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Home My WebLink AboutBLDE-22-003922 Commonwealth of Official Use Only LA Massachusetts Permit No. BLDE-22-003922 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:1/14/2022 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) 300 BUCK ISLAND RD UNIT 11 G �/ l ` 9617 Owner or Tenant Saptarsai Ganguly 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: Replacement furnace. 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 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOSEPH P ROSE Licensee: Joseph P Rose Signature LIC.NO.: 21335 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Beverly Rd,West Yarmouth MA 026733559 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 NA- g(( O(c : ( L/) 31 tt113 � •(r.e.`.(St '46fi3 t Coyym��menwaafth ofecr77//amlachueffa Offi/ciaal Use Only /�r J ‘..4 v - rpartmetd of Jim JiruiceD Permit No. �C..3q/�t� 1I Occupancy and Fee Checked 5 1J BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/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: /—/4 gel, City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of bin or her intention to perform the electrical work described below. Location(Street&Number) ?C 6Ci( +C Owner or Tenant �� Telephone No. -(j/� '-)i)...9 Owner's Address (, Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters iNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rc,Wr 5v71 SO,,c, " s f(t en P, .. v) Completion of the f llowingtable maybe waived by the Inspector of Wires. otal lij No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.Transformers KVA Gt No.of Luminaire Outlets No.of Hot Tubs Generators KVA n Pool Above In- No.of Emergency Lighting d- No.of Luminaires Swimming grad. ❑ arid. ❑ Battery Units No,of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners I Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW., No.of Self-Contained Totals: Detention/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipalnnection 0 Other Co 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 Device s 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: 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-rM BOND ❑ OTHER❑ (Specity:) I certify,under the; �pains and pe (ties of perjury,that the information on this application is true and complete. / FIRM NAME: l .5,_ ,y(\' Ci'r 1 C LIC.NO.: 7)3 3S /\ Licensee�(f)CV V.s P I<' ' L j Signature (,.( �, 1 ,ry`, LIC.NO.:f (If applicabl enter' empt"iq the lice.�f umber lin�ee) 1 Jj�, Bus.TeL No.' F L C��(, Address:r ri I16Vcr\ I+1-rf I.�.1{G�r'r,. I'� a�(h-0 Alt.Tel.No.: °Per M.G.L.c.147,s.57-61,sdcurity work requires Department of Public Surety"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 Signature Telephone No. PERMIT FEE:$