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Home My WebLink AboutE-19-3432 (1) ' Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003432 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:12/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlomr the electrical work described below. Location(Street&Number) 20 DARTMOOR WAY Owner or Tenant TREIBER THOMAS S Telephone No. Owner's Address TREIBER ELIZABETH K, 76 LATHAM ROAD,WILLINGTON, CT 06279 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 0 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 Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 9 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/Alertine 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.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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 G&riO 7 Or/2, c? vi SIN nfner;O na,.a of tr/aiSac llJ nCcial Use On! 7 lli c7 p • ..Permit No. d Q` ON t/ = eparlmanf cf Ju...enrias 3 _ • Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS v. 1/07] (leave blank) APPLICATION FORTERMIT 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 ALLINFORMATIONj Date: /2 -5-17 City or Town of: YARMOUTH To the Inspector of Wires: Q . By this application the lmdersigned gives notice of his or her intention to perform the electrical work described below. eg • Location (Street&Number) 20 b cit yyl our (it)e7 YC V ' eel ovTI4 eor•{- J Owner or Tenant I 6.t.t Trct (a_r Telephone No. 2/•77/- 3Z ZOpfner's Address 1 t' 145 Permit in conjunction with a building 1 tO-- i` g permit. Yes 0 No ❑ (Check Appropriate Bar) 4.�j 0 1''ti ose of Building ' i'�,c�t to _ _ Uti&ty_.uthorization-No. LL u-, , 'I ting Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters __ V Ne I Service _ Amps / Volts Overhead❑ Uad d Cr ❑ No.of Meters f`S ` N_,ttqI��b�ei of Feeders and Ampacity -- Ui L.....;___jib' 'on and Nature of Proposed Electrical Work: (4,!L 91 Kw .5h-n A-6 W Co Y lap�o C 1 icy,.�•• Completion of the following table may be waived by 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 ln- No.of lsmergency lighting grnrL ^incl. ❑ Battery Units No.of Receptacle Outlets • No.of Ort 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. Ton' No.of Alerting Devices • No.of Waste DisposersHeat Pump I Number I Tons I KW No.of Self-Contained Totals; Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑tau:kipal nection 0 °ther No.of Dryer Heating Appliances KW Security Systems:' No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP telecommunications Wiring: No.of Devices or Equivalent C OTHER: ent _ • Attach additional derail Vdesired or as required by the Inspector of Wires. d Estimated Value of Electrical Work: (When required by municipal policy.) s Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. t 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 ' Q undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE in BOND 0 OTHER 0 (Specify:) I certify, under thurs and penalties of perjury,that the information on this application is true and complete. 5 FIRM NAME: ern a -VcnuI'S Ice tL LIC.NO.:_ 1 egg 7 Licensee: ,e,,,., M M . 14,4v{� Signature � '04 (If applicable enter"exempt"in the licens m er line) LIC.NO.: Address•. 3c crn3rc s, idc W. )j c//1 —Ic. M,4 6,p Bus.Tel.No: j •Per M.G.L.c. 147,s.57-61,securitywork requiresLicense: Alt Tel.No. o. — OWNER'S INSURANCE WAIVER I am are that tazheLicensee doestnot have the liabilityLin.insurance c ic required by law. By 0wcoverage normally my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent , Owner/Agent Signature Telephone No. I PERMIT FEE: $ 6