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Home My WebLink AboutBlde-20-001567 or tC(' Commonwealth of . Official Use Only E Massachusetts Permit No. BLDE-20-001567 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:9/20/2019 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. Location(Street&Number) 2 WILDFLOWER VILLAGE Owner or Tenant FOERSTER FREDERICK H III Telephone No. Owner's Address FOERSTER ANNE L, 2 WILDFLOWER VILLAGE,YARMOUTH PORT, MA 02675 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: Replacement HVAC. 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 1 No.of Detection and Initiatine 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: $50.00 :sic (0 i! 9 / g-- Commonuisatrls of M Lutti cial Use On I• -,/ 6 Apartment o f.tire Serviced Permit No. BOARD OF FIRE PREVENTION REGULATIONS Oc an y and Fee Checked Y.�f--7. {Rev. 1/07) (leave blank) ----"— APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f— — 9 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 'Z I,.r, 1 1-i ai...;r L-N Owner or Tenant Oc_. 1 1 i-kvrt r, Telephone Not$p -37.5--6 3 2C Owner's Address "9 Is this permit in conjunction with a building g permit? Yes ❑ No ❑ (Check Appropriate B°z) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undg rd❑ No.of Meters New Service Amps / Volts Overhe ad ea d❑ Undgrd ❑ No,of Meters _, Q � Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work h1-V.r c l2er I G.r_c.ili��, t- * - Completion of the following table may be waived by the No.of Recessed Luminaires No.of Inspector of Wes, of Cet1.-Susp.(Paddle)Fans Total No. No. of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimmia Pool Above In- Ire.of It.mergency Lighting - g mod. arnd. " Battery Units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. T°� Tons 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 Local D Municipal -I Connection ❑ Other No.of Dryers Heating Appliances , ecurity Systems:* No.of ater No.o No,of Devices or E trivalent Heaters ' °'of Data Wiring: Si s Ballasts No.of Devices or trivalent No.Hydrotnassage Bathtubs No.of Motors Telecommanications Wiring; Total HP No,of Devices or nivalent OTHER: O V Estimated Value of Electrical Work Attach additional detail if desired or as required by the Inspector of Fires. Work to Start (When required by municipal policy.) 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 mayissue n)04 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The s undersigned certifies that such coverer is in force,and has exhibited proof of same to the permit issuing office. ..� CHECK ONE: INSURANCE in/liOND ❑ OTHER ❑ (Specify:) I certify, under the airs andpenalties o fperjury,that the information on this application is true and complete. FIRM NAME: Licensee: �� LIC.NO.: )S 8- z -� �.Mcs M .(�� Signature �'�! .�(If applicable,entee>^empt in the a number line) " LIC.NO.: Address: c✓ sk�l� Bus.Tel.No.: i `Per M.G.L. c. 147 s 57-61,security work requires Department of Public Safe Alt.Tel.No.: 51Y- �� — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabili Lin.No. S Owner/Agent by law. By my signature below,I hereby waive this requirement. I am the(check one caner Elveownn r al� 1 Si gnatare ill Telephone No. PERMIT FEE: $