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HomeMy WebLinkAboutBLDE-22-004756 Commonwealth of Official Use Only itiiietio, -, Massachusetts Permit No. BLDE-22-004756 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:2/28/2022 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 wor dggibed below Location(Street&Number) 8 BURCH RD C 03�� Owner or Tenant THIERWECHTER GLEN P Telephone No. Owner's Address 8 BURCH RD,SOUTH YARMOUTH, MA 02664 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 ❑ 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: Renovations 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 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total on l 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 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 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:) fFu 3,53 7551 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ANDREW M LEVESQUE Licensee: Andrew M Levesque Signature LIC.NO.: 17318 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:461 LOWER COUNTY RD, HARWICH PORT MA 026461831 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: $150.00 IP(Fl;2W /4CeriitA Vi°71)2' C I 11/411-U, g( 411-1 p Obri,(6,3 0 otoif secTef y 1&6. Flo 6fel dt)iviiri2- Fen viAiNtrt- Mere,- 7(17(^)..7.11f- colia- lova, Maw Commonwealth.of 7addacluedeile Official�ji Use O ly '] r. _, -•t c Permit No. v v2 t -D co M, 7 .,I=y Aparimenl o `yire Serviced �+ Occupancy and Fee Checked --_—_ e BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 •`rT��,�. ] (leave 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 IN INK OR TYPE ALL INFORMATION) Date: 2/21/2022 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) 8 Burch Owner or Tenant Kyer Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes CI No ❑ (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of renovation Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf 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 Totallo.of Ranges No.of Air Cond. T ns No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection Heating Appliances KW Security Systems:* No.of DryersNo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No.H dromassa a Bathtubs No.of Motors Total HP Teto fDeviceio or Equivalent y g No.of Devices 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: 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 insuranceincluding"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 P) BOND ❑ OTHER ❑ (Specify:) I certify,under the pants and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Harwich Port Heating &Cooling, LLC LIC.NO. 593 Al Licensee: Andrew Levesque Signature i LIC.NO.: 17318A (If applicable,enter"exempt"in the license number line) a % Bus.Tel.No.:508-432-3959 Address: 461 Lower County Rd, Harwich Port, MA OkoLio 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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE: 150 Signature Telephone No. ** Please fax a copy back to us at 508-430-6075 ** or e-mail to: keciaahphcllc.com HARWICH PORT HEATING&COOLING,LLC Town of Yarmouth Attn: Building Department 1146 Route 28 South Yarmouth, MA 02664 Dear Sir/Ma'am, The electrical rough at 8 Burch Road, South Yarmouth was completed and inspected by a licensed electrician on February 22, 2022. All work done by Harwich Port Heating and Cooling, LLC was done in accordance with the current NEC electrical code. Installation was done in a correct and safe manner. Thank you, Andrew Levesque General Manager License Number 17318A 461 LOWER COUNTY ROAD, HARWICH PORT, MA 02646 TEL. 508-432-3959 OR 800-427-3959 ♦ FAX.508-432-6075 • TOWN OF i* [! 1146 P�t�[ ? E 2 UTh YA!'Mfir;UTH, 026 • F,gi,'} n 5O.: -0836 'HONE: 50:,-.11-2231 a`, 1 53 ICEN EUKYIT 9:00 REQUEST FOR ELECTRICAL INSPECTION: • DATE: 7 (9--DDATE REQUESTED FOR INSPECTION.; 17/21 . - V �( j � +( V ADDRESS; MPt f 4 OCCUPANT. 9/E TRENCH: ROUGH: SERVICE: FINAL: • NSTAR WORK ORDER NUMBER: OTHER: PERMIT UNDER: HARWICH PORT HEATING.& COOLING • . . PHONE: 508-432.3959 FAX: 508 432-6075 . LICENSE : 17318 4 . x Ct.)/-E O 0 SPECIAL INSTRUCTIONS.