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Home My WebLink AboutBLDE-19-003645 ,j`_ Commonwealth of Official Use Only �E4�;►\ Massachusetts Permit No. SLOE-19-003645 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:12/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonu(tie electrical work described below. Location(Street&Number) 21 &23 MANCHESTER RD Owner or Tenant SARNA ALAN J Telephone No. el il 1 Owner's Address SARNA RANDY,21 MANCHESTER RD,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a buildingpermit? Yes 0 No ❑ (Check Appropriate Bo %t 1 x'Y 1 Purpose of Building Utility Authorization No. 2312465 f1 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 meter socket. 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 0 Io- ❑ No.of Emergency Lighting grnd. gmd. 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 Heat PumpNumber Tons KW No.of Self-Contained No.of Waste DisposersN` Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ M n is pial an 0 her: CNo.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: Mark A Contonio Licensee: Mark A Contonio Signature LIC.NO.: 21143 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 102 N WESTGATE RD, HARWICH MA 026451600 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 i 1/47—/ C G C/C1Cei� • - Coma;noea&of rr/assacgjs s1 Use Only = l F)✓1'c Apart-mutt cc77 pp � Aparfmant of.Yin Services Permit No. '��- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/0 . r (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 PRINT IN INK OR TYPE ALL INFORM477ONj Date: /a•/9e/8 City or To of: YARMOUTH To the Inspector of Wires: By this application the undersigned giv , ;,.ti e of,' or her intention to perform the electrical work described below. i.� Q'�...._.� 'on (Street&Number) , �.%t'' �, .-- y -a rat S 3•/ frame ,er : — 'n — wn for Tenant j4-c/rnr 52N4 Telephone No. I J o Own�� is Address `" Is tAis permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) r 11 q-.-4 Pu P.0 ose of Building Utility Authorization No. :2312`l6 S- o�ty ,'Eniiting Service Amps / Volts Overhead 0 Undgrd 14. 1 O -= i gr ❑ No.of Meters Ne Service _ Amps / Volts Overhead 0 Undgrd 0 No,of Meters — ---1 Nu ber of Feeders and Ampacity --LBdation and Nature of Proposed Electrical Work: ,p^a6,t0 Grit L : ��ay✓t5 ,'7nFJL .oc.-KEr ,c,4-:c e per t Completion of the followin&table may be want by the Inspector of Woes. 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 Ia- No,olt.mergency Lighting ¢rnd. grnd. Q 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 Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number Tons I KW No.of Self-Contained Totals: Detection/AlertirtgDevices No.of Dishwashers Space/Area HeatingKW' Munici al Local Q Connection 0 firer No.of Dryers Heating Appliances Kw Security Systems:" No.of Water No.of Devices or Equivalent 1� Heaters KW No.of No.of Data Wiring `V Signs Ballasts No.of Devices or Equivalent Cl No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: — No of Devices or Equivalent _ 1 OTHER; Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical World (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 p undersigned certifies that such covers e n force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ONO 0 OTHER ❑ (Specify:) Rk I cernfy, under the pains and penalties ofperjar1,that the information on this application is true and complete. FIRM NAME:_LAIC n.s?2 j./G LIC.NO.:a V Licensee: /f7,gjt_,e. asT N!O Signature ,•••"4.---**-- LTC.NO.: A5c7i-5-7 (If applicable.enter"exempt"in the license mini bet line) Bus.Tel.No:�_ Address: 0.2A1. t/JFSTA•f E . , Alt.Tel.No. j Per M.G.L.c. 147,s.57-61,security work requires 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 required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner 0 owner's agent. t Owner/Agent 0,i Signature Telephone No. 1 PERMIT FEE:$