The URL can be used to link to this page

Home My WebLink AboutBLDE-23-003620 BLD.15 Commonwealth of OfftcialUse Only =iN_: Massachusetts Permit No. BLDE-23-003620 ,. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/4/2023 City or Town of: YARMOUTH To the ln.vpecior o/Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 300 BUCK ISLAND RD UNIT 15 Owner or Tenant HALCYON CONDO.ASSOCIATION Telephone No. Owner's Address 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: Upgrade panel &wire two new blower units for waste water system. (Building#15 public meter) 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: Detection/Alertine 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: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 2 Total HP Telecommunications Wiring: No.of Devices or Equivalent OT HEIZ: 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: DAVID W SILVA Licensee: David W Silva Signature LiC.NO.: 20608 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:55 THISTLE DR,CENTERVILLE MA 026322036 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: $80.00 Commonwealth 01 Maadach.0 4to Official Use Only r,-,Z /_ s . / cc� cc}} (� Permit No. �- —�� ii �- QGJepartmsnf of Jiro Serviced . Occupancy and Fee Checked ',; , BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07l (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),,527 CMR I2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM4TION) Date: //3/ '3 City or Town of: /y,"j%+e?,W To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the elect 'cal work described below. Loca' n(Street&Number)/g/ ./. �i�e c.'4/S"//9,vd�/r' (Owner r Tenant4 /e,c7,-1 C C✓,,,1 j,-,/,i;'ti'Lrz Telephon ,,,'",-;7 ;� s 5 775- Owner's Address <:;94.l, Is this permit in conjunction with a building permit? Yes — No ..1 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service e:" Amps 2 '. o//,2c Volts Overhead ___. Undgrd Dij No.of Meters j New Service Amps / Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity , '_ �,. ) ej-c ,��i-,� Location and Nature of Proposed Electrical Work: z:' 064/- VE f/' ,/s - /A 7,. f'/,/a C' /S t ' ,. ,.Ur%/://i- 77✓e'A./,1/V. /oji.f 7 ✓.'/- i�r /,,9fA.,t11 /s Ft t Completion of the following table may be waived by the Inspector of Wires. N.ATotal t.t No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 'No of t, Transformers KVA KVA "mot No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4. No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. Battery Units a No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners O.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Seft-tontained No.of Waste Disposers Heat Totals:Pum Number Tons 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.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors ..-A Total HP '. Teleco of Devcatio rs Equiv 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: ' -,' 'i' , cr. (When required by municipal policy.) Work to Start: ,/(., ,0 ��3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE-O GE: 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 0 OTHER 0 (Specify:) I certify, under the ins and penalties ofperjury>,that the information on this application is true and complete. FIRM NAME:I.? / Cl.it✓ /mac,?/,.cAVA//drt?,6 5✓e /� {-7 LIC.NO.: !6'7,4j`- Licensee: %�7,�pe;•%l/✓ ,4;Ja Signature 4lte//T'(2 LIC.NO.:,2c,fang .46) (If applicable, enter "exempt"in the license number lipe.) Bus.Tel.No.:5131- 3 L' Address: % /C.•71//:s/E✓,.✓.<G( =%�✓d,/✓cd,'M. C_:ZE>> Alt.Tel.No.:sc '-67-e,/ *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 Signature Telephone No. PERMIT FEE: $