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Home My WebLink AboutBLDE-19-000869 P• Commonwealth of Official Use Only E* Massachusetts Permit No. BLDE-19-000869 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:8/14/2018 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) 45 WIANNO RD Owner or Tenant SCHWARTZ ALAN P Telephone No. Owner's Address SWISZCZ HELEN M,45 WIANNO RD,YARMOUTH PORT, MA 02675-2178 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 ❑ 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: Replacement NC system 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 0 In- 1:3No.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 Initiating Devices No.of Ranges No.of Air Cond. 1 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 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Stens 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: 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 ❑ 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: JAMES M VENUTI Licensee: James M Venutt Signature LIC.NO.: 15798 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 ,/� ry ammomood&of Maeaacliaeeits Official Use Only V)/// VUV_ u 1 yls ccy7 cc77 n PermitNo. ,r _ . .lJeParlmsnl o` }Ire Jirvied "�` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07j (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 INFORACITIO ,9 Date: 2—/q-1 i City or Town of: YARMOUTH To the Inspector of Wires: • . By this application the tmdersigned gives notice of his or herintention to perform the electrical work described below. • Uv Location(Street&Number) t/5 t arino £ct Owner'or Tenant Al Ie-.1 4i-'erg"? Telephone No.j7-;4t7 6173 Owner's Address a Is,lit iii permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) LU a'' Pulrp se of Building > 0 I5 Utility Authorization No. `" Exists 1 Service Am w Ps / Volts Overhead 0 Undgrd❑ No.of Meters LU r fir Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Q U 5 Nam r of Feeders and Ampacity —' ioatII al Lbeon and Nature of Proposed Electrical Work: w i€ A r`pl cccraen 4 ATC- SY S Completion of the follenving.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 Swimnilng Pool Above grnd. 0 B❑ In- No.ofatteryUnEmeitsrgency Lighting - gmd No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Mr Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number}Tons I KW No.of Self-Contained ontained Totals: Detection/Alerti?g Devices No.of Dishwashers SpacelArea Heating K ' Local Municipal ❑Connection ❑ Oth W o No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of KW Heaters Signs Ballasts DatNo.of evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent OTHER: 0 Attach additional detail ifderireel or as required by the Inspector of Wires. ci Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule I0,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 cart-BOND overs a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE CY BOND 0 OTHER 0 (Specify:) 0 I cern%'',under th�e airs and penalties of erjury,that the information on this application is true and complete. FIRM NAME: . ) in..e�j JA.�cAvart �a t r i"'tU r�'� LIC.NO.: Licenser: J e_vne.9 M.VW u{) Signature �G:r v2' LIC NO.: / 9g' r (If applicable,enter,"fFempt••in the licprys mnnber line. / Bus.Tel.No. = 000 Address. 30 JoStei,$ f in. ) re--' . j J 'Per M.G.L, c. 147,s.57-61,security work requires Department of Public SafetyAlt.Tel.No.: c.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurarnce coverage o 1-< required by law. By my signature below,I herebywaive this r Owner/Agent requirement I am the(check one)❑owner ❑owner's agent i Signature Telephone No. I PERMIT FEE: $ SQ—