The URL can be used to link to this page

Home My WebLink AboutE-19-2361 Commonwealth of Official Use Only Permit No. BLDE-19-002361►E_ .�;�� Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.l/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:10/22/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) x.12 MANOR PATH Owner or Tenant DINUNZIO JOSEPH H&DEBORAH LVG TRUST Telephone No. Owner's Address 51 EUSTIS STREET,ARLINGTON,MA 02476 _ Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Replacement condenser.(HOUSE#12) 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. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Ileat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Ileating 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Gary L Gordon Licensee: Gary L Gordon Signature LIC.NO.: 15290 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 .e_fl ce z rM ". Commonwcalg oil�e-'/l e.,s, aclvua( O+i-n�cie�llU�se Only ^�/ • 1JeParlmcrt o{.Y'iro�errriceJ Permit No.��` l -j `e, e.im BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • Rev. 1/07] (leave blank) C'� APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK (isi All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR I2 00 1 / (PLEASE PRINT INIArKORTYPE ALL INFORM4T10N) Date: /p I PI/ / R IDIDCity or Town of: YARMOUTH To the Inspector of Wires: I . By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. n)�XtgJl i Location (Street&Number) / � "Ai A— --14/7-- /_ jtj✓�' Owner orTenant /� / `' p J P Z/ 0 Telephone No. JJ Owner's Address if/'_ ^d' Or Is this permit in conjunction with a wilding permit? Yes ❑ No ❑ (Check Appropriate Bar) P✓�� id . Purpose of Building �a )Yr Sty Authorization No. I Existing Service/,s Amps / / ()Volts Overhead Undvrd e 7( ❑ No,of Meters New Service Amps / Volts Overhead Undgrd ❑ NO. of Meters _ - } {- �tv Number of Feeders and Ampacity A v n AIN c Location and Natnr of Proposed ectrical Work: Tea?- ? —. , C. , / Completion of the fofowinz table mcy be waived by the Inspector of Wirer. WIWINo.of Recessed Luminaires INo.of Cert-Snsp.(Paddle)Fans Transformers KVA No.of Luminaire Outlet 'No.of Hot Tubs (Generators • KVA ' Na of Luminaires 'Swimming Pool Above ❑ In- INo.of irmergency Ughang enrd. and. ❑ Battervlints No. of Receptacle Outlet . No.of Oil Burners IF RE ALARMS No.of Zones QNo. of Switches No.of Gas Burners o.of P etecuon and Initiating Devices No.of Ranges INo.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number IToas I KW o,of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Municipal Low❑Connection ! 0 other WNo. of Dryers Heating Appliances Security Systems 11-1;j'•-• No.ofWater No.of Devicesor Equivalent �tNo.of No•ofData Wvmg:m Heaters Signs Ballasts v w Na.of Devices or E.uivalent (� uj o o.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: " I —� t1Tn z • No.of Deuces or Equivalent W �� • • Attach additional detail if derired or required by the Inspector of Wirer. U G° i m timaValue of EI tical Work 3 7.5r,--- ted (p hep required by municipal policy.) "ork to Stare / Inspections to be requested in accordance with NEC Rule 10,and upon completion. INSURANCE 0 RA E: 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.) 5 r certify, under the pains r�e-nn'JAes of pet-jury,t at the information on this application is true and complete. FIRM NAME:_cC Ne-Sas a_ a o � J �� LIC.NO.: , zg_ Licensee: Sot"-amp c5o p4n) Signature .41 7 LIC.NO.:Lyle: (If applicable,enterr"Inehe license number fine. / Bus.Tel.No.- . Address: 57 6ii/#4 t pr- Pc( J "`Per M.G.L.c, 147,s.57-61, ecoty Alt.Tel.No.: — OWNER'S INSURANCE WAIVER Iran aware schar the Licensee dobes noc t have the liabilityinsurance Na. -z required by law. By my signature below,I herebywaive this requirement. o 0wncoverage normally- Owner/Agent I am the(check one)❑owner 0 owner's Signature Telephone No. II PERMIT FEE: $