HomeMy WebLinkAboutBLDE-23-005375 ..- Commonwealth of Official Use Only
t Massachusetts Permit No. BLDE-23-005375
` 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:3/30/2023
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 y �y5
Location(Street&Number) 227 PAWKANNAWKUT DR 1' I/ ,5//
Owner or Tenant DAVENPORT BUILDINGF CO. Telephone No.
Owner's Address 20 N MAIN ST, SOUTH YARMOUTH, MA 02664-3150
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 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement HVAC.
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- 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
Initiating Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
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 0 Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No
HeatersWater KW No.of No.of Ballasts Data Wiring:
Signs 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: $50.00
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y Occupancy and Fee Checked
BUILDING'►- MF BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
ay.
!CATION 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:3/27/2023
City or Town of: Yarmouth To the Inspector of Wires:
Location(Street&Number)227 Pawtannawkut Drive
Owner or Tenant Davenport Building Company
Owner's Address Telephone No.
Is this permit in conjunction with a building permit? Yes ❑
Purpose of Building residential No (Check Appropriate Box)
Utility Authorization No.
Existing Service Amps / Volts Overhead
ri Undgrd❑ No.of Meters
New Service Amps / Volts Overhead n
I I Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: wiring to replace warm air furnace and install central air
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of C'eil:Susp.(Paddle)Fans No.of Total
No.of Luminaire Outlets Transformers KVA
No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grnd. grad. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners i
FIRE ALARMS rNo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
No.of Ranges Initiating Devices
No.of Air Cond. Total
Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal
Connection ❑ Other
No.of Dryers Heating Appliances , Security .*
No.of Water KW No.of Devices or Equivalent
Heaters No.of No.of
Signs Ballasts Data Wiring:
No.Hydromassage Bathtubs No.of Devices or Equivalent
g No.of Motors Total HP Telecommunications Wiring:
OTHER: No.of Devices or Equivalent
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work:
Work to Start: (When required by municipal policy.)
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 ❑ (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 and Cooling
Licensee: Angry sale LIC.NO.: 593Al
Wapplicable,enter exempt in the license number line.) Signature 1�-� �� LIC.NO.: 17318A
Addreca! Bus.Tel. o,;
•
*Per M.G.L.c. 147,s.57- 1,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: Alt.Tel.No.:
required by law. By my signature below,am e hereby waivaware e this requirement.he Licensee I am the not have(check one
Owner/Agent
liabilitye insurance coverage normally
Signature owner ❑owner's . eat.
Telephone No. PERMIT FEE: $50
Please contact rachael@hphclle.com if you have any questions