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Home My WebLink AboutBLDE-22-001756 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001756 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:9/27/2021 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) 16 WEIR RD Owner or Tenant DEXTER JEFFERSON S TRS Telephone No. Owner's Address DEXTER DINA G TRS, 16 WEIR RD, 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: Remove boiler&install furnace with A/C. 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 No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total on l No.of Alerting Devices 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 ❑ 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 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 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: $50.00 9 u i Commomoeal s o/!I/assaciusudfri Official Use Only 5-k ---- -)1,,_ .i,�l Apar int o/J'im Jerteic t Permit No. L / ..i- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leavebi ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MSC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL BVFOIWATIOA9 Date: 9 -z .z"-1..I City or Town ofi "'t To the Inspector of Wires: By this application the undersigned ves notice of his or her intention to perform the electrical work described below. CLocation(Street&Number) I L Uv' (Z., 12-0 (7/2/A-7 8 Owner or TenantF So'J j)£ 7*(-17--- Telephone No. i Owner's Address S a/- - E Is this permit in conjunctionctwith a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building i��S i 1si T/QL Utility Authorization No. vExisting Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters 10 New Service Amps - / Volts Overhead❑ Undgrd❑ No.of Meters N Number of Feeders and Ampacity 1i Location and Nature of Proposed Electrical Work: tai Zeee,q efse ,eel["- 74" IA// a 4-S Completion of thefollowinktable may be waived by the Inspector of Wires. JNo.of Total .. No.of Recessed Luminaires No.of Cell-Sap.(Paddle)Fansti) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above El In"In- ❑ No.ofl�'mUergeney L>glting grad. grid. tery nits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners leo.of Detection and No.of Switches Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices Heat Pump Number Tons KW No.of,Sellf-Con No.of Waste Disposers Totals:, /A l No.of Dishwashers Space/Area Heating KW Local 0 l n ❑ Other Heating Appliances KW e No.of Dryers N-Seeuo.of�or Equivalent Nii:Tif Water Heaters KW No.oSfN � Baalla is� No.ofD orFquiva Teleoummanications��(►' ' lest e athi 1$ No.of Motors Total HP - De No.Hydromassag OTHER: Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:5"--42.---2-/ 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 i s e unless including"completed operation"coverage or its substantial equivalent. the licensee provides proof of liability insurance undersigned certifies that such co a is in force,and has exhibited proof of same to the penult issuing •� i• - o�� S ' CHECK ONE: INSURANCE OND (Specify*0 OTHER 0 (Sp I certify,under the pains andpenalties ofperjuty,that the information on this application is true and comptere. FIRM NAME: .S__2,./ 1-:•/. ESL iO-X... LIC.NO.://-f/'77 Licensee: ,_5>S1-Pit r".1 £t..`/'tt- Signa �r—"` LIC.NO: Zff ff Bas.Tel.No.-�&``f2 P-gala Address: enter"exempt"in the l a number Iine�20."11,mci /l?� oz �4 Alt.Tel.No.: .V-3(,-41--/3l 1 Address: 147, work requires Department of Public Safety"S"License: Lic.No. *Per M.G.L.c.147,s.57-61,security coverage normally OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/AgentTelephone No. 1 PERMIT rte:$ Signature