o. `-'�v Occupancy and Fee Checked % BOARD OF FIRE PREVENTION REGULATIONS fRev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO MATTON) , Date: )Z/� ,2/ City or Town of: We,s-/- /' /9// j 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 tit Number) 7 All 4rvj,,, P ,4 L / Owner or Tenant ��7,- YegiAC; S �1 ed-. 2�?Gt Telephone No. /g3r rid VQ _ Owner's Address Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building Utility Authorization No. v 0 Existing Service (t',,"' Amps _/0 /d›..ie Volts Overhead .. . Undgrd No.of Meters / V New Service Amps j1 D 1. Q Volts Overhead Undgrd J No.of Meters / • .., (X. Number of Feeders and Ampacity Q Location and Nature of Proposed Electrical Work: it'//d/, `oiy.7 e, a.,M;f'r,,�/ --., e vice V) Completion of the following table mar be waived by the Insyector of Wires. vv No.of Total W No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- -No.of Emergency Lighting ' No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units --1 No.of Receptacle Outlets y No.of Oil Burners FIRE ALARMS No.of Zones T No.of Switches No.of Gas Burners No.of Detection and j 1 Initiating Devices No.of Ranges No.of Air Cond. / Tons f No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW `Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* / No.of Devices or Equivalent No.of Water No.of No.ofKW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 75 ' , (When required by municipal policy.) Work to Start: , //0 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 office. CHECK ONE: INSURANCEBOND ❑ OTHER ❑ (Specify:) /�� - I certify,under the pains apd penalties of ury,th the information on tIis application rs true �and comp! FIRM NAME: $ / . /.c (4 LIC.NO.: / 01// Licensee: — t 'l4A Signature LIC.NO.: 3 yide' (If applicable,enter exempt the lire Timber lrn Bus.Tel.No.: Address: 77 404 v/«/ r.— ,r /'/`et e o�/T-Gft7/7 Alt.Tel.No.: 71 y Oyr2S" *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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$