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Home My WebLink AboutBLDE-23-003474 ...-. Commonwealth of Official Use Only VMassachusetts Permit No. BLDE-23-003474 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:12/23/2022 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 electncafwork described below. Location(Street&Number) 11 PRINCE RD Owner or Tenant JOSELOW PETER Telephone No. Owner's Address JOSELOW ALICE C, 38 SUNSET DR, OSSINING, NY 10562 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 4101 p►4eters New Service Amps Volts Overhead 0 Undgrd ❑ o.q'Mete Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire pool and associated equipment. <, Completion of the following table may be waived by the lnspectdY of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers K A No.of Luminaire Outlets No.of Hot Tubs Generators IC1A 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 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 ❑ 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: 12/13/2022 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 perjug,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.J PERMIT FEE: S85.00 S't L sr4Ei_ /30,.3b .'Tout-/ 7-6l-0i't' /t/Z./Z `��CC�.-- NA 8(2, (lam ettaz alto/1-3 Cam- (Cm- ZAP ) L-(X0 :-(0%7(Norm Gaa �) 21t(42,3 t C mmomaealtk Mamaclumvlis Official Use Only • .et PermitNo. aEL3-3`j7'/ na reartmeni al Jiro Services OccuChe BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07]ya(aa edeblack)ked 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: 12/13/2022 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)11 Prince Rd Owner or Tenant Joselow Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes M No ❑ (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Existing Service Amps / Volts Overhead❑ 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: wiring of pool and pool equipement Completion of the followinv table may be waived by the inspector of Wires. Na.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans r'lo.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burnen No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices Na. No.of of Waste Disposers Heat r tals PumNumber Tons KW Detectioen/Alertingned Devices No.of Dishwashers Space/Area HeatingKW Local❑Municipal ❑Other P Cyyonnection No.of Dryers Heating Appliances KW Security No. f Devices or Equivalent No.of Water No.of Na.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Na.A dromassa a Bathtubs Na.of Motors Total HP Telecommunications Equivalent 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: (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 E BOND❑ OTHER❑(Specify:) I certtfy,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 /t�� LIC.NO.: 17318A (If applicable,enter"esempl"in the license number line.) (/ Bus.Tel.No:606-432-393 Address: 461 Lower County Rd,Harwich Port,MA 0' wo 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 Telephone No. PERMIT FEE:$85 Signature **Please fax a copy back to us at 508-430-6075** or e-mail to: keciaAhphcllc.com