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Home My WebLink AboutBLDE-21-001776 Commonwealth of Official Use Only - € Massachusetts Permit No. BLDE-21-001776 Nii 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:10/6/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pe rm the electrical w scribed below. Location(Street&Number) 14 MULFORD ST fN L 5R,.._ Owner or Tenant GANNON JEANETTE E Telephone No. Owner's Address 14 MULFORD ST,SOUTH YARMOUTH,MA 02664 O Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec opri• •'. , Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd 0 .?�y. �;y)r �A New Service Amps Volts Overhead CIUndgrd ❑ N . y r�• q' Al Number of Feeders and Ampacity 3/41tio e r Location and Nature of Proposed Electrical Work: Replacement boiler Completion of the following table may be waived by the .•:1`. of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 1 al Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 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/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 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 V SLOWEY Licensee: Joseph V Slowey Signature LIC.NO.: 11186 (If applicable,enter"exempt"in'the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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 A Coa sonet+nath r f maeeac/ixerIis Official Use Only , r3. c� c� Permit No. z-=-' 11- ( 2yhertmenl of Jir► roles Occupancy and Fee Checked F BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) ,o APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonneed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12,00 .g (PLEASE PRINT IN INK OR 7'Y E ALL INFORMAT IO11) Date: q' • 30 • a 0 as City or Town of: a r ( a u� To the Inspector of Wires: _ By this application the undersign gives notice of his or her intention to perform the electrical work described below. V` Location(Street&Number) (LI M(A'-Po i' o1 si- . J Owner or Tenant "br i cm t p W S e r Telephone Non'.73 7 •a 117 Owner's Address O Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) • Purpose of Building Res►c e V d'e. Utility Authorization No. 4 Existing Service Amps f Volts Overhead El Undgrd U No.of Meters d,} New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity --- Location and Nature of Proposed Electrical Work: wire bo t ter / G FC( ea-net/ LOW WA-VIC Completion of the following table my be waived by the Inspector of Wires. L43 No.of Recessed Luminaires No.of CeL-Soap.(Paddle)Fans To.of T°ta( lTransformers KVA No.of Lumina re Outlets No.of Hot Tubs Generators KVA ` No.of'Luminah+es Swimmin Pool Above Is. 1Vo.of tinergency Lighting 8 grad. grad. Battery Units Zi No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burner: No.ofbetection aria Initiating Devices I ( No.of Ranges No.of Mr Cond. Tuns No.of Alerting Devices No.of Waste Heat Pump Number Tons KW. 'No.of Self-Contained Totals: Detection/Alerting Devices Na.of Dishwashers Space/Area Heating KW Local❑ 0 Other Conn No.of Dryers Heating Appliances KW Security Syystems or No.of Devices Equivalent No.of Water KW 'Na.of Na.of Data WirierHeaters Sins Ballasts No.of Devices or Equivalent No.Rydromassage.Bathtubs No.of Motors Total HP laecommunnicaflons Wiri No.of Devices or ggaiv a rat OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: j) •— (When required by municipal policy.) Work to Start 7.0 9•� 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 El BOND 0 OTHER 0 (Specify:) I cert0,under tke pains and penalties ofperjury,that the inforiwadon on this application is true and complete. FIRM NAME: (Joseph v SlatA)cJ Electric Icen LIC.NO.:///8'G6 Licensee: Joe S(owe Signature % .f,ro/j LIC.NO.: —1/4#P,ele (If applicable,enter"exempt"in thi license nun, r line.) Bus.Tel.No.4.08'•.3 ZG •22$O Address: 1 b$ V1►Q-he(C O u r f'lae�e. P!�/m Ou• 'Ih. Y'fl . 0a3(r a Alt,Tel.No.: '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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$