HomeMy WebLinkAboutBLDE-23-002637 Commonwealth of Official Use Only
7 Permit No. BLDE-23-002637
` 1 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:11/14/2022
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) 201 ADMIRALTY HEIGHTS VILI
Owner or Tenant FAH MY BRENDA L Telephone No.
Owner's Address 201 ADMIRALTY HEIGHTS VILLAGE,YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Heat pump
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- ❑ 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: 1 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 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 ❑ BOND ❑ 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 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
Commonwealth.o/Maaeachuietts Official Use Only
SOON_- aU t t c� Permit No. -Z6 37
epar mere o f.}ire.ervicei
IVI 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:11/07/22
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)201 Admiralty Heights
Owner or Tenant Brenda Fahmy
Telephone No. 857-222-6333
Owner's Address
U Is this permit in conjunction with a building permit? Yes I I No
(Check Appropriate Box)
Purpose of Building Residence Utility Authorization No.
Existing Service Amps / Volts Overhead —
d Undgrd No.of Meters
New Service Amps / Volts Overhead I I Undgrd I I No.of Meters
07
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: replace 220V disconnect and whip for new heat pump.
J 110V GFI outlet, upgrade breaker
SO
Completion of the following table may be waived by the Inspector of Wires.
C.)
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
U' Transformers KVA
4- No.of Luminaire Outlets No.of Hot Tubs Generators KVA
0
No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
U grnd. grnd. ❑ Battery Units
(I) No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
0 No.of Switches No.of Gas Burners No.of Detection and
ti Initiating Devices
No.of Ranges No.of Air Cond. Total
Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number I Tons I KW No.of Self-Contained
Totals: i Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal
1 Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of No.of Devices or Equivalent
,(5 Heaters KW No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
E No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
1.7
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 900
(When required by municipal policy.)
Work to Start:11/7/2022 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 2 BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:JVS Electrician
LIC.NO.:
Licensee: Joe Slowey Signature - , 5( (,. W,6 is
(If applicable, enter "exempt"in the license number line.) t J LTC.N0.:11186B
r
Bus. Tel.No.:508-326-2280
Address: 188 Watercourse Place,Plymouth,MA 02360
*Per M.G.L. c. 147, s. 57-61,security work requires Department of Public Safe Alt.Tel.No.:
ty"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
Signature Telephone No. I PERMIT FEE: $ F
.;c Z ,