The URL can be used to link to this page

Home My WebLink AboutBlde-20-000397 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000397 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:7/24/2019 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 ele�ctri work described low. L Location(Street&Number) 7 CHRISTOPHER HALL WAY 1 7l L S t Owner or Tenant WRIGHT HOMER K EST OF Telephone No. Owner's Address 7 CHRISTOPHER HALL WAY,YARMOUTH PORT, MA 02675-1217 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add on air conditioner. 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/Alertinc 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"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: $50.00 cia ,7/3/( / � t: KJ Cyyy�jj mmonevea&of!//aldacheareff6�7i ' Official Use Only • _-�i c� : PermitNo. ec!J .-C397 -CJeparfinent of rs Sarvica BOARD OF FIRE PREVENTION REGULATIONS 0��and Fee blank) � VV(/,,' ` [Rev. 1/07] (leave blank) --�— APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/2 /9 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. • ; Location (Street&Number)`) Ci r a,1)'iv f Lc-r H/1.(l i/ti o Owner or Tenant 3 J oCn -1- fit 1 l s,cl-,eson Telephone No.St'o0-`f 2$-S5`?, Owner's Address Is this permit in conjunction with a building permit? Yes E No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. V L - Existing Service Amps I Volts Overhead t____ ❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd ❑ Ni.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W, rti., .4 d 4 or) ,=1- I L. Cart�c-e7Sor Completion of the following table may be waived by the Inspector of Wirer. 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 _rnd. rrnd. ❑ 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 Iniiiatins Devices No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump`Number I Tons I KW No.of Self-Contained Totals:I Detection/Alerting_Devices No.of Dishwashers Space/Area HeatingKW' Municipal Local❑Connection ❑ Other No.of Dryers Heating Appliances , Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KW 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: _ Attach additional derail if desired or as required by the Inspector of Wirer. 3 Estimated Value of Electrical Work (When required by municipal policy.) d Work to Start: y 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 cover age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [+BOND ❑ OTHER ❑ (Specify.) I certify, under the p ft and penalties of perlury,that the information on this application is true and complete �S FIRM NAME: ,)c wiGS /VI . VGvl u h C(c"c_ l c., n L nG� LIC.NO.: � 5 Licensee: c-�c-S M �c..)c..)� �� h Sign afore �,1/v`�t (Ifapplicable, rater;erup("in the license number,line.)�p - LIC.NO.: . Address: ,3O , clSt cl-i S I""�T� ("J /,S c✓r!S k-L.I c. Bus.TeL No.:,��- Z - C� j "Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic. No.Tel .� O �g — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner ❑owner's a ent Owner/Agent Signature - Telephone No. PERMIT FEE: $