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Home My WebLink AboutBLDE-21-006517 Commonwealth of Official Use Only i / Massachusetts Permit No. BLDE-21-006517 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:5/11/2021 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 bed bel�O C� Location(Street&Number) 14 WEBSTER RD r Owner or Tenant GODIN DAVID Telephone No. Owner's Address GODIN HILARY, 185 NORTH MAIN ST,SUFFIELD, CT 06078 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) / `f /�a Purpose of Building Utility Authorization No. 5679683 54.7 46 b 3 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Me New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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 No.of Luminaires Swimming Pool grna e ❑ rind. ElNo. of Emergency Li✓✓pliting Baty Units No.of Receptacle Outlets No.of Oil Burners C FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiatinc 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/Alertine Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection Appliances KW Security Systems:* No.of Dryers Heating 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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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: ANDREW M LEVESQUE LIC.NO.: 17318 Licensee: Andrew M Levesque Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:461 LOWER COUNTY RD, HARWICH PORT MA 026461831 *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 CI owner's agent. Owner/Agent I--7PERMIT FEE: $50.00 I Signature Telephone No. 4 q-a.(7-( r- - C S CO/i'i� 1,,, ,� jc7e (co:sb L/ J) / Commonwealth 0/ c etld Official Use Onl WA //lassa i\ r' w rim eft ®c7 Permit No. f fa \ti epartmenl o/',tire Serviced BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1Occup/007]y and Fee Checked �` (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: 5/7/2021 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) 14 Webster Owner or Tenant Dave and Hilary Godin Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Apgropi4tiipox Purpose of Building residential Utility Authorization No.,a0 / Existing Service 100 Amps / Volts Overhead Q Undgrd❑ No.of Meters New Service 2110 Amps / Volts Overhead® Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: service upgrade Completion of the followintable 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- 0 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. Tons 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❑ Municipalnnection ❑ other _ Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WHeaters ater KW No.of No.of 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: 3000 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 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 EJ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Harwich Port Heating & Cooling, LLC LIc.NO.:17318A Licensee: Andrew Levesque Signature LIC.NO.:35976E (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.•508432-3959 Address: 461 Lower County Rd, Harwich Port, MA 02oLi.o 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 Signature Telephone No. PERMIT FEE:$ 50 ** Please fax a copy back to us at 508-430-6075 ** or e-mail to: kecia@hphclIc.com