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Home My WebLink AboutBLDE-22-002519 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002519 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:11/3/2021 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) 40 HOWES RD Owner or Tenant SYLVESTRE DENNIS Telephone No. Owner's Address SYLVESTRE LYNNE, 7 SPRING ST, FOXBORO, MA 02035 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check App x) Purpose of Building Utility Authorization No. � I s,i Existing Service Amps Volts Overhead 0 Undgrd 0 .4ot s n) New Service Amps Volts Overhead 0 Undgrd 0 ��^ ee,,, �s L tt '6' Number of Feeders and Ampacity -f <�`k g 4e olj.,` Location and Nature of Proposed Electrical Work: Replacement furnace. i Completion of the following table may be w i t of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of `off l Transformers No.of Luminaire Outlets No.of Hot Tubs Generators AP KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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. Total 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 ❑ M n ici isl 0 Other: No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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: Licensee: Matthew Gordon Signature LIC.NO.: 55830 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:22 Station Avenue,South Yarmouth Ma 02664 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. I PERMIT FEE: $50.00 RECEIVED NOV O1321 ---____ _ nwaa aeeac wiette Official Use Only DING DEPARTM� � ,• g� c7 n Permit No. ----e- Z� l 5 -:;li _. r fnuni oi}ups Jiwicse '.� .;11 -?v Occupancy and Fee Checked ,;,,.,, BOARD OF FIRE PREVENTION REGULATIONS [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 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: s 1 Z 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) 1O H'o wGj AY. Owner or Tenant t,.�v IA IA d St� I tiesi"f" Telephone No. / 61 7 e f f Z/ce Owner's Address 410 tuowe4 Ave_ Is this permit in conjunction with a building permit? Yes ❑ No„ K (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: 6C3lc4 ►e pi—t" ,C/-1 w"01544e fa.iy re tc .41 vi Completion of the followinktable may be waived by the I►pector of Wires. til No.of Recessed Luminaires No.of Cdl.-Sasp.(Paddle)Fans No.of Total '21 Transformers KVA '' No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 No.of Luminaires ool Above In- No.of Emergency Lighting Swimming P _arnd. ❑ and. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones r No.of Switches No.of Gas Burners No.of Detection and < Initiating Devices _ 111 No.of Ranges No.of Air Cond. TotaTons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: .Detection/Alertingpevices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ otba, Connection No.of Dryers Heating Appliances KW Security Devices or Equivalent No.of Water Heaters 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: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 t c (When required by municipal policy.) Work to Start: I t5/ /' -/ 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 0 OTHER 0 (Specify:) I certify,under the sins and es of perjuryahpt the formation on this application is true and complete FIRM NAME: e LI' OI the tl LIC.NO.:b.Sid "g Licensee: Signature LIC.NO.: (lf applicable.e r"exempt"in the lic a um line.) Bus.TeL No.: ri GC�CO 6O7I. Address: L7 r} C!� teN�[' I Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of PublicSafety"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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$