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Home My WebLink AboutBLDE-19-2919 � Commonwealth of koffreialuaeonly � Massachusetts Permit No. BLDE-19-002919 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:11/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto n he elect al worIceggVT.442c Location(Street&Number) 148 BERRY AVE Y t 1 Owner or Tenant NICODEMI DAVID P Telephone No. Owner's Address NICODEMI DALE M,4 OLD PARK LN,WESTFIELD, MA 01085 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 ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Run circuit to garage via U/G conduit. 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- 13No.of Emergency Lighting grb girnd. 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 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 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 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,oras 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: Kevin A Cronin Licensee: Kevin A Cronin Signature LIC.NO.: 11275 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:238 SHERI LN,S WEYMOUTH MA 021901254 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:$50.00 Thtb¢ 491tairtll((die :/ t.ommoSUMS Off MadSac tta sial Use Only 'yi. tie 9— 9 parimenl al fp s Permit No. -!I_ j J BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEG), 27 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I/ //3)/ p. City or Town of: YARMOUTH To the Inspector of Wires: U By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) / If iS r re Py ,.✓. Owner'or Tenant rn I ler 7 4 Al 4 RPO Telephone No. 7Z�r.circ Owner's Address / teY frLyj/ay 3 (,u, ) 4nmd�. M a Is this permit in conjunction with a building permit? /*Yes Er No d ��L (Check Appropriate Box) ' Purpose of Building - T ( -Artjj ce Utility Authorization No. Existing Service /CV Amps (2e /.11/4/0 Volts Overhead [9 Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead❑ Undgrd gr ❑ Ne.of Meters Number of Feeders and Ampacity � ,.3 ,,cCaur /f-+ l ier/kC./F Location and Nature of Proposed Electrical Work: -A S 173-// r cope.- 'r Q_t'1uA2-T) /4043E il-no (110f Completion of the fonawinttable may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of Cell-Symp.(Paddle)Fans • No.ofTotal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In-grad. O ;Lott.osttteryUmenirtsgency Lighting - Crud. 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 Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat PumpNumber Tons KW No.of Self-Contained - Totals:I I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 °li!ce No.of Dryers Heating Appliances icw Security Systems:" - No.of Water No.ofNo.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wrin : No.of Devices or Equivalent OTHER: - ^ Attach additional detail if desires(or as required by the Inspector of Wires. Estimated Value of EI ctrical World �!1Z— (When required by municipal policy.) Work to Start: 1 ! Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV RAGE: 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 ofpUl perjury,that the information on this application Zrtrue and complete. FIRM NAME: k€um/ A- (A2cii/0 LIC.NO.: a17). Licensee: pant /a GOcn/In.J Signature _....wa (If applicable.enter"exempt"in� cense number line.) �� J � TeL NO.: Address. 7 L/ (:/-5 / Ai SO A,�.�n Bus.tTeLNo.: '7f/:fir/(' J �to ',r' Ct1G�y Alt.TeL No.: 'Per M.G.L.c. 147,s.57-51,security work requires epartment 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 t required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. r Owner/Agental g Signature Telephone No. I PERMIT FEE: $