The URL can be used to link to this page

Home My WebLink AboutBLDE-22-002379 . :41 Commonwealth of Official Use Only Ill.tik Massachusetts Permit No. BLDE-22-002379 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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) Date:10/26/2021 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) 359 ROUTE 6A Owner or Tenant Stephen Bourdeau Telephone No. Owner's Address 359 ROUTE 6A,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 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 HVAC. 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Ton l No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 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: JOSEPH W SILVA Licensee: Joseph W Silva Signature LIC.NO.: 9147 (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 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 _ __ C0002010000k o//lladdaetue a official use only �sp p c�ire S`� Per}nit No. EZZ -�37? Aasti y M BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �5 jRev.l/47j (heave 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 DIINK OR TYPE ALL INFORMITION) Date: City or Town oD /Wt-f'tovl l'i- To the Inspector of W res: By this application the imdersigned'gives notice of his or her intention to perform the electrical work described below. cLocation(Street&Number) 3,�') 2.-( (a4- y r Pa 2- Owner or Tenant Sj j j7i4 B0 o J Telephone No. 21 Owner's Address S, II I- 4 E Is this permit in conjunction with a building permit? Yes ❑ No ❑Check Appropriate Box) d Purpose of Building gig /�S� ('r/�t J -(,�- Utility Authorization No. VI Existing Service Amps I Volts Overhead❑ Undgrd 0 No.of Meters It/ j New Service Amps / Volts Overhead❑ Undgrd El No.of Meters 4 Number of Feeders and Ampacity 14 Location and Nature of Proposed Electrical Work: b,j", I -T Q to Cg',aS ig,r u_j'-. Lt.l r 2r.- W t-7t-A- d 78/Ll ,) `AYsic- Aupp /1//z l44.uQ opt 2 9 -F-c.,x,A-- j Completion ofthe followintable may be waived by the Inspector of Wires. NS No.of Recessed Luminaires No.of CeiL--Susp(Paddle)Fans Transformers Total � Transformers ICVA No.of Laminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.orJ� cy Lighting wad. grad. Units Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones `No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Toon i 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 Loeal❑ Conn n ❑ Other No.of Dryers Heating Appliances KW Security y. No.of Devices or Equivalent No.of Water KW No.of No.of Data Wig: Heaters Signs Ballasts No.of Devices or Equivalent No.11ydromassage Bathtubs_ N� Me of l.,s a Tehxommunications -Total�- --- 'No.of-Devices of-De or Equivalent-- - _ OTHER: Attach additional detail if desvze4 or as required by the Inspector of Wires Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:/- ">7'Z 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 CHECK ONE: INSURANCE FOND 0 OTHER 0 (Specify:) 'O l/yl .., /issuing I certify,under thepains andpenalties ofperjury,that the information on this application is true and compose. FIRM NAME: .Sit..VfF !izic- LIC.NO.41 iV7 Licensee: S'.s f'Jt t J £r-.s.*-- Signa LIC.NO.:-K2/4 ti (If applicable,enter exempt"in the license number line. Bus.Tel.No.;0 i'4eZ- ''�``e P. Address:(14 .00 iL -1l ,2t� /rcl /124 OZ-rA S Alt.Tel.No.: fr--3(c.' 13/ *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 liab ility insurance coverage normally reuired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. OwSignature Telephone No. 1 PERMIT PEE:$ I