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Home My WebLink AboutBLDE-22-001167 -0MasCommonwealth of Official Use Only I< sachusetts Permit No. BLDE-22-001167 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:9/1/2021 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) 37 MIRIAH DR Owner or Tenant SULLIVAN CHARLES H Telephone No. Owner's Address SULLIVAN MILDRED T, 37 MIRIAH DRIVE,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: Replacement HVAC. 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 Emerge!'., grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. I ' ,i ee No.of Switches No.of Gas Burners 1 No.of Detection and O O Initiatine Devices /� 44 No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices V, /�/�' No.of Waste Disposers Heat Pump Number Tons1 KW No.of Self-Contained _� O 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 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: $50.00 Npc els-zip/ Cll: 511 . 14 9 gCOMMODIOUS&o`cc/1 aaeae� Official Use Only ,� .ts++s Permit No. 'L( lQ 7 Chlan:cked) .- BOARD OF ARE PREVENTION REGULATIONS [Rev.1/07] (leave APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK An work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOR) Date: 8'-Z5--Z/ City or Town of: . 11 1/¢ To the Inspector of Wires: By this application the undersigned ,$gives notice of his or her intention to perform the electrical work described below. t' Location(Street&Number) 37 M I pi A-4- ACL \?�� 7 Owner or Tenant jYt 1 u)..r) <t/e...4_/v'4".1 Telephone No. QOwner's Address � i E Is this permit in conjunction with a building permit? Yes ❑ No Com' (Check Appropriate Box) Cl Purpose of Building j S, 7 i a L- Utility Authorization No. 4 Existing Service_ __ Amps / Volts Overhead 0 Undgrd 0 No.of Meters kiki New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters 4 Number of Feeders and Ampacity 14 Location and Nature of Proposed Electrical Work: /6-__—6.1.✓z . A/14...) 2,&S` 4c4• . Completion ofthefollowh gtable may be waived by the Inspector of Wires. ` Ti No.of Recessed Luminaires No.of Ced.-Susp.(Paddle)Fans °, ens I No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ fid, ❑ Battery Units No.or Ligatingncy No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of SwitchesInitiating Devices No.of Ranges No.of Air Cond. T as No.of Alerting Devices - Heat Pump Number Tons KW No.of Self-Contained No.of Waste DisposersTotals: Detection/ Devices No.of Dishwashers Space/Area Heating KW Local 0 tt anlaPalanection 0 Other No.of Dryers Heating Appliances KW Security steii ns:* No.of D or Equivalent Nomeo Water y No.of No.of Data Wuting: Heaters Signs No.of Devices or r ' 'lent I Telecomtionc_'f ,v',,. No.Hydromassage Bathtubs No.of Motors 'fotat HP - No.of Devices or ' , .• ,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:1-Z,..5---- -/ 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 ofd . __ CHECK ONE: INSURANCE GOND 0 OTHER 0 (Specify:) �Or1fl.E•2 .co . C p,g„ I certify,under the pains and penalties ofperjury,that the information on this application is true and cornpuae. FIRM NAME: S IL..,.ff} £L,f G t`2K LIC.NO.://-?/V7 Licensee: J eSg-(h t,.J £u-.tr S' LIC.NO: Z1' �{9 (If applicable.enter"exempt"in the license number line.. 443m, Bus.Tel.No.'s S `fZ k`'4'0.F. Address:00 M-`7 Jr14 ozs" -' Alt.Tel.No.:So P-3(..Y-73/ *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: Tam 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 I PERMIT FEE:$ Signature Telephone No.