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Home My WebLink AboutBLDE-19-000485 M. a Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-000485 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:7/24/2018 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) 38 WENDWARD WAY Owner or Tenant PRETTE MARCIA C Telephone No. Owner's Address PRETTI FABIO M,38 WENDWARD WAY,WEST YARMOUTH,MA 02673 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: In-Ground swimming pool. 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 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tom 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 0 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 Siens 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 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: BRIAN A SMITH Licensee: Brian A Smith Signature LIC.NO.: 24307 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:20 GELDING CIR,BARNSTABLE MA 026301503 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 SignatureaTelephone No. PERMIT FEE:$85.00 (Ccv -trs co vim) 7/30/8 l &INT. 60er Nati bar CR.fl1o) ` OW/ifs Nk_)).* /�mn»ntu L' o ///aleael-4-ffJ V �__�- `-° ��/�A f Ofneid Use OoIY r tt^^�� e�// ((�'� Permit No. 3cParf..msr of Jiro.Jeror�J .• BOARD OF FIRE PREVENTION REGULATIONS � jsjD7ryZ'dFeeCbecked (leave blank) -- APPLICATION FOR`PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in aecorizace wit the Massachusetts Electrical Code .I C), -27 CMR I 2-D0 (PLEASE PRINT INMIK ORTYPEALL INFORMATION) Date: err' r • • ? City or Town of: YARMOUTH By this application the ers dTo the Inspector of work describedor below. • q Location(Street&Number) i A.-A 411Aa"40 A OwnerorTenant r ?Q /aee7?,'' Telephone No. i Owner's Address ,� __________ Is this permit in conjunction with a balding permit? Yes ❑L" No Purpose of Btuldmg f� ❑ (Check Appropriate Box) NUtIIit/y Atrthor mmtion No. Existing Service Amps AP) 101410 Volt Overfiesd I! Undgrd❑ No.of Meters _ 11) New Service _ Amps / Volt Overhead❑ Undgrd Nnmbes of Feeders and 4mgsdty • ❑ NO. of Meters _ b _ Loaltion and Nature of Proposed eetricsi Work: 4 ric_.../. - Completion of the fofowinr,table may be weved by the Impactor of-Firm C No.of Recessed Lnmmsses INo of Cetlsp.(Paddle)Fans No.of Total No. of Lam; 'Generator ers KV4 Outlets INC.vfHotTuhs 'Generators S'VA ' No. of Luminaires IS�ming Pool Above El In- 0Au,or emergency Li ghtmg axed• =_tori. Batt - Dnits No. of Receptacle Outlet No.of Oil Burners ��AI..4R.M5 No.of Zones No. of Switches INo,of Gas Burners _ No.of Detection and No.of Ranges Total L°i4atmo Devices ,-�" a INa of Air Cond. Tons No.of Alerting Devices 1 Q ^'1r i, No.of Waste Disposers IHeatPump'Number Tons KW [No, of§elf-Contained Totals: I III �h+. Detection Alerting Devices o I No.of Dishwashers SpacelArea Hearing KW' I Mt aidpa! N t \ I COn ecdon ` No.of Dryers Security Systems:t Heating Appliances KW S No.of Devices or E L J i No.of Water Heaters KVJ To. of No.ofKW Signs Ballasts Data Wiring: i No. Hydromassage Bathtubs Na of Devices or Equivalent 1.L i �lNo. of Motors Total HP Telecommunications Wir ng - ^� O 1 ki> R Na of Deuces or Equivalent Attach additional detail 1,fderired or ar required by the Inspe:tor of Wires, II Estimated Value of Electrical Work Work to Start (When required by municipal policy.) VI Inspections to be requested in accordance with MEC Rule 10,and upon completion. Is 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 Ile undersigned certifies that such cov` a is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE L`7 BOND 0 OTHER 0 (Specify.) I cer4fy, tinder the pains and penalb.s 9f perjury, that the information on this application is true and complete •f FIRM NAME: .li. J! 1 / i LIC NOal Licensee: _.22(� : a rico Signature .�,� �� LIC NO.: (If pp ' bre, enter mpr n the license er lin �,�i Address: �" , /r Afar e A . Bus.TeL No. � j Per M.O.L. c. 147, s.57-61�w �� , �`� y Alt Lie. No.: OWNER'S TNSURAN security work requires Department of Public Safety"S•'License: Lie.No. �— ez CE WArVER: I am aware that the Licensee does nor have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owns es SignatureTelephone No. PERMIT FEE: $