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Home My WebLink AboutBLDE-23-003786 #7 Commonwealth of Official Use Only ,At tPermit No. BLDE-23-003786 IL., `` Massachusetts 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:1/12/2023 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. Location(Street&Number) 7 isoCOURTLAND WAY It Owner or Tenant CEIZikelMia. Telephone No. Owner's Address YAM WAI YIN,40 CONSTANCE AVE,WEST YARMOUTH, MA 02673 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 furnace 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 Initiatinu 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ID Other: 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Filipe M.Costa Signature LIC.NO.: 58899 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 7745218885 Address: 1525 Route 6A,P.O. Box 1621,East Dennis MA 02641 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 gkL .A,_ I ( f'Z2 Witt Cca[ RE -'-EILli E D Commonwealth ol Maadachuaetta Official Use Only ►.7_ , cc�7 Permit No. 3- 7€ 1� _ F ". Thepartment o/.}ire�ervicea JA _ �' Ft-,1 ' Occupancy and Fee Checked `' �' ..BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) • BUILDING CJ;.='` TMENT BYE - TION 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: 0 ( \ t,( I t j City or Town of: \A.)CfS `J ((2/1 U To the Inspector of Wires: By this application the undersigned gives notice f his or her intention to peer the electrical work described below. Location(Street&Number) -7 iti4 C oGtx- t cv1, }' er or Tenant b , (D Ni 'J (`i (�- Telephone No.4 O 3 360 �i1 V 1463 Owner's Address -- i el C-0,)(1�T& tJ i, 1A/ " VJ T 'A 2 t A. (11-3c. . Is this permit in conjunction with a building permit? Yes ❑ No f (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps ZL( 0 Volts Overhead Undgrd E No.of Meters 2 New Service Amps / Volts Overhead P Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (Le- t3 -.Ps(1 Eivk. e rr)'` (----\) 11-1\- A C, Completion of the following table may be waived by the Inspector of Wires. NoNo.of Recessed Luminaires No.of CeiL Tr -Susp.(Paddle)Fans f T 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. 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.ofK Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring No.of Devices or Equivalent OTHER: i•O 0 '0 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: alkinaki (When required by municipal policy.) Work to Start: 0 \\ 1 Li 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 ►'i BOND ❑ OTHER ❑ (Specify:) I certify,under the ns and penalties of perjury,that the information n this application is true and complete FIRM NAME: VI (D' -kJ\ ( (4{ �tp LIC.NO.:5 9 211 "' Licensee: `P(— f'-1\ C--\ l'AcSignature LIC. NO.: (If applicable, enter "exempt"in the license number line.) Bus.Tel.No..1q-4 C1-1 44,875 Address: Alt.Tel.No.: *Per M.G.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)❑owner ❑ owner's agent. Owner/Agent 1 Signature Telephone No. PERMIT FEE: $ 6-0