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Home My WebLink AboutBLDE-19-002851 ki// Commonwealth of Official Use Only a. i E Massachusetts Permit No. BLDE-19-002851 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 \. (PLEA SE PRINT IN INK OR TYPE ALL INFORMATION) Date:11/8/2018 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) 34 GREENLAND CR Owner or Tenant GALLAGHER KEVIN M Telephone No. Owner's Address 34 GREENLAND CIR,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen remodel. 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 U In- a 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 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 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 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 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 Alt.Tel.No.i "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 q)1be et— 64e_ctib _ p_ict1400143tmer_ 44e..eLove_ Ntrsei fevcS)krn a r I arrun;m ss&o f Mattocks-4*lft Official Use On es- y/.-r�� _ c-� c7� eIl $ ( _ni .2/apartment of yirr S'erviest Permit No. 'ft.- Occupancy and Fee Checked 2 BOARD OF FIRE PREVENTION REGULATIONS ev. I107] (leave blank) �� APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK ' >11 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PP&Vrrjl INK OR TYPE ALL INFORM4TIOA9 Date: /1-7—/7 City or Town of: YARMOUTH To the Inspector of Wires: By this application the Imdersigned gives notice of his or her intention,to perform the electrical work described below. • . Location (Street&Number) 3`l 4,re_ I<I,.,,r £ CI re-I C_. yc rr.r o•-•11A pearl— Owner tn-Tenant ear{— Owner'orTenant Ke..r;,,) 0-11.11,— Telephone No. �o$-3p Owner's Address 'r—� 7�Z ' Is this permit in conjunction with a building permit? Yes 0 No Purpose of Building 0 (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead Q l Undgrd❑ No.of Meters _ i ew Service __ Amps / Volts Overhead ❑ Undgrd ❑ No,of Meters amber of Feeders and Ampadty r" --,...4 re ocation and Nature of Proposed Electrical Work a j IC +w V cwrelcl r �r I 1j.1 Completion of thefoilowingtable may be waived Icy the Inspector of Woes. V � Z o.of Recessed Luminaires No.of Cell-Sits?. No.of p2.851 usp.(Paddle)Fans Total o Transformers KVA al Z _, , o,of Luminaire Outlets No.of Hot Tubs Generators KVA Et • m io.of Luminaires Swimuilng Pool Above In- No.oTl mergency Light ng - ernd. Q grnd_ Q Battery Units No.of Receptacle Outlets No.of OR 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 Pump I Number 'Tons I KW No.of Self-Contained - Totals: Detection/Alerting Devices No.of Dishwashers - Space/Area Heating KW' Local Q Maalcipal • Connection 0 other No.of Dryers Heating Appliances Security Systems:* No.of Water No.of Data Wiring No.of Devices or Equivalent Heaters No.of Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent • Attach additional detail ifdesired or as required by the Inspector of Wires. 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. `; 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 cover�s a is in force,and has exhibited proof of same to the permit issuing office. — CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) 2 I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:;j yr/GS M.V t-' r/c.d -t i_. .1>, LIC.NO.: / _9 i' Licensee: 3:.,„.. cs Ai.Urnut Signature }� ,_/i✓' LIC.NO.: e (If applicable,enter"es�pt' in thep lieens�/number line.) Address: 4_3p JpStehS rem (i✓, /geryls I Bus.Tel.No.• 'pOob j Per M.G.L.c. 147,s.57-61,securitywork requirescLAIL Tel.No — OWNER'S INSURANCE WAIVER: I am ware that the Licensee oes not have the liabilityLie.cense: insurance coverage e required by law. By wcovers a no's ay my signature below,I hereby waive this requirement I am the(check one)❑owner El owner's agent. t Owner/Agent Signature Telephone No. I PERMIT FEE:S 5 D 1