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Home My WebLink AboutBLDE-22-000212 • r Commonwealth of Official Use Only i`r' Massachusetts Permit No. BLDE-22-000212 0 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:7/13/2021 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) 25 MUSKET LN Owner or Tenant David Herrera Telephone Owner's Address THE 25 MUSKET LANE REALTY TRUST, 25 MUSKET LN,YARMOUTH PORT, ' 'L'- 129 Is this permit in conjunction with a building permit? Yes 0 No 0 Mi k Ap' ' I1 1 . -06 Purpose of Building Utility Authorizatio e Existing Service Amps Volts Overhead 0 Undgrd 0 .c r• / L New Service Amps Volts Overhead 0 Undgrd 0 : Wirt Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Replacement boiler&add CO detector. '(. 41 Completion of the following table may be waived by •1.pector 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiatine 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 1 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 Siens 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 ❑ (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 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 N�if 7/(i'r7I k 4 ` Commonwealth o/maaeachiuielle Official Use Only �" rt c� �J Permit No. -ZZ-- Q Z, PZ- R '- � E�=__+1� 'i aUepartment o�,}ire Services -_f== Occupancy and Fee Checked 1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] JUL 132 (leave blank) BUILDING DEPART --1 ' ICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 BY' DIN (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 ' 13 , a City or Town of: \'i ar M 0 ut "H 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) (-X a)U S 4<e T L n . Owner or Tenant ---ba O 1 A 4 e Cr e rGl Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes n No 5 (Check Appropriate Box) Purpose of Building f c'e k- Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: to I re fiu) 'E�Ot I,r Oa r`r co , t2)e trap r - low 'jolto9.e LA.51re Completion of t e following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans TfTotal 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 Tot No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained �`No.of Waste Disposers i Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent — No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent I 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: 2-57) (When required by municipal policy.) Work to Start: 7, /3= 1 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 fl BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: V v 5 E iec Tr IC too LIC.NO.: Licensee: ,j Ue S i 01,0€31 SignatureLIC. /// illdo 5 (If applicable,enter "exempt"in the license number line.) ?/14,41V..-42.4,i--- Bus.Tel..NO.: // 3d l;as Address: I to �' i er Coarse Piac pi rrtN l met, da3,e Alt.Tel.No.: *Per M.G.L. c. 147, s. 57-61,security work requires Departmen 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: $ i