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Home My WebLink Aboutblde-20-000410 Commonwealth of Official Use Only Permit No. BLDE-20-000410 Ems; 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: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 perform the electncal work described below. Location(Street&Number) 15 SHIP SHOPS WAY Owner or Tenant GREENE ROBERT L Telephone No. Owner's Address 48 PEAKHAM RD, SUDBURY, MA 01776 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 Initiative 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 Sims 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 (ct((q /4 Commonwealth of///a6.4ac itJ ,_ Official Use Only c•7� ((zf9 -)Lcr0 apartment o{..7fre OAS Permit No. = Occupancy and Fee Checked __y- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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 Y-/g B City or Town of: YARMOUTH To the Inspector of Wires: Ni. y this application the ttmdersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 15 S ;� 5 L or s b.f.,/ .„-, Owner or Tenant 4 c,b W G,`� Telephone No.2.0. 1 . c(o Owner's Address f Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) -, Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑, Undgrd ElNo.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: H. 04 c ',1tP ( c ear •t t- Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cent-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 1 mergency Lighting - grnd.. grad. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones • No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loral❑ Municipal Convection Other No.of Dryers Heating Appliances Security Systems:* No.of Water KW No.of Devices or Equivalent No.of Heaters ' N0 of Data Wiring Signs Ballasts No.of Devices or Equivalent No.Hydromass age Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: _ Q Attach additional detail if desired or as required by the Inspector of Wires. v Estimated Value of Electrical Work (When required by municipal policy.) • Work to Start:v Inspections to be requested in accordance with MEC Rule 10,and upon completion. u INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless i the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The i undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) j I certify, under the sins and penalties of perjrcry,that the information on this application is true and complete. Z FIRM NAME: 1e�e_S (V . �,� b' L/ ' i-.^,c., gn ge--, 9�� LIC.NO.: ' Licensee: Jc mc5 M .(� L' �n�1 � Si aforeLIC.NO.: , _..-1 (If applicable,enter"etiempt"in toe licens tuber line) Address: 30 \ OS t el S c /,, , I5,,.--pi 5 f-z b/ Bus.Tel.No.: ?$-7 aCf> J `Per M.G.L. c. 147,s.57-61,security requiresAlt.TeL No.: work Department of Public Safety"S"License: Lic.No. • - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coveragerm�ally S required by law. By my signature below,I hereby waive this requirement I am the(check one 0 owner ❑owner's a eat Owner/Agent I Signature Telephone No. PERMIT FEE: $