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Home My WebLink AboutBLDE-22-005808 Commonwealth of Official Use Oniy 24''�-- Massachusetts Permit No. BLDE-22-005808 _ **--- 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:4/12/2022 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) 140 NORTH DENNIS RD Owner or Tenant ZEVITAS DENISE M Telephone No. Owner's Address 140 NORTH DENNIS RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A. . 4 Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 o AZNew Service Amps Volts Overhead 0 Undgrd 0 .o ,e Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Wiring for 3 head split system O O 84P Completion of the following table ma}6ly •ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of // p al Transformers �� A No.of Luminaire Outlets No.of Hot Tubs Generators KVA 3 No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 Initiatine Devices No.of Ranges No.of Air Cond. 3 I otal 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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: STANLEY D ANDREWS Licensee: Stanley D Andrews Signature LIC.NO.: 15248 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:201 HEAD OF THE BAY RD, BUZZARDS BAY MA 025325640 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 v 34 Co»unonwsa5h o`Ma macluzudia Official Use Only cc-� c� Peinut No.--.... 4 1lspartmsnl o/.}irs Servicse x' Occupancy and Fee Checked .4. .� BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07j (leave blank 01 Q' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CAM 12.00 4- ; (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: '//11 /a 4 -14. I City or Town of: ye rvi-LoLA. To the Inspector of Wires: v 1 By this application the undersign gives notice of his or her intention to perform the electrical work described below. " -1 Location(Street&Number) /e((2 IV c .I.N. -Zvi.i-S Q„cl- I-, 1 Owner or Tenant Telephone No. ' Owner's Address 1?s Is this permit in conjunction with a building permit? Yes ❑ No {Check Appropriate Box) • Purpose of Building �-rpos is Utility Authorization No. - Existing Service ((3U Amps I ;3t�l Yes Overhead Undgrd_ No.of Meters % K New Service Amps / Volts Overhead Undgrd No.of Meters N Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (A)At r.1, 03 }i r'„Y t( y i, , ,,,; .S p/►,i.Sy 5i.„...L Completion of the following,table may be waived by the Jar ector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Trranan KVAsformers KVA r.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No of Units Emergency Lighting prnd, grnd. Battery Units '.J 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 1 i gAlerting -` No.of Ran es No.of Air Cond. Total No.of Devices Tons o No.of Waste Disposers • Heat Pump Number Tots KW 'No.of Self-Contained Totals: f . ,,S Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[] Municipal ❑ t.ther Connection No.of Dryers Heating Appliances KWSecurity 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: �lti';?7- 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 [5' BOND ❑ OTHER ❑ (Specify:) I certify,under the ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: guy,Zcfrc4 Boy Lt`ee ri"d' LAC.NO.: `9 )yfit` Licensee: 6 1'e 1. 4h d;vs...);, Signature X'', ."fi— LIC.NO.: (If applicable,enter" m t"in the license numberlie.) Z e pBus.Tei.No.•7C�`77 �--�/C Address: -3("'I /)e,11 c J-1.t .gr y i / tSci, 2,-:r els►�--� /'l'A. u:A-3 .:-- Ait.Tel.No.: _Ey Y-P177 Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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: $ ` ,