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Home My WebLink AboutBLDE-22-000540 or- Commonwealth of Official Use Only •L. Itt\ Massachusetts Permit No. BLDE-22-000540 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:7/30/2021 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) 22 WIDGEON LN Owner or Tenant Dave Beauchamp Telephone No. Owner's Address 22 WIDGEON LN,WEST YARMOUTH, MA 02673 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: Air conditioning system. 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 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 ❑ 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 Le Cas, et(c2/74 - C/� nonwealg o j///aeeacksdeffe Official Use Onl �� ` -.Ic� c7iPermit No. L=2 --� S 0 --t-ii-1::,: 2ispartment e/ tne Services 1 I 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: `7--- 7-Z-—z / City or Town of: yft- I 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) 4::9, P //L79 Lo 'i LAI i/v, ya •4,-* • - 8 Owner or Tenant DA-V6, 8E...4 J C 144 r Telephone No. Owner's Address ...S.4 Ml. i E Is this permit in conjunction with a building permit? Yes ❑ No Q'*----(Check Appropriate Box) c Purpose of Buildingiptid 77a-L Utility Authorization No. c Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters V New Service Amps / Volts Overhead-0 -Undgrd 0 No.of Meters 4 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: LJ i ,vim,/ C£,•t'icsc. 4.,2 ,sy -7 Completion of the following table may be waived by the Inspector of Wires. No.of Total `i No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Lmergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. Initiofbeating D and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained !m Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 1-1 Connection Municipal ❑ Other No.of Dryers Heating Appliances KW N'Secuo.ofrs Inims:* tior Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or EquivaWitringl�ent No.Hydromassage Bathtubs No.of Motors Total HP Tel�omofDee g�iv&nt OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:7- 2-- 2j 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 cov a is in force,and has exhibited proof of same to the permit issuing offs . CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) ewifi # C. .. /S op. I certify,under the pains and penalties of pedwy,that the information on this application is true and complete. FIRM NAME: S/t...VfI E.4f,L 0,—/C-- LIC.NO.:A?/447 Licensee: ibsi 'h tzJ S tl.-VA"- Signator - LIC.NO.:.KZ/G$1 (If applicable,enter"exempt"in the license number line. Bus.TeL No.: &—`f2--g."46 4- Address: .0000-1-14- f441-di 1-0- � %54^/ar�/iU p141' °2-56-3 Alt.Tel.No.:So 3,,Y-73 t 1 *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)❑owner 0 owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No.