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HomeMy WebLinkAboutBLDE-22-005252 •_ Commonwealth of official use only ' :L. ,,E • Massachusetts Permit No. BLDE-22-005252 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:3/21/2022 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. > i Location(Street&Number) 63 DRIVING TEE CIR r Owner or Tenant Dillan Hoyt Telephone No. Owner's Address 63 DRIVING TEE CIR, SOUTH YARMOUTH, MA 02664 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace&mini split system 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 g bovend. ❑ grnd. ❑ No.of Emergency Lighting r 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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.of Water KW No.of No.of Ballasts Data Wiring: Heates 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: JOSEPH V SLOWEY Licensee: Joseph V Slowey Signature LIC.NO.: 11186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 Commonwealth o/I'YlaiJachaaetf6 Official Use Only)ra _' j cc-� c Permit No. z%?-Z -- J Z 7/". MOa -Apartment o .}ire Services f =l BOARD OF FIRE PREVENTION REGULATIONS Occupancy 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:3/15/2022 City or Town of: Yarmouth To the Inspector of Wires: E By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)63 Driving Tee Cir. , S.Yarmouth Owner or Tenant Dillan Hoyt Telephone No. 508-326-2280 gOwner's Address Is this permit in conjunction with a building permit? Yes I I No (Check Appropriate Box) Qjl Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead I I Undgrd I I No.of Meters iNew Service Amps / Volts Overhead I I © Undgrd I I No.of Meters Number of Feeders and Ampacity v Location and Nature of Proposed Electrical Work: 220V Disconnect,and whip, 110V to furnace, control wiring to indoor unit Q) Wire new furnace (mini split) 5 Completion of the following table may be waived by the Inspector of Wires. --0 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 -'j grnd. grnd. ❑ Battery Units I No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Detection and �' No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. l No.of Alerting Devices Tons Heat PumpNumber i Tons I KW No.of Self-Contained �� No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KW 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 I OTHER: __! Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 850 (When required by municipal policy.) Work to Start:2/15/2022 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 ii] BOND ❑ OTHER El :) I certify, under the pains and penalties ofP er.1rJ'u , that the informationyon this application is true and complete. FIRM NAME:JVS Electrician Licensee: Joe Slowey LIC.NO.: Signaturefr(/((:/_..16(/(7,---- LIC.NO.:11186B (If applicable, enter "exempt"in the license number line.) Address: 168 Watercourse Place.Plymouth,MA 02360 BUS. Tel.N0.:508 326 2280 *Per M.G.L. c. 147, s. 57-61,security work requires Department of Public Safety"S"License: Alt Le.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) ❑owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ f'