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Home My WebLink AboutBLDE-19-001665 s of Official Use Only �� Commonwealth / ar Massachusetts Permit No. BLDE-19-001665 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:9/19/2018 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) 177 WEBBERS PATH Owner or Tenant BAUDO RITA J Telephone No. Owner's Address 177 WEBBERS PATH,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 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: Replacement HVAC / / 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 Ae 0 In- CINo.of Emergency Lighting grbovnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 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 ❑ 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 Signs 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: James M Venuti Licensee: James M Venuti Signature LIC.NO.: 15798 at 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 0 owner's agent. Owner/Agent Signature Telefphone No. PERMIT FEE:$50.00 �12c/e gee 6)2.0r �� l.ommoneveakh oil tt/assechu.setti Off�i�alal77Use Onlyl / V 101-,'W c�, c7 �s Permit No. GV�r l LOG.- __=m= 1JeparGrteni v`Jire Jervices = `ft Occupancy and Fee Checked _- BOARD OF FIRE PREVENTION REGULATIONS . I107] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PR IN INK OR JPEALLINFQP 1T1Q4\9 Date: 9—/9/7 City or Town of: YARMOUTH To the Inspector of Wires: . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Nnmj 1 �jer) I -1 i4 6 Ipy� Owner'or Tenant ie.r-T'a. , �,aan Telephone No„$�$ �f) _,_ ____ Y Owner's Address ra Z s this permit in conjunction with a building permit? Yes 0 No ui �; urpose of Building ❑ (Check Appropriate Box) rUtility Authorization No. a zistlng Service Amps / Volts Overhead a Und gid❑ No.of Meters 111 --I° o ew Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters 0 amber of Feeders and Ampaclty V 1 , z ua r�Vp ocatlon and Nature of Proposed Electrical Work; i!VA.c. )/1 pl y}. ` rte//obi y J o� M _ ,co 'T Completion of the folfowinp table may be waived by the Inspector of Wirer, No.of Recessed Luminaires No.of Cert Susp.(Paddle)FansNo.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Ah ❑ In- No.ofLmergency Lighting grad. crud. ❑ Battery Units 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 Air Con& Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Leal Municipal ❑Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:' No.of Water No of No.of Devices or Equivalent Heaters KW No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na of Devices or Equivalent OTHER: - • Attach additional detail(desired or as required by the Inspector of Wires. v Estimated Value of Electrical Work: (When required by municipal policy.) QWork to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. fINSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless 1 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [B OND 0 OTHER 0 (Specify:) -P I certify,under Awing and penalties of perjury,that the information on this application is true and complete. FIRM NAME: J --",c-is M.Ve r u ii BICQ4 1C. J rsNw LIC.NO.: l S')9 P Licensee:z-a,„„s pet.Vey+�St, Signature G LIC.NO.: (if applicable,enter" tempt••in tkee lieenr'e�9mpber line) p Bus.Tel.No.- ____ _ tS Address: AO 3 CSs�h s r... V. 6,,,-.1 4-4.1c._ M _j 'Per M.G.L.c. 147,s.57-61,securitywork requiresAlt.Tel.No.: OWNER'S INSURANCE WAIVER: I am are that Licensee does not have the liability insurcense: ance coverage normally required by law. By my signature below,I herebywaive this c Owner/Agent requirement. I am the(check one)❑owner ❑owners agent Signature Telephone No. I PERMIT FEE: S 613-1