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Home My WebLink AboutBLDE-22-000392 or Commonwealth of Official Use Only l - ' Massachusetts Permit No. BLDE-22-000392 � 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:7/21/2021 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) 27 WINTER ST Owner or Tenant SENTEIO EDUARD J . Telephone No. Owner's Address MCNEILL LISA BARR,27 WINTER ST,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 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: Wiring for two(2)mini splits. 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- CINo.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 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 2 Total No.of Alerting Devices Tons 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: 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 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 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: JOSEPH V SLOWEY Licensee: Joseph V Slowey Signature LIC.NO.: 11186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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:(06r_ g ((4)(7,1 t Commonwealth o////amachasetts Official Use Only 1_* t, cc�� /� 0_1 2)epartnzent o/c7 S Permit No. 'V -`._-— }ire erviced 1� 39 , BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked `� [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT:s .OT PERFORM ELECTRICAL WORK All work to be performed in accordance withe Massachusetts Electrical Code(MEC),527 CMR 12.00 E (PLEASE PRINT IN INK OR TYPE ALL INFORMAON) Date: City or Town of: 7� Yarm O ur 1-4 To the Inspector of Wires: By this application the undersigned gives notice of his orr intention to perform the electrical work described below. Location(Street&Number) p? j nT�f^ l,� Owner or Tenant Ea Se n -4- e i 0 Owner's Address Telephone No. �.jai, y�/ Is this permit in conjunction with a building permit? Yes v Purpose of BuildingP ' ❑ No El (Check Appropriate Box) p S//� de/i Utility Authorization No. Q C Volts Overhead Existing Service Amps / ❑ Undgrd( I No.of Meters New Service Amps / Volts Overhead U Number of Feeders and Ampacity ❑ Undgrd ❑ No.of Meters 9.) CP Location and Nature of Proposed Electrical Work: Oui r 02 ruin i v) �'Pi/rS 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 Transformers Total No.of Luminaire Outlets No.of Hot KVA Tubs Generators KVA No.of Luminaires Swimming Pool Above In- `o.o mergency ig ing grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners ' FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and S No.of Ranges Initiatin 1 Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin l Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ Other rY Heating Appliances Kam, Security Systems:* -. No.of Water KW No.of Devices or E t uivalent Heaters Si!ns Ballasts No.of No.of Data Wiring: No.Hydromassage Bathtubs No.of Devices or E•uivalent g No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E uivalent SiL 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: Z1R. (, / 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 `-08 Y undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ►I BOND ❑ OTHER :) Q, I certify,under thepains andpenalties operjury,that the informationyon this application is true and complete. f FIRM NAME: Cf V 5 E I e c-"tr' c t a n Licensee: J S I u � LIC.NO.: `� w Signature (If applicable, enter exempt"in the license number line) LIC.NO.: Address: 8` ecatt'rcpctrS'r ptct 0ymou4, ryi9. 34'a Bus.Tel.No.: Per M.G.L. c 147,s 57 61,security work requires Department of Public Safe Alt. Tel.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 owner below,I hereby waive this requirement. I am the(check one ❑ Owner/Agent El owner's a ent. Signature Telephone No. PERMIT FEE: $