The URL can be used to link to this page

Home My WebLink AboutBLDE-20-000032 o Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000032 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:7/2/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 109 CONSTANCE AVE Owner or Tenant GIARDINQ-GLANVILL MICHELLE M Telephone No. Owner's Address - ;. a`•, 109 CONSTANCE AVE,WEST YARMOUTH, MA 02673 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Mini-split system. 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 ❑ In- ❑ 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. 1 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 ❑ 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 _ , Siens 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"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 7fre,i( 0-4DaicsAwe OtoteG • c:- CA _ - lrommonrusa o�/i/cdsac�Zu�affs Official Use Only "-_ `__ ./ • c�, Permit No. �e0 —V` !+= Aparlment oi. 're .� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked v. l/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 12.00 z( E PRINT IN INK OR TYPE ALL INFORM4ThOI9 Date: 7-1 1 1114—A.,, I p City or Town of: YARMOUTH To the Inspector ofWires: N t QB this application the undersigned find gives notice of his or her intention to perform the electrical work described below. k—j — i. i ILI cation (Street&Number) f On C'-p S C, 44vc `� h C- `J ;�O er or Tenant / A (� i f (� --3 s 1 r el Telephone No.5O8'-Z� S�rti �5 00 er's Address Lli i i 1 permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) 14 ose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Ua dl;r'd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (A.j t "-( c_ d u c_.I 1 c_ss y►7 i - S el i....) J 3 // 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 ❑ In- (No.of I";mergency Lighting _rnd. Brad. 0 Battery Dnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones , No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Total No. of Air Cond. of Alerting Devices • No.of Waste Disposers Heat Pump[Number I Tons i K'W 1Vo,of Self-Contained Totals: Detection/Alerting_Deirices No.of Dishwashers Space/Area Heating KW Local❑ Maaicipai Connection 0 Other No.of Dryers Heating Appliances KW 'Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' 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 OTHER: V Attach additional detail if desired or as required by the Inspector of Wires. v Estimated Value of Electrical Work: (When required by municipal policy.) v Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. E INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless gthe licenseened provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersig certifies that such cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I cet�i , under fY ns and penalties o,f perjury,that the informa�tion on this application is true and complete. U FIRM NAME: cy�C. M , V� u�' �/c c rt C C_ LIC.NO.:!4/ Licensee: i ew,e /Vl ��, v h' Signature � (If applicable,enter"eze�mpt"in the cerise b r line.) LIC.NO.: Address: so _ OS ,c t S ✓✓Is, b`� Bus.TeL No.: A. !- �� J .Per M.G.L. c. 147,S.57-61,securitywork requiresc Alt.TeL No.: - • �. Department of Public Safety"S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner ❑owner's agent , Owner/Agent I Signature Telephone No. [PERMIT FEE: $ 5 u/