Loading...
HomeMy WebLinkAboutBLDE-19-003431 Commonwealth of Official Use Only Wi 1°..0 Massachusetts Permit No. BLDE-19-003431 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ (Rev.1/07] 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:12/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice ot his or her intention to perform the electrical work described below. "� Location(Street&Number) 7 CHRISTOPHER HALL WAY ' Cl,LSt /✓1 ' CGYV Owner or Tenant rue+' '• *IMU:.-.- OF Telephone No. Owner's Address 'ISTOPHER HALL WAY,YARMOUTH PORT, MA 02675-1217 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: Install generator. 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 1 KVA No.of Luminaires Swimming Pool Above ❑ In- 1:1No.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 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 Kr . No.of No.of Data Wiring: Heaters - Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: l 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 (If 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 Telephone No. PERMIT FEE:$50.00 IDee:S14(P - Y/ __� l.onunortaita o///las6aal=welfi Offrciai Use Only -tri 2e arfinent o L rmit No. eS P arvices ••• - BOARD OF FIRE PREVENTION REGULATIONS upancy 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(MEC),527 CMR I2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12-5-Ig 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) D CC-,n 5..1__...�••t c �1 11 W.Y • FO er'orTenant 3;11 "'( 6 z� Sr""eSein Telephone No.�fYpO=cicloy � er's Address 'Q 1-ti `..91-1. K is permit ine conjunction with a building + r N ` permit? Yes ❑ No 0 (Check Appropriate Box) L� �u ose of Building - _____ Utl[ityAuthorfzationNo O ll! (� ' 'ng Service Amps / Volts Overhead ❑, Undgrd❑ No.of Meters o t8 1'414 en'ice _ Amps / Volts Overhead❑ Undgrd t r ❑ Na.of Meters _ 4.0 Ill Nim r of Feeders and Ampacity l CC Luca 'on and Nature of Proposed Electrical Work: w re-L- �'L Let-, S rr (A e)c— kcsust. f`rc. tr- ..s-t. �' `jc•fc2>�xr W/ Completion of the followitTvable may be waived fy the Inspector of Wires. No.of Recessed Luminaires No.of Ceti.-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 taghung - ernd. 0 In-d. 0 BatteryUnits 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 W No.of Self-Contained Totals:I I I KDetection/Alerting Devices No.of Dishwashers Space/Area HeatingMun ' al KW' Local0 Con inciP'on ❑ Other No.of Dryers Heating Appliances KW Security Systems:` No.of Water No.of No.of Devices or Equivalent Na.of Heaters ICW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs 'Telecommunications Wiring: No.of Motors Total HP g: OTHER ' No.of Devices or Equivalent - Attach additional detail if desired or as required by the Inspector of Wires. v Estimated Value of Electrical Work: • (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. tl INSURANCE 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 cove a is in force,and has exhibited proof of same to the permit issuing office. t� CHECK ONE: INSURANCE 9" OND 0 OTHER 0 (Specify:) -t I terrify, under tlt�ains and penalties�/ofpelrfary,that the information on this application is true and complete. r FIRM NAME: 3aWICg M.Utnufi SI c- L,ync /� �/\ LIC.NO.: 4I�79J ti) Licensee: ,",tom _��v h Signature . (Ifapplicable.enter empt"in the lite�a number line.) LW.NO.: Address: 3o JpSic.(.IS Y•Th 1,4 r ewSki.)c.M,g- O'? Bus.t Tel.No.- COj Per M.G.L.c. 147,s.57-61,securitywork requiresLice Alt TeL No.: Department of Public Safety"S"License: Lie.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 am the he(check one)0 owner ❑owner's agent. r Owner/ AgentIC Signature Telephone No. I PERMIT FEE: 5 s