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HomeMy WebLinkAboutE-20-732 • CIA r� Official Use Only ``(� Commonwealth of Permit No. BLDE-20-000732 Massachusetts 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'8/8/2019 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 electrical work described below. 46(430 Ceq Qy 3 No Location(Street&Number) 40 AFT RD SIS1 8 z96— Si.0`70 Owner or Tenant PATRIZZI KENNETH J SR Telephone No. Owner's Address 44 PILGRIM LN, MANCHESTER, CT 06040 Is this permit in conjunction with a building permit? Yes ❑ No 0 (C BAi) Purpose of Building Utility Authorization P ,"s Existing Service 200 Amps Volts Overhead 0 Undgrd Q New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 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 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: EDWARD L MERRY Licensee: Edward L Merry Signature LIC.NO.: 17137 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 CHECKERBERRY LN,W YARMOUTH MA 026733636 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 &P,6'b q(e,(( t/ a I *� Commonwealth of Massachusetts Official Use only � '1 Department of Fire Services Penult No. e� 03 C/ r ,-.,__ , = ,• Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS � Y �;v [Rev. 1/07j (leave blank) wr , PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK I� All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 _ ►E PRINT IN INK OR TYPE ALL INFORMATION) Date: 8-5-2019 W i c� 15 City or Town of Yarmouth To the Inspector of Wires: C '% 0 D Byl i :pplication the undersigned gives notice of his or her intention to perform the electrical work described below. w <Lo ti , (Street&Number) 40 Aft Rd Ov�Ce cei; r Tenant Ken Patrizzi Telephone No. 860-690-3790 4 m © s . : ' Address same Is this permit in conjunction with a building permit? Yes 0 No *x❑ (Check Appropriate Box) Purpose of Building reidence Utility Authorization No. 2353446 Existing Service 200 Amps Volts Overhead ►I Undgrd 0 No.of Meters 1 New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity V Location and Nature of Proposed Electrical Work: Upgrade service,upgrade grounding 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 Lighting Outlets No.of Hot Tabs Generators KVA No.of Luminaires Swimming pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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. T nta.4l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loral ❑ 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 V No.Hydro massage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: g..) Attach additional detail{f desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When requited by municipal policy.) Work to Start: 8/6/2019 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 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 ❑ (Specify:) GENERAL COMP.LIABILITY 06/24/2020 i— (Expiration Date) > I certify,under the pains and penalties of perjury,that the information on this application is true and complete pt FIRM NAME: Ed Merry Master Electrician Inc. LIC.NO.:A17137 Licensee: Ed Merry Signature C/1441// LIC.NO.: 35745E (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508-221-4335 Address: 15 Checkerberry lane West Yarmouth,Ma.02673 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety". 'License:here: Liu No. -' OWNER'S INSURANCE WAIVER I am aware that the Licensee does not the liability insurance coverage normally required by law. By J my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ c 0 ti • • • F