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Home My WebLink AboutBLDE-21-007262 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007262 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) Date:6/15/2021 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) 18 MACKENZIE RD Owner or Tenant VILLA JAMES A SR TR Telephone No. Owner's Address 18 MACKENZIE RD REALTY TRUST, 16 BIRCHWOOD DR, PRINCETON, MA 01541 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ariate Box) Purpose of Building Utility Authorization No. �".... Existing Service Amps Volts Overhead 0 Undgrd 0 ' No. • • s New Service Amps Volts Overhead 0 Undgrd4• I 14' e, / Number of Feeders and Ampacity 0 Location and Nature of Proposed Electrical Work: Second floor NC system&mini split system. k....._ Completion of the following table may•, e :, .for 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 O 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. 2 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area HeatinLocal ❑ Munici al No.of Dishwashers P g KW Connection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent l HP Telecommunications Wiring: No.of Motors Total No.Hydromassage Bathtubs No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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 LIC.NO.: 9147 Licensee: Joseph W Silva Signature (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) ❑ owner 0 owner's agent. Owner/Agent I PERMIT FEE: $50.00 I Signature Telephone No. \ (.ommonium a tdaclu• ff� Official Use Only rt._ _!� cc�� giro Permit No. L �Zv ie 2eparlmonl o` Serwice! I 1 �" Occupancy and Fee Checked ;, _ �.-- BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07]11. (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: , -- /0 —Z-/ City or Town of: A-a_ivtatir/3 To the Inspector of Wires: By this application the undersignecgives notice of his or her intention to perform the electrical work described below. ' Location(Street&Number) / if 113 4(..K!g/c/ —i£ 'Z43 , /7:-R-Ai rt'b ' 8 Owner or Tenant j,6-s►-1i-c V i(.,,(,J}- Telephone No. Owner's Address P 41 . d F Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building ,�f---S i O r Utility Authorization No. 4 Existing Service Amps I Volts Overhead D. Undgrd❑ No.of Meters Y.Y. New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 1 4 Location and Nature of Proposed Electrical Work: t3 p Znv;tr--f_, Zs•JD r---c_cJa z f'�-�1;r✓r-c. 14/6 d -- r'1 t,.I i SAv( S yc r�"/ L t r/ it-,`? --F 6 -j ,v‘"'7 Completion of the following table may be waked by the Inspector of Wires. `l No.of Recessed Luminaires No.of Total No.of Cell.-Soap.(Paddle)Fans kn Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones d No.of Switches No.of Gas Burners o.ofbeteon a Initiating DeviDevices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained po Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Connection ipal ❑ Omer y No.of Dryers Heating Appliances KW No.of Devicesev or Equivalent No.of Water KW No.of No.of Data Wiring:Heaters Signs Ballasts No.of Devices or Fyuivalent --- ----_ eiecommunicah W ons u n. • No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent O1'iiJ R: Attach additional detail i-desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 4 -''4 3/ 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 offic . CHECK ONE: INSURANCE [e' BOND 0 OTHER El (Specify:) eOlt1/y7F-1 -cc ..f �. I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: S1L..Vfl E (fit( LIC.NO.:A?/'77 Licensee: asAPh t.--1 £11—tilt— Signata - LIC.NO.:-4Z%4.41 (If applicabl�nte�"exempt"in the license number line. Bus.TeL No.; &-`+f2.`g."'41�' ` Address:< 2O 64 -rU 11119. 02.4.3 Alt,TeL No.: £3G.Y-`l3I *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 ❑owner's agent. Owner/Agent (PERMIT FEE: $ Signature Telephone No.