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Home My WebLink AboutBLDE-21-002708 Commonwealth of Official Use Only "kp.�� ,� � Massachusetts Permit No. BLDE-21-002708 , 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:11/12/2020 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 electncal work described below. Location(Street&Number) 2 SYLVAN WAY Owner or Tenant ROBERTS SUSAN M Telephone No. Owner's Address DONNELLY CATHERINE A, PO BOX 203,SOUTH YARMOUTH, MA 02664-0203 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel entry,add laundry area,&2 new entrances. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Abo ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grndve. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: MARK A CONTONIO LIC.NO.: 21143 Licensee: Mark A Contonio Signature (f I applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 102 N WESTGATE RD, HARWICH MA 026451600 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: $75.00 I la,x,+4 l/7.6 sc., et TS,oc. tleTCrPT1LLH S s To #3� t.ti. e 5l3lu RECEIVED LII - �.. Commonwaa[tJa o f Maseachudeitd Official� t Use Only BUILDING _ ,fMENT cc�� c77 �7 Permit No. �2I. 7�6 By' - �Uelvartmeni ol.}ire Serviced '-::\„:; . Occupancy and Fee Checked 1. � s,: BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICA L 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: ,✓/a/2 -2 0 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) `oZ SY 04,1/ G.e.3/4 y d „, Owner or Tenant c_ L15,4 A) 1LO46 'G j'S• Telephone No. i i Owner's Address N. ._`r) Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) •.. Purpose of Building Utility Authorization No. b•S-). Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters dNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters •' Number of Feeders and Ampadty '�, � ' Location and Nature of Proposed Electrical Work: RC‘.,--tcpfC_ c)j= T C' c'A-t it-A J 410.miPeve X7,4E14 !— a .A c -v &,'m-*,1146-5 Completion of the following table may be waived by the Inspector of Wires. Lit No.of Recessed Luminaires No.of Ceil-Sa (Paddle)Fans No.of Total �• Transformers KVA t No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting g grnd. grnd. Battery Units ;1` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones -,--- No.of Switches No.of Gas Burners No.of Detection and z Initiating Devices i t Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices d No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p° Totals: Detection/Alerthr Devices No.of Dishwashers Space/Area Heating KW Local 0 Co nidpao 0 Other, Cyonnection 4 No.of Dryers Heating Appliances KW Security :* No. f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HPTelecommunications 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: (When required by municipal policy.) Work to Start: it /off-2c 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 covers ' force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC 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: 14-e- Ecc '44? ' e. LIC.NO.: p�// . /f .lcensee: ,ems /zs,e%' Signature SIC.NO.: /3g9S-,6 i'If. plicable,enter"exempt"in the license number line.) Bus.Tel.No.:Sloe 776-579�® Address: Alt.'I el.No.: *Per P .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 taw. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent ei Signature ___, Telephone No.__ PERMIT FEE:$ J