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Home My WebLink AboutBLDE-21-007597 Commonwealth of Official Use Only 11_1%1�` Massachusetts Permit No. BLDE-21-007597 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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) D a t e:6/30/2021 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) 110 SOUTH SEA AVE Owner or Tenant HARRIES ANN LOUISE TRS Telephone No. Owner's Address ANN-LOUISE HARRIES TRUST, 110 SOUTH SEA AVE,WEST YARMOUTH, MA 02673 O Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A• s late : ' t 4111/ Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd ❑ e , New Service Amps Volts Overhead 0 Undgrd 0 No.o A raffh>► Number of Feeders and Ampacity Q '/ Location and Nature of Proposed Electrical Work: Replacement boiler. 4' Completion of the following table may be waived by the Inspe •' ires. 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 No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 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 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 6tnntoneveat'th o`Nadeachudethe Official Use 04yc^ 0, __ ,�i cc�� cc77 Permit No. .Z( j 9 7 • `� 2e,al-giro Ser+vicee 1i 1 Occupancy and Fee Checked s 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 1NFOR TION) Date: 4 -Z 3 ~ 7a/ City or Town of: / -t 10 /! To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. C Location(Street&Number) 1 1 0 , S A- 0--t/ 8 Owner or Tenant A-/N 4-01-1 I S L. 14‘44C-44 C Telephone No. Owner's Address /"1 t d F Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) CO Qi Purpose of Building gi--5/0 /1-v" Utility Authorization No. vl Existing_Service Amps / Volta -_Qverhead n Undgrd D No.of Meters 101/41 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: 1.0 1/1.4,, rl t, ✓Co/�-.-- stCompletion of the followin&table may be waived by the Inspector of Wires. * No.of Total 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 Lightmg No.of Luminaires Swimming Pool gad ❑ fid, ❑ 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 l No.of Ranges No.of Air Cond. Toil No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: ,Detection/Alerting Devices Space/Area HeatingKW 'meal 0 Municipal 0 Other No.of Dishwashers Connection No.of Dryers Heating Appliances KW Secu * Na of Devices or Equivalent No.of Water KW No.of NooBallasts of Data Wiring: Heaters SignsNo.of Devices or Equivalent — Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desirec4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 6-Z- 3--Z( 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 ofe0/4////.0,t-CO �same to the permit issuing off�icf CHECK ONE: INSURANCE 2---BOND ❑ OTHER ❑ (Specify:) C.o/t I, ' C6 - -f `�Z`e I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: ...SIL.,V R E L i IJ(-- LIC.NO.://-?/477 ,�' t`.✓A- - LIC.NO.:£Z%G f/' Licensee: J aS -f' vJ £ Signata (If applicable,enter"exempt"in the license number line. Bus.TeL No:,• 0&—ieZ g. 4a F` Address:c .01,c-, � y 2O line.). /yl� oZ' r6 3 Alt.TeL No.: 3G,.5(-131 *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)0 owner 0 owner's agent. Owner/Agent Telephone No. I PERMIT FEE: $ Signature