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Home My WebLink AboutBLDE-23-000457 , _4.1 a fp Commonwealth of Official Use Only == ` E Massachusetts Permit No. BLDE-23-000457 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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) City or Town of: YARMOUTH Date: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) 300 BUCK ISLAND RD UNIT 6F 70,Owner or Tenant Karen Hirsch �V� 9 P Owner's Address 300 BUCK ISLAND RD UNIT 6H,WEST YARMOUTH, MA 02673 Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) Utility Authorization No. Existing Service Amps p Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Number of Feeders and Ampacity Overhead CI Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: Wiring for heat pump ' b 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 Transformers Total KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- grnd. ❑ ❑ No.of Emergency Lighting No.of Receptacle Outlets g rnd. Battery Units No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons KW Totals: 1 No.of Self-Contained No.of Dishwashers Detection/Alerting Devices Space/Area Heating KW Local 0 Municipal No.of Dryers Connection ❑ Other: Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent Heaters No.of Ballasts Data Wiring: Signs No.Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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 I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: JOSEPH V SLOWEY Licensee: Joseph V Slowey Signature Tel. NO.: 11186 (If applicable,enter'exempt"in the license number line.) Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 Bus.Tel.No *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 P Mcci 1/2/-7,2.--' ‘1-- C,ommoruueafth o f Massachwells Official Use On = i' t Permit No. Sr.(=/1-,- 1 Theparirnerd o `ire Servicel e ila BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked`• [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK • All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:7/25/2022 gCity or Town of: Yarmouth To the Inspector of Wires: tJ By this application the undersigned gives notice of his or her' tentio t rform the electrical work described below. 441) Location(Street&Number)300 Buck Island Road t Owner or Tenant Karen Hirsch — Telephone No. 914-450-9043 4" Owner's Address 0 Is this permit in conjunction with a building permit? Yes I I No (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service Amps _ / _ Volts Overhead n Undgrd I I No.of Meters 4- 41 New Service Amps / Volts Overhead + I Undgrd g I I No.of Meters , > Number of Feeders and Ampacity E '' Location and Nature of Proposed Electrical Work: 220V Disconnect, 110V GFI outlet, , 25 AMP double breaker 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 v No.of Luminaires Above In- 'No.of Emergency Li htin Swimming Pool ❑ g Y g g grnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners No.of Gas Burners FIRE ALARMS No.of Zones No.of Switches No.of Detection and Cl- Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection_ ❑ der No.of Dryers Heating Appliances KW Security Systems:* - No.of Water No of No.of Devices or Equivalent Heaters KKW . No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: I No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 825 _ (When required by municipal policy.) Work to Start:7/25/22 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 2 BOND ❑ OTHER I certify,under the pains andpenalties o ❑ (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME:JVS Electrician Licensee: Joe Slowey LIC.NO.: __ Signature��%� "�H�//, . t�K LIC.N0.:11186B (If applicable, enter "exempt"in the license number line.) Address: 168 Watercourse Place.Plymouth,MA 02360 Bus.Tel.No.:508 326 2280 *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety Alt.Tel.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_ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ •