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HomeMy WebLinkAboutBLDE-23-000513 Commonwealth of Official Use Only tin , Massachusetts Permit No. BLDE-23-000513 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:8/2/2022 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) 37 JANICE RD Owner or Tenant PAIGE BOYLE Telephone No. Owner's Address 37 JANICE RD, SOUTH YARMOUTH, MA 02664 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 ❑ 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: Replacement boiler 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. Total n 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 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 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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:$50.00 / f1 / / 7/ g - :al)prn L a!, t - J3/ ( tQPi LtA9 2d Lt Commosueeank el Mam� Official Use Only R E Ci''i _ 1;i i ' 0 Apartment c7 Permit No. (3--CS/ 3 QU .fir+a AUG �, Occupancy and Fee Checked . ,-, ,: B t ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUMLD1NG of ' TION FOR PERMIT TO PERFORM ELECTRICAL WORK B : ' work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL IN ORMATION) Date: 40(,r. ( m 7 Z City or Town of: ' .�IYO U -\ To the Inspector of Wires: By this application the undersigned gives nott a ofe hi intention to perform the electrical work described below. Location(Street&N tuber)_ j©- 7A-1)Ant y4 fl Owner or Tenant !,Q f- S Telephone No.3p$-apZ(- 5&J7 Owner's Address W�'� Is this permit in conjunction with a blinding pe t' Yes El No El (Check Appropriate Box) Purpose of Building Zen Mt� 1Dti)I IOW_ Utility Authorization No. Existing Service /DO , Amps /L/ 1260 Volts Overhead{ Undgrd❑ No.of Meters l New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 t ' Completion of the followin table may be waived by the Intor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans To. f Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Pont Above r-i In- ❑ No.of Emergency Lighting No.of Luminaires Swimming grad. grad. Battery units 11 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. Tons No.of AlertingDevices Tons No.Of Waste Disposers Heat Pump Number Tons KW_ o.of Self-Contained Totals:_ — Detection/Alerting Devices No.Of Dishwashers Space/Area Heating KW Local❑ Monnectionunicipal ❑ Ore:' C No.of Dryers ,Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin • 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: 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 of same to the permit issuing office. CHECK ONE: INSURANCE fa BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the inform 'on on this application is true and complete. FIRM NA Licensee: . 'Pin 1 y �� Si afar LIC.NO.: LIC.NO.3 Z V E. (Ifapplicab rater" em t"inplicpen'�u,m�-' 1'te Bus.Tel.No.• �Address: t'J, �(.f/t Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work regalDepartment 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 ❑owner's a ept. Owner/Agent y Signature Telephone No. J PERMIT FEE:$��s ' 9 ./