The URL can be used to link to this page

Home My WebLink AboutE-18-5673 • .A- V l N ette Commonwealth of Official Use Only fi....,1 Massachusetts Permit No. BLDE-18-005673 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.l/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:4/10/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 30 LOCUST ST Owner or Tenant LENTROS ANGELA Telephone No. Owner's Address 280 ELIOT ST,ASHLAND, MA 01721-1153 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: Remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 11No.of Emergency Lighting grad grnd. Battery Units No.of Receptacle Outlets 30 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 1 No.of Air Cond. Tonal No.of Alerting Devices 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 a Other: Connection No.of Dryers 1 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: 3 No.of Devices or Equivalent OThER: Attach addmonal 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: James A Berini Licensee: James A Berini Signature LIC.NO.: 14233 (Ijapplicable,enter"exempt'in the license number line.) Bus.Tel.No.: Address: 106 HARTFORD AVE W, MENDON MA 017561035 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 aorta- +lig et q-- IN—Se nal Str2oz . bits//8 et CL -(/ 6jn(iS— Print Form r /� 9/ �q F's l-ommonwealth oi///aooachuseffe ,Official Use On �� r._— E• ccyy cc77 nn PennitNo. Il/ 13--- c. �It 5 Jiepartmant pin Services ,. ,,!j< z Occupancy and Fee Checked ..,{ ,,-• BOARD OF FIRE PREVENTION REGULATIONS_ k/ [Rev. 1/071 (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: 4/9118 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)30 locust St Owner or Tenant peter lentros Telephone No. 5083803339 Owner's Address same Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building home Utility Authorization No. Na Existing Service 200 Amps 120 / 240 Volts Overhead ❑.✓ Undgrd 0 No.of Meters 1 AN New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity one 200a 120/240 volt 1 phase I F Location and Nature of Proposed Electrical Work: rough and finish wiring for remodel w U.i c7?-1(. ...' Completion ojthe follawin,, table may be waived by the In ector of Wires. i' - N ¢ No.of Recessed Luminaires No.of Ceil. Susp.(Paddle)Fans 1 TransformersNo. f Total KVA mu. c �, w liJ -r Ft o (o.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting (� p,._ ,'o -Qo.ofLnmieairesl0 Swimming Pool Brod. ❑ grad. ❑ Battery Units W c(-J 'so,of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS No.of Zones MI Io.of Switches 15 No.of Gas Burners No.of Detection andLIC Initiating Devices Tota No.of Ranges 1 No.of Air Cond, Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _ KW _ No.of Self-Contained p Totals: .... .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW 6 Load❑ Municipal Connection ❑ Other No.of Dryers 1 Heating Appliances KW Secus:* 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 NofDeiceor Wiring: 3 No.of Devices Equivalent OTHER: Attach additional detail iifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6500.00 (When required by municipal policy.) Work to Start:4/10/18 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 El BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and completes FIRM NAME: berini electric LIC.NO.:a14233 Licensee: fames berini Signature LIC.NO.:a14233 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.•5082452242 Address: 106 hartford ave west/mendon ma 01756 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)D owner ❑owner's agent. Owner/Agent I PERMIT FEE: $ 7S" Signature Telephone No.