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Home My WebLink AboutBLDE-19-003138 L\11/17 Commonwealth of ------- Official Use Only Massachusetts �E� Permit No. BLDE-19-003138 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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•11/20/2018 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) 319 MAYFAIR RD Owner or Tenant PENTA ANTHONY J Telephone No. Owner's Address 319 MAYFAIR RD,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ 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: Remodel kitchen. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 6 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units s/------. No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of-ones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 Space/Area Heating KW Local ❑ Municipal ❑ 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 Slens 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 ❑ BOND 0 OTHER 0 (Specify:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Adam G Lepire Licensee: Adam G Lepire Signature LIC.NO.: 21742 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 PICASSO PL,OSTERVILLE MA 026551245 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:$75.00 cljU}a-L V,b (Lb l V41 titi ✓l 1t/ ilk .54 n Ill yt C ccommorwsat •ofec7mat�ch . _ //O�fffi�ciaall Use On ��'�� 'tl\ ' `/1i1L 1J arlmanE o/,}ire. arvice! •Permit No. t. t 1 �i( e iii -- BOARD OF FIRE PREVENTION REGULATIONS ev.Occ1/a7] (l an bhmkcked ev. lro7j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code(ME 527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: as(ME ie City or Town of: YARMOUTH To the Inspector of W es: By this application the undersigned gives notice o his or her intention to rm the electrical work described below. . tion(Street&Number) 3/? 1.1-/2 A a erorTenant I Telephone No.7l�/ LU W 'x/203 m -' :er's Address rev ' QIs is permit in conjunctio with a building permit? Yes ❑ No O .-, (Check Appropriate Buz) lJ I o use of Buildings f �N / Utility Authorization No. O CE p Service Ampa / Volts Overhead ❑ Uad d gr ❑ No.of Meters _ LLI -FIN w Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters I CL " �N.tuber of Feeders and Ampacity • --- t tion and Nature of Proposed Electrical Work: rte�/� //7 6h b_T/ f ILw!d / Completion ofthe following table may be waived by the I nsotal of Rims.[1 No.of Cell-Susp.(Paddle)Fans No.of Total No.of Recessed Luminaires Transformers ICVA No.of Luminaire Outlets /_ No.of Hot Tubs Generators ICVA No.of Luminaires 4` SwimPool g mfn Above ❑ grmd. ❑ BIn_ Nattery Uo.of L�mnitsergency Lighting - grad. 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 TNo.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers ' / Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating ' Municipal / KWLocal 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring Signs Ballots Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP telecommunications Wiring: No.of Devices or Equivalent OTHER: — • Attach additional detail ijderired or as required by the Inspector of Wires. Estimated Value of Electri World /5777 (When required by municipal policy.) Work to Start �/ 249 18 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 c,_o,v,�a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE L{1 BOND 0 OTHER 0 (Specify:) I tenth, under the pond penalties ofMary,that the rmatfon on this application is true and complete. FIRM NAME: (/ 17t'� il � � LIC.NO.: Licensee: )fjtt4 (��°IR,,C Signature �/j�_ (If applicable,enter"exempt"in the license rtvmber line.) v _ e LIC.No: - - ' Address. S r/t'��<-r7 ect 09315JAJ fLL Q6S But.Tel. Z j 'Per M.G.L. c. 147,s.57-61,securitywork reAlt.Tel.No.: 7p� quires Department of Public Safety"S^License: Lie.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent Owner/Agent jSignature Telephone No. I PERMIT FEE: $