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Home My WebLink AboutBLDE-19-007253 Commonwealth of Official Use Only Massachusetts07111 Permit No. BLDE-19-007253 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:6/25/2019 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) 243 SETUCKET RD Owner or Tenant LAHIFF KRISTYN TR Telephone No. Owner's Address VTR RLTY TRUST,61 COWELL DR, DEDHAM, MA 02026 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: Split A/C system. 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 rnd. 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/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 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 t . 9 I. Commonwealth of maddac �3 Official Use Only so �c� c7 n /fir /� apagnient o f.�`iro Jarvic�! : Permit No. �'—" ( .1�.�,3 —_t;ff-- - , = Occupancy and Fee Checked BOARD OF ARE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) e APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL 1NFORMATTON) Date:' Z.S /j ( City or Town of: YARMOUTH To the Inspector of Wires::Tel\J By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) Z 9 3 Si- Owner or Tenant i ,- S r,) 1-` in fr Telephone No.7$1- bgo 70 Owner's Address Is this permit in conjunction with'a building permit? Yes 0 No ❑ (Check A Purpose of Building Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undg rd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: il. AA, ' Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cer1.-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 1r mergency Lighting =rnd. arnd_ CIBattery Unfits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS [No.of Zones No.of Switches No.of Gas Burners No.of Detection and Iaiiiating Devices No.of Ranges No. of Air Cond. Total . Tons No,of Alerting Devices No.of Waste Disposers Heat Pump [Number l Tons 1 KW No.of Self-Contained Totals: I Detecuon/Alertinz Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances [ Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No,of Data Wiring Sims Ballasts 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 desired or as required by the Inspector of Wires. Estimated Value of Electrical Work ,� Work to Start: (When 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 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove�rs a is in force,and has exhibited proof of same to the permit issuing office. ` r CHECK ONE: INSURANCE L.,d� BOND El OTHER I certify, under[fie atns andpenalties o 0 (Specify:) � fperlur3,that the information on this application is true and complete. FIRM NAME: c c r Vicw (c c fi'1 C. Licensee: c_ LIC.NO.: / �� mac t �� • V c_fi Signature „-7 (If applicable,enter ex t in the license her line.) LIC.NO.: Address. 0 � S (�, c✓e/ +1 1ll'"`- Bus.Tel.No.: t - OOC� J Per M.G.L.c. 147,s.57-61,security work requires D Alt TeL No.: t, • OWNER'S INSURANCE WAIVER: I Department of Public Safety"S"License: Lic.No. Akr''.. S�ram aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑insurance coverage ne 's Owner/Agent owner El owner's went Telephone No. PERMIT FEE: $ vp�