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Home My WebLink AboutBLDE-22-005264 Commonwealth of Official Use Only E. �\ Massachusetts Permit No. BLDE-22-005264 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:3/21/2022 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) 42 POMPANO RD Owner or Tenant Jacek Telephone No. Owner's Address 42 Pompano,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check tgSpty),riate Box) Purpose of Building Utility Authorization N � �JJ Existing Service Amps Volts Overhead 0 Undgrd New Service Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity ��' Location and Nature of Proposed Electrical Work: Installation of 2-Electric Car Chargers ////_QQ��le Completion of the following table may ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of / ,��// ((((((//////Total Transformerscit KVA No.of Luminaire Outlets No.of Hot Tubs Generators / `j KVA No.of Luminaires Swimming Pool :rode ❑ grod. ❑ Battery No.of mergsency Lig . 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 Initiatine 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 ICy No.of No.of Ballasts Data Wiring: Heaters Sims No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: 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:$50.00 Commonwealth, o//adJaciuessttJ Official Use Only ►1-** , c-� c7 PennitNo. r' O t^ ' 29/3a rime nt o�J`ire �ervice3 •.=__=�(=��' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] ''�," blank) „s• (leave 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: 3/17/2022 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) 42 Pompano Owner or Tenant Jacek Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Existing Service Amps / Volts Overhead El 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 of two electric car chargers Completion of the following table may be waived by the Inspector o_/'Wires. No. ofNo. of Recessed Luminaires No. of Ceil: Transformers KVATota Susp. (Paddle)Fans 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 of No. of Switches No. of Gas Burners No. Initiatinnggon Dete and In Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices g Tons No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained p Totals: Detection/Alerting Devices No. of Dishwashers Space/Area HeatingKW Local ❑ Municipal ❑ p Connection Other No. of DryersHeating Appliances KW security Systems:* No. of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts _ No.of Devices or Equivalent No. H y g dromassa a Bathtubs No. of Motors Total HP Telecommunicat No.of Devicesons Wiring: or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 800 (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 EN BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, 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 "exempt"in the license number line) Bus. Tel. No.:5°8-432--3959 Address: 461 Lower County Rd, Harwich Port, MA Okoz+o Alt. Tel. No.: *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 PERMIT FEE: $ 50 Signature Telephone No. ** Please fax a copy back to us at 508-430-6075 ** or e-mail to: keciac hphcllc.com