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Home My WebLink AboutE-20-725 1 Commonwealth of Official Use Only ' Permit No. BLDE-20-000725 Can Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:8/7/2019 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) 57 GORDON LN Owner or Tenant WEST EILEEN M Telephone No. Owner's Address 130 GAYLAND RD, NEEDHAM, MA 02492 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 NC condenser. 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/Alertinu 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 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: 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: $50.00 6c\S\rt f . J .4%:. (o7a.,..c-- _ Commonursalrh.of Mr64.. ittt.9s�3 • Official Use Only �! 2 epartmescf of,..liraServices Permit No. / -- - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �' '`-' tRev. lio73 " -- (leave blank)_ - APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK l w I All work to.be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 W , - 1 r (PLEASE PRINT ININK OR TYPE ALL INFORMATION Date: q > ' i Q City or Town of: Ll� t`_ I a YARMOUTH To the Inspector of Wires: o I LL1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. �J ;0 Location(Street&Number) 57 6 1 Qw an L � W to Owner or Tenant ,)cc vt Or.-St- Telephone No.$�. 2c� '_ Owner's Address 6 _ — Is this permit in conjunction with a building permit? Yes El No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgr•d ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ec.tip I c_cr.mcn•i-. it--/L CszonercSSO fL. Completion of the followingtable may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Cet1-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. lvo.01:N.mergency Lighting grnd. �d. ❑ Battery Units No. of Receptacle Outlets No.of OH 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. Total Tons 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 Local❑ Municipal iction ❑ Other No.of Dryers Heating Appliances KW Security System No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent O `-) Estimated Value of Electrical Work Attach additional detail ifdesirec4 or as required by the Inspector of Wires. J Work to Start: (When required by municipal policy.) :/ INSURANCE COVERAGE: Unless swan waived by the wner,nopermit tions to be requested in accordance or the erformance of 10, lectrical work ayti the licensee provides proof of liability insurance including"completed operation"coverage or its substantial a may issue unless t► undersigned certifies that such cover ge is in force,and has exhibited proof of same to the permit issuing office. The CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (S i "; f certify, under the p_¢ins and penalties oerlu fy) N fP ry,thal tfte infortn¢tion on this application is(r and complete. FIRM NAME: ...Pyle- G411 14 } Licensee: ��, tS �/ LIC.NO.: i g� �,7 u Signature (If applicable,enter '!exempt"in a lice tuber line) LIC.NO.: . Address: C. stsS i chS - (-4 ,10jr_ • ' L Bus.Tel.No.- J `Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety Alt.Tel.No.: - S Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner coverage n� oe 1- Owner/AgentEl owner's a Signature eat. ,lI Telephone No. PERMIT FEE: S l -C---