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Home My WebLink AboutBLDE-21-003242 or - Commonwealth of Official Use Only ft , Massachusetts Permit No. BLDE-21-003242 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:12/7/2020 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) 31 LYNDALE RD Owner or Tenant LEA JANET E Telepho jpo Owner's Address 31 LYNDALE RD, SOUTH YARMOUTH, MA 02664-5816 Is this permit in conjunction with a building permit? Yes 0 No 0 M • • ' • ' 'fiter7: ZPurpose of Building Utility Authorizati. • `I. Existing Service Amps Volts Overhead 0 Undgrd • Al • e rain* New Service Amps Volts Overhead 0 Undgrd 0 I o_. • tts W Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace. I) 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 1 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 KW No.of No.of 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: 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 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 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 qill- 4i0/2A u frp. sJ,cs tze ( lbt54,,zi.: avi...0 6\17A— 8{'1I2,r - Commonwealth pp I �� Official Use Onlyo�nrru�nwealt�.o �a�yac�iu�ett� ►E- +_ l, Permit No. —�J�-{' ��/ _�1= 2epartment of Jire Service9 1 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 r INFORMATION) Date: la, 3 i 010010 F City or Town of: "pt( ON il 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) 31 Lin d a le R 6 Sbu-- \I/q r rn o k.4 +b C Owner or Tenant ( ta-k---V 17e c r.C O Telephone No. , a5y Owner's Address so/Le.3 Q� Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropr': . •x) Purpose of Building ges i de.re SE.' Utility Authorization N• .. Existing Service Amps / Volts Overhead ❑ Undgrd❑ ,, m o.o�et , New Service Amps / Volts Overhead❑ Undgrd ❑ .ofv eters . 0 Number of Feeders and Ampacity - s ',✓h - Location and Nature of Proposed Electrical Work: \�:c� ' `- v Completion of the following table may be wa ,d-B the twerta-6" ires. jNo.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers No.of ��A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting i I grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners I FIRE ALARMS No.of Zones l ii CS No.of Detection and No.of Switches No.of Gas Burners Initiating Devices 4) No.of Ranges No.of Air Cond. Total No.of Alerting Devices i g Tons V Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices _ 9u Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* rY No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H _ Y g No.of Devices or Equivalent _ OTHER: Attach additional detail if desired.or as required by the Inspector of Wires. ' — Estimated Value of Electrical Work: 5D ' (When required by municipal policy.) Work to Start: a '3' OD(9.0 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 0 (Specify:) I certify,under the pains and penalties of perjusy,that the information on this application is true and complete. FIRM NAME: J\I 5 .lec.-ctr tG1G 1r1) (t1G . LW.NO.: Licensee: Jere_ S 1owe4 Signature I!. 19),0 LIC.NO.:ill$t (If applicable,enter "exempt"in the license number line.) / Bus.Tel.No.:S. 3att 42 Sa Address: I to r Watt reOta►rs-e Play ee PI y moll (MI . oa,3 to 0 Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requils 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 0 owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.