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Home My WebLink AboutBLDE-21-006344 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-006344 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:5/4/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 91 RUN POND RD Owner or Tenant MESSURI FREDERICK TR Telephone No. Owner's Address NINETY ONE RUN POND REALTY TRUST, 77 TRAINCROFT, MEDFORD, MA 02155-2919 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropr'•to All 4c9 Purpose of Building Utility Authorization No. 9 Existing Service Amps Volts Overhead 0 Undgrd 0 No. . �; et o. Alk New Service Amps Volts Overhead 0 Undgrd 0 No.of -Odfa Number of Feeders and Ampacity O V 41,1, Location and Nature of Proposed Electrical Work: Add on air conditioning system. J 4 Completion of the following table may be waived by . ' .r�5I . 4$ No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) No.of Fans 4, Transformers 1 • No.of Luminaire Outlets No.of Hot Tubs Generators ` O No.of Luminaires Swimming Pool Above ❑ In- o No.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 Initiating Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting 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 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 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 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 iC me Official use only 1 c� �cc�/ C---2A -C 3 • q Permit No..ay.t.st o1.7 re Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (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: 41—2-g—Z/ City or Town of: /-1 To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. ' Location(Street&Number) 9/ A/ /J O go 51 ye el—/1-41y7 Q� 8 Owner or Tenant -515-t1eL/ Telephone No. Owner's Address gigeS£_ E Is this permit in conjunctionwith a building permit? Yes ElNo Eh"-(Check Appropriate Box) C5 Purpose of Building ®'t"i�`- i TidC Utility Authorization No. _ 4 Existing Service Amps / Volts Overhead ElUndgrd 0 No.of Meters to v New Service __ _ -Amps- _ / Volts Overhead❑ - Undgrd-El No.of Meters- 4 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: tA.///L£ A/G_ aos. fc'-z_ 1 d /4-ovf_o --A ,g_0</. 26 6.0s- ,J.t'•�'Z Completion of the followingtable may be waived by the Inspector of Wires. "l No.of Recessed Luminaires No.of Cella-Soap.(Paddle)Fans No.of Total kn Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators IVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ 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 Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices rs 'Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW thcal❑ Co�n ID Other No.of Dryers Heating Appliances KW Noi of IJ or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Sijgns Ballasts No.of Devices or Equivalent _ -No.ofMotors Total-Hp-- --- TeNlecoo.mmoDennicvestioonsrEqVirin uivnt__ --No;Hydromassage-Bathtubs OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Valuef Electrical Work: ��a (When required by municipal policy.) Work to Start: -041—.47/ 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 offic . CHECK ONE: INSURANCE [}BOND 0 OTHER ❑ (Specify:) ort/Fi/co - s A' I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: .S it-wt. t f '-- LIC.NO.:4?/`{? Licensee: 3 c►SI:Pft t,-1 £it-J'@` Signa - LIC.NO.:42(4 applicable,enter"exempt"in the license n r line. Bus.TeL No.: 8—`f2 P-96 It2 Address:f �4^1-=- s/r ' X14 oZ.�r6 3 Alt.TeL No.:Se)£r 3� -`13/I � ��"� �'� *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 does not have the liability insurance coverage normally required by Bymy signaturewaive this requirement. I am the(check one)0 owner ❑owner's agent. law, below,I hereby Owner/Agent Telephone No. I PERMIT FEE:$ I Signature