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Home My WebLink AboutBLDE-23-002526 Commonwealth of ' Official Use Only Massachusetts Permit No. BLUE-23-ti02526 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK IliAll 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:11/8/2022 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. r Location(Street&Number) 32 WADSWORTH LN8 3(O L-` ®t Owner or Tenant WOLFSON IRA Telephone No. Owner's Address WOLFSON BERNICE SIMON, PO BOX 265,YARMOUTH PORT, MA 02675-0265 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) .Purpose of Building Utility Authorization No... p •` ,- ,,,, Existing Service Amps Volts Overhead 0 Undgrd 0/ �*, No.,of Mutest 21 ew Service Amps Volts Overhead 0 Undgrd ' ' No of Meters umber of Feeders and Ampacity 'cation and Nature of Proposed Electrical Work: Install generator Completion of the following table may be,watvetl by the inspector of Wires. .of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ' 0, '. Total Transformer`: ' KVA I.of Luminaire Outlets No.of Hot Tubs Generators 1 '' KVA i o.of Luminaires o.of Receptacle Outlets Swimming Pool Above 0 In- ElNo.of Emergency Lighting I grnd. grnd. Battery Units To No.of Oil Burners FIRE ALARMS I No.of Zones of Switches No.of Gas Burners No.of Detection and Initiating Devices of Ranges No.of Air Cond. Ton 1 No.of Alerting Devices lof Waste Disposers• Heat Pump I Number Tons KW No.of Self-Contained p Totals: ( Detection/Alerting Devices x 'fo.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Conne pipn } lo.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent A Jo.of Water KW No.of No.of Ballasts Data Wiring: eaters Signs No.of Devices or F,auivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Eauivalent ___I' THER: Attach additional detail if desired,or as required by the Inspector of Wires. mated 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 I e i::in force,and has exhibited proof of same to the permit issuing office. .CI IECK 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. FILM 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:$100.00 'tl ivai_ 0IC f 2J/4/7Z _ 213123 a (6i:4v 6 wr .) Fr : ,. ' Cn �yyj / pf-cial Use Only ommonweal of///addachudeitd , '�� ' cy� cc77 Permit No. a Theparimeni o`Jire Serviced I, -" 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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/4/2022 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. Location(Street&Number) 32 Wadsworth Owner or Tenant Wolfson Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Cli No ❑ (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: installation and wiring of standby generator Completion of the followinktable ntay be waived by the Inspector of Wires. ) ans.(Paddle Transformers KVA No.of Recessed Luminaires No.of Ceti.-Susp F No.of T No.of Luminatre Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.or Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. nDeten and Initiating Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinaj evices No.of Dishwashers Space/Area Heating KW Local❑CyoBneeetton 0 Other * No.of Dryers Heating Appliances icw SecNo of Detvice or Equivalent No.of Water 'No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel 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 ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME:Harwich Port Heating&Cooling, LLC LIC.No. 593 Al Licensee: Andrew Levesque Signature LIC.NO.: 17318A (If applicable,enter"cramp!"in the license number line.) Bus.TeL No.•5°8432-397r Address: 461 Lower County Rd. Harwich Port. MA 0 o Alt.Tel.No.: *Per M.O.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)0 owner ❑owner's agent. Owner/Agent (PERMIT FEE:$ 100 Signature Telephone No. ** Please fax a copy back to us at 508-430-6075 ** or e-mail to: keciaahphcllc.com \ A