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Home My WebLink AboutBlde-19-007103 ,I( Commonwealth of Official Use Only u-._, \/ Massachusetts Permit No. BLDE-19 007103 - . 07 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:6/18/2019 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&Iectncal work des d below. '77U ZI 2--Z 1 L4'7 Location(Street&Number) 7 SPINNING BROOK RD lkAP�N T\lPL Owner or Tenant ` Telephone No. Owner's Address 7 SPINNING BROOK RD,SOUTH YARMOUTH, MA 02664-4032 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: Remodel kitchen. 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 Initiatinc 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 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: Peter Savini Licensee: Peter Savini Signature LIC.NO.: 40817 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 13 DAISY LN,S YARMOUTH MA 026641107 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 loiA t,W,? /ct- Oc - rocai qieliq oo.) a.... rzN -L- 71.zsltc 1 i- Commonwealth of Massac l'ts Of_cial Use Only ,• y ryry�� c77� [[7� .v_._.__-- !!� .LJaParfmanf o��u s Jarvis Permit No. C��—1 ` (�Q�./,j /� = BOARD OF FIRE PREVENTION REGULATIONS Occupancy I/07] .and Fee Checked -� eave blank) --- - (., ...,, APPLICATION FOR:PERMIT TO PERFORM EL I' MI work to be ECTRtGA.0 WORK Performed m accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 N Y (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' City or Town of: YARMOUTH To the InsFector of`'` r W'ires:7WI By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) Se,,n `,.. gr vvK (Lb Owner or Tenant hren j lP ��. Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building f1,oice,,,•4., Mist _ Utility Authorization No. Existing Service Amps / Volts Overhead D Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd� ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L) c(ALr. 4,r 1, Completion of the followin 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 ❑ In- ❑ No.of)r mergency Lighting - arnd. arnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones 1 No.of Switches No.of Gas Burners No.of Detection and J Initiating Devices No.of Ranges No. of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons (KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingMunicipal KW L0�D Connection °tiler No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Nf Data Wiring: { Heaters KW o.o 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 cf desired,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 ,p undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. Q CHECK ONE: INSURANCE ig. BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete, lii FIRM NAME: P SyWi n't i elL n,L i cvl LIC.NO.: EL105 f7 4 Licensee: 4,4..,r- SA N4 41 Signature r —(If applicable,enter"erempt"in the license number line) LIC.NO.:_ Address: ! '� Dyc�, Sy Lh Bus.Tel.No.:�7N- e(4 S, Y�or yv►o� I. Nbt. Alt.TeL No.: ,J Per M.G.L. c. 147,s.57-61,security work requires 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 n o—rmally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent , Owner/Agent Signature Telephone No. [PERMIT FEE: $ 7S�