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Home My WebLink AboutBLDE-21-004730 r", Massachusetts Commonwealth of Official Use Only illtil"t Permit No. BLDE-21-004730 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:2/22/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorni the electrical work described below. Location(Street&Number) 12 VINEYARD ST Owner or Tenant Lisa Sullivan Telephone No. Owner's Address 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 air handler. 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 '•!. I No.of Switches No.of Gas Burners No.of Detect'• , 4 . Initiating D �. O _ No.of Ranges No.of Air Cond. 1 Total No.of Alertin' ' '.•s Tons O No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Container Totals: Detection/Alerting Devices 8 O No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ r Connection No.of Dryers Heating Appliances KW Security Systems:* 0 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens 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:) I certify,under the pains and penalties of perjury,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 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 SC 's �/v� xxii Official Use Only i.rrtx+tsowwea o aeeacasf#a lz::,. 1/4,.. • ,, Perri nit No. (5".-2-k" (-0:3-0 .1/4 mi) Spar enl o/ le e Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ° v. i/o7j leave biatek APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -: All work to be performed in acconlance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 •i (PLEASE PRINT IN INK OR TYPE ALL INFO MATION) Date: edi)' J(0 ' 01 City or Town of: Ye,C r1 o LA To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below.i` Location(Street&Number) /a V I n 2 yard vim' 4 Owner or Tenant 5 ct S u 1 I i V a rl Telephone No.4703 k5-Y/'&/' b 7 Z ' Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 3 (Check Appropriate Box) , Purpose of Building R'eS i d e n C� Utility Authorization No. Existing Service Amps I Volts Overhead D Undgrd❑ No.of Meters tj'ew Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters ip Number of Feeders and Anspacitq Location and Nature of Proposed Electrical Work: w I(e "Cf'a n e 4 e r 14q+ted t e r t. ant) /4/c des tonnec.-t Completion of the foil table rabe waived by the I for of Wires. 'lb No.of Recessed Luminaires No.of Cell.-Sup.(Paddle)Fan o,of jai Transformers KVA te No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- Pio.or n mergency Ligating No.of Luminaires Swimming Pool mid. Q : . ❑ Battery Unix No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ,z n and No.of Switches No.of Gas Burners *No. Inf �g polices I No.of Ranges No.of Air Cond. Tod No.of Alerting Devices No.of Waste Disposers HeatTotals: member Tons_�...._>I -. - Det n/No.of kintained Devices No.of Dishwashers Space/Area Heating KW Local 0 goad 0 Other No.of Dryers Heating App�� KW Seearity of D5yyc stems:� No. eviees or Equivalent No.of%rater Tear No.or No.of Data Wig, Heaters Sys Ballasts No.of Devices orEquivalent No.Hydromassage Bathtubs No.of Motors Total HP IPi°mmuE I No.of Devices or E4 nt OTHER' Attach additional detail f desired oras required by the Inspector of Wires. Estimated Value of Electrical Work: Z-53' (When required by municipal policy.) Work to Start: �,?,)0,Gtic ?I Inspections to be requested in aeroplane 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 Eij BOND 0 OTHER 0 (Si ") I certify,under the pains awl penalties of perjary,that the lnfortnadon on this application is true and complete. FIRM NAME:J VS fG e e-ft^a e. t ei .-) LIC.NO.: Licensee: Joe 51,o we,-1 Signature Q21-- // LIC.NO.: 1/l -(P,8 (If applicable,enter-gremlin'in the license line.) • 0a.3ba Bus.`Tel.No.:.S s'3a b se a Address: I to$'vua1'C . A r e Y aC`e I r?'t Y 1 Alt Tel.No.: *Pm 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 0 owner's agent. Owner/Agent Signature Telephone No. l PERMIT FEE:$.3-7