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Home My WebLink AboutBLDE-21-005378 Commonwealth of official use only '�. Massachusetts Permit No. BLDE-21-005378 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:3/19/2021 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) 7 FORTUNE RD Owner or Tenant Tino Bonanno Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 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: Receptacle for fire place blower. 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 1 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. Total No.of Alerting Devices Tns 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 0 Conncction 0 Other: 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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 04 ~ Commonwealth,0/ 1 aabaciLietts Official Use Only t _ o= 1 c� Permit No. (.: C. -' 37 c_=im__ T epartment oQ Jiro�ereiceb —"�_ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Z APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK q 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: . ' /Co . a / ---, City or Town of: \(ar MO,(Alm i To the Inspector of Wires: Q By this application the undersigned gives notice of his or her intention to perform the electrical work described below. E Location(Street&Number) 7 F-or -U n e 12c4 'o 1(yt 0 u `r l Pa r-t- Vi Owner or Tenant '"rl no 6 O nJ n no Telephone No.6(),6 j3'7/a6 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ql (Check Appropriate Box) 1) Purpose of Building R.es 1 6,exvve Utility Authorization No. , J Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters 4 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters . Number of Feeders and Ampacity V Location and Nature of Proposed Electrical Work: W t r e Pic( P L i e'C- vd Completion of the following table may be waived by the Inspector of Wires. No7 No.of Recessed Luminaires No.of Ceil.-Susp. 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 O No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained �n Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Other ❑ Connection uri Q— ms:* No.of Dryers Heating Appliances KW Sec No. f Devi es or Equivalent No.of Water No.of No.of HeatersKW Data Wiring: Signs 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: 400 t r (When required by municipal policy.) Work to Start: r j (I i a 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 17f BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 5J v S e.-1 e c'fir t L i ct r) ' / LIC.NO.: Licensee: ci to S t o(.l.) ( Signature 9it--.0cItV LIC.NO.:/!/ e /�(If applicable,enter "exemp "in the license numbyy�r line.) l/ Bus.Tel.No.•�R',-M9 & d Ere Address: )?o r 1Na1ereOt,l rye f icce1 Ry/7W iT� , ✓7?, a 3(e 0 Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Departifient 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) El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $