The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002886 RMV or Official Use Only 4/ (6) Commonwealth of Massachusetts Permit No. BLDE-23-002886 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:11/28/2022 City or Town of: YARMOUTH To the Inspector! e • By this application the undersigned gi` •.r of his or her intention to perform a lectrical rk described bel, ` Location(Street&Number) l;�=-'OUTE 28 -£r Owner or Tenant BO C Telephone No. 1 yin DA DTA�, 4rra-I^1 Iw 1A!_ f]� o11D1 IAII�T r1vl +��+ Owner s Address I6�- I�IT�I�.T, .,� 3 Is this permit in conjunction with a building permit? Yes O 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement roof top HVAC. (1080 Route 28) 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 To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Siens 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: 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:$80.00 CR ,9 w`• 12/c 1•71" do � � 3,40, 14 Ccmmanweanh o`/r/aelacnaeette Official Use Only c� c/ 23--Z g 6 w .2eparlmeai o`,.yire&rrrfcee Permit No, I BOARD OF FIRE PREVENTION REGULATIONS Occupancyv and Fee Checked [Rev.1/07] (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: 11/11/2022 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) 1088 Route 28 Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes in No 0 (Check Appropriate Box) Purpose of Building commerical Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: replacement roof top HVAC unit Completion of the jollowingiable m9*be waived by the ta:ee:or ofWirer. No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.°f T Transformers ICYA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Lnmfuatrea Swimming Pool Above In- � Pio.or Emergency Lighting grad. „slid. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.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 Beat Pump Number Tons KW No.of Self-Contained Totals: Detedion/Alertis�arevices No.of Dishwashers Space/Area Heating KW Local Mn 0 Connection ID Other No.of Dryers Acting Appliances KW SecurityNa f DevicesSems:*or Equivalent No.of Water KW No.of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or tgniva ent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications quiv g: No.of Devices or Equivalent OTHER: Attach additional detail iifdesbrd eras required by the Inspector Wires. Estimated Value (of Electrical Work: (Mien rt:quuredby 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 IN BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is bee and complete. FIRM NAME:Harwich Port Heating&Cooling,LLC UC.No. 593 Al Licensee:Andrew Levesque Signature dr"ie4s�rk,C.. LIC.NO.: 17318A (i(applscab/e,enter"exempt'in the license number line) %% Bus.TeL No: ? Address: 461 Lower County Rd, Harwi Port, MA 0 • • All TeL No.: •Per M.O.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 I Signature Telephone No. (PERMIT FEE:$ 80 ** Please fax a copy back to us at 508-430-6075 ** or e-mail to: keciaahphclIc.com