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Home My WebLink AboutBLDE-19-007225 �. i('v" Commonwealth of Official Use Only Permit No. BLDE-19-007225 I ; 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:6/24/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto the electrical work described bel•w. Location(Street&Number) 228 PINE ST y,.:` _;_„:zi i/,_JI Owner or Tenant 9Er„�r NTHIA H TOlphone No. Owner's Address M (itViC (WAttfj4/� 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: Install sub panel&add receptacles. 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 In►tiatinu Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting 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 ❑ 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:$50.00 1\111 7(Q (19 640 Cr4c z-#t €l t!oace(,, 6k& 7/z M- - c..Ai , , . -_ Commonwealth__ of///rise Its • Official Use Only Q - Z artment o{.7*.e S Permit No. ( l9�� 27i� V fi' = rl _. aP arvlces ' Occupancy and Fee Checked uj 4-)cr, ,` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/073 . (leave blank) PPLICATIQN FOR PERMIT TO PE RFORM ELECTRICAL WORK f o All work to be performed in accordance with the Massachusetts Electrical Code a' EPRINT IN INK OR TYPE ALL INFORMATION) Date:,527 cMR l z.00 W -, � I M City or Town of: YAROUTH To the Inspector of Wires: m application the undersigned gives notice of his or her intention to perform the electrical work described below. Loca,i n (Street&Number) 2?-ro P F -..a..k/k--- Owner or Tenant V)ic ,t e-r.l_p,1-,A Telephone No. �, Owner's Address E'7-2�y9 Is this permit in conjunction with a building permit? Yes E No . ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Und gr ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work; ,14 ,`-` I,_ .�` /f p�"L� �"�'r~K � �1C�'�N_/ /�i�Lw_Li- IL.V C_rN , A ad O.r,{'&.-4-- 4w- %►JL tw...i'k- , Z,..f thLt .;4a s P"iii4-‘, Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei7.-Susp.(Paddle)Fans No.of Total Transformers ICVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Pool swimmingAbove In- No.of limergency Lighting Ably! 0 arnd. 0 Battery Units No.of Receptacle Outlets No.of Ott BurnersFIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number(Tons j KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local ❑ Municipal Connection 0 Other No.of Dryers Heating Appliances , Security Systems:t No.of Water No.of No.of Devices or Equivalent O No.of Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desire or as required by the Inspector of Wires. Estimated Value of Electrical Work (WhenWork to Start: required by municipal policy.) 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 t the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. undersigned certifies that such coverage is in force,and has exhibited proof of same to the ermit issuing offic The (/) CHECK ONE: INSURANCE ig. BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: P,LL J et., e.(coit,.,c,,,, E4 LIC.NO.: V 1 Licensee: Qexi-tr— JwVIA., I Signature �,( , _ , LIC.NO.: (If applicable,enter "exempt"in the license number line.) Address: t Na--i S �N Bus.Tel.No.:7yy �y J 'Per M.G.L.c. 147,s.57-61,ecurity wo k requiresqu D �� Alt Tel.No.: 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 normally O requi rrd by law By my signature below,I hereby waive this requirement 1 am the(check one El owner El owner's a tut. gent ISignature Telephone No. PERMIT FEE: $