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Home My WebLink AboutBLDE-22-002304 Commonwealth of Official Use Only hiltik. — 4.4\ Massachusetts Permit No. BLDE-22-002304 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked - • [Rev.1/071 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:10/22/2021 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) 10 GENERAL HOWARD RD Owner or Tenant LOONEY WILLIAM M Telephone No. Owner's Address LOONEY PAULA J, 10 GENERAL HOWARD RD,SOUTH YARMOUTH, MA 02664-2838 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. • Meters New Service Amps Volts Overhead 0 Undgrd 0 ,.0 )eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler. 0,4)) Completion of the following to a 4, wwiiid Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators Soo No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emerge ' ti grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1??Lone L! No.of Switches No.of Gas Burners 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinn Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Roger A Medeiros Licensee: Roger A Medeiros Signature LIC.NO.: 28683 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 365, HYANNIS MA 026010365 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:$50.00 OhC 22+ el---- _ Commonwealth of MaJaachaeettJ Pu Official Use Only ® —_ i_ .�./J— c� Permit No. 27S0 14 =a1eparlment o/3ire,eruiceJ 11.1 •••-- italy> I `" BOARD OF FIRE N '� PREVENTION REGULATIONS Occupancy and Fee Checked _ [Rev. 1/07] (leave blank) aA� ' PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK o 1 i z � All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 u,#r (5 ( Ei,SE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,o/,8/2„oz_/ ly I i City or Town of: VAR.did fT1"fi? To the Inspector of Wires: ..�.. B application the undersigned'gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) /® t t1e,C.A( ��a k oLO Owner or Tenant [pj ,,G/i v9124 L 6Olae Telephone No. Owner's Address 5-4>v►e) / Is this permit in conjunction with a building permit? Yes I I No F✓ (Check Appropriate Box) Purpose of Building �C.570e .1t Utility Authorization No. Existing Service Amps / Volts Overhead I I Undgrd No.of Meters New Service Amps / Volts Overhead n Undgrd g i l No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ediIJUit)4 dF C.45 eattfiC 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number J Tons I KW No.of Self-Contained Totals:J I 1 Detection/Alerting Devices If No.of Dishwashers Space/Area HeatingKW Municipal Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of Devices or Equivalent No.of No.of Heaters 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: (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 ❑ BOND ❑ OTHER I certi � ❑ (Specify:) f3-, under the sins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ! O6ce2. 4 / ,tjd ps Licensee: LIC.NO.: z- 3 Signature --�. LIC.NO.: (If applicable, enter 'e.�en t"in he license number line 'A ` Address: i'� �6 Left/ 1��,U,�� Y/t�� Bus.Tel.No.: 6V8 Qt e/g'7 *Per M.G.L.c. 147, s. 57 61,security work requires Department of Public Safety'^'S"License: Alt LicTe, No. OWNER'S INSURAN AIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law y s' nature below,I hereby waive this requirement. I am the(check one &owner Owner/Agen q Signature ❑owner's a2ent. Telephone NeaWA&O PERMIT FEE: $