HomeMy WebLinkAboutBLDE-23-003470 Commonwealth of Official Use Only
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Massachusetts Permit No. BLDE-23-003470
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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 electrical work described below.
Location(Street&Number) 185 SEAVIEW AVE
Owner or Tenant SECOND UPTON LLC Telephone No.
Owner's Address 18 CAMPION RD, NORTH ANDOVER, MA 01845
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check fpnriate Box)
Purpose of Building Utility Authorization No. 5 b S1
Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters r it t_(d L 6
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters t/ Gd11fi1,
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: New modular home,service and associated misc.
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 2 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 2 No.of Gas Burners No.of Detection and
Initiatine Devices
No.of Ranges No.of Air Cmid. 1 Total 1 No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1
Totals: Detection/Alertine 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 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: 12/20/2022 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:) ?79— S - b 2-S
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Eric J Sylvia
Licensee: Eric J Sylvia Signature LIC.NO.: 13901
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:87 LAUREL ST, FAIRHAVEN MA 027193836 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:$180.00
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RECEIVED UFA - /I' Y ---
'` 0 2D2f° ' .aL of/Y/a„acha,ati, Official Use Only m(ssa�
DEC 2 • l� Permit No. E7?-3,170
.�.I L o I h('��:L'1-A R-1 't nI o w Services Occupancy and Fee Checked
, ` - --:a.-e e - ' '-EVENTION REGULATIONS [Rev.1/071 (leave blank)
cAPPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
� All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 R 12.00
(SS (PLEASE PRINT IN INK OR TYPE ALL INFOR ON) Date: /p�/f-e 9p--
City or Town of: ,XM p u To the Inspector o Wires:
By this application the undersigned`gives notice o his or her intention to perform the electrical work described below.
Location(Street&Number) /Y-S ij,t 27‹.• /Cy
Owner or Tenant �i>ly.r_CK,'7' Telephone No. 777/, /-d yv25"--
Owner's Address
�. is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
VD
cei Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
— '
New Service (PM, Amps me 1vp Volts Overhead Undgrd❑ No.of Meters I
Number of Feeders and Ampacity ,I/O g/,Location and Nature of Proposed Electrical Work: / `AA ito-44 Q -- cp.,"rI iG" 46. /2-C',
GJr92A—r/F�<o*---^�
VI Completion of followin !able may be waived by the Inspector of Wires.
mo.of Total
(11 No.of Recessed Luminaires No.of Cei.-Susp.(Paddle)Fans Transformers KVA
Z KVA
C No.of Luminatre Outlets No.of Hot Tubs Generators
Above in- No.of Emergency Lighting
No.of Luminaires (. Swimming Pool grad. ❑ krnd. 0 Battery Units
'r No.of Receptacle Outlets L No.of OB Burners FIRE ALARMS No.of Zones
F` No.of Switches , No.of Gas Burners l No.of Detectioni and
Initiating Devices
ILIto No.of Ranges No.of Air Cond. 1 Toms f No.of Alerting Devices
No.of Waste Disposers Rat Pump Number Tons._.__KW_ 'No.of Self-Contained /
Totab: Detach n/Alertina ksN L Dev
No.of Dishwashers Space/Area Heating KW Local 0 Connection ElOther
No.of Dryers Heating Appliances KW No.Securityy
of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
ICW
Heaters Signs Ballasts No.of Devices or Equivalent
No.R dromass a Bathtubs No.of Motors Total HP TelecommunicationsNfDevices
or Wiring.
y ag No.of Devices or Equivalent
OTHER:
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of El cal Work: 7a 5"3t� (When required by municipal policy.)
Work to Start:_Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE CO RAGE: 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� i}issuing office.
CHECK ONE: INSURANCE flQND❑ OTHER ❑ (Specify:)// Way[ �
I certify,under the ins and penalties of ary, at the information on es application is tr a an cons ate.
FIRM NAME:/ /ri/- C rG LIC.NO.: /3ye,/-,q —
Licensee: .ice—r//l' .s/ Signature .NO.:giYl --
(If applicable.enter"exem t"it lieq+se n9n line.) Bus.Tel.No.•
Address: f 7 ��.�Q / •1 ^line.),
' 6' 7// AIL TeL No.: 775-IFF-12Y-5--
'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)0 owner 0 owner's agent.
Owner/Agent PERMIT FEE:$
Signature Telephone No.