The URL can be used to link to this page

Home My WebLink AboutBLDE-19-007049 Commonwealth of Official Use Only "LIMMassachusetts Permit No. BLDE-19-007049 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:6/13/2019 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) 35 CEDAR ST Owner or Tenant ZAMBITO PATRICK C Telephone No. Owner's Address ZAMBITO ANTONIETTA,28 AUTUMN ST, NORWOOD, MA 02062 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: Wiring for laundry room, bedroom, &bath room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 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. grd. Battery Units No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 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 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 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: Stephen M Childs Licensee: Stephen M Childs Signature LIC.NO.: 32325 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 145 CAMMETT RD, MARSTONS MLS MA 026481519 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: $75.00 ;2 1�C0 :/ qr t f q 141' 04.4)141.0145. ilikt--)03,471#14tR itt2r 0f p �il'�.2 t c./L C,c/n gi„). I!! No. , Commonmsalg of///a.34athuself.5 Official Use Only eps �s `�— `70 9 PermitI rviestrd t.l - ' BOARD OF FIRE PREVENTION REGULATIONS Occupa and Fee Checked {Rev. I/07) (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK ., NZ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (r)c- - (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /.: g City or Town of: YARMOUTH F' , • 2 E this application the To the Inspector of Wires: ;,, tmdersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 3 J (Pam'j I Ci Qner or Tenant j°e?74- l rL. Telephone Na. ,.._-. Owner's Address `fs l0-7 e Is this permit in conjun n with a.building permit? Yes E--'''''No ❑ (Check Appropriate Box) Purpose of Building ? ''/>/(--�Ge) '7/ I' JC Utility Authorization No. Existing Servi9/ , Ampsb2(>) // jj Volts Overhead❑/ Undgrd�r ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd>;r ❑ No,of Meters Number of Feeders and Ampacity Locat7.i and Nature of Proposed Electrical Work • /�J Ua� e2rL�l G*�� d/' U�/yam /2 ' eK- e)/9/2 //-2/ / mod. -24 Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires 6 No.of Cei1.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.tif Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ in- No,of Lmergeacy Lighting - rrnd. _rnd. � Battery Unfits No.of Receptacle Outlets /lj No.of Oil 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. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: Detection/Alerting Devices 'c, No.of Dishwashers Space/Area Heating KW L,�❑ Municipal No.of Dryers Connection ❑ Ofh� r3' Heating Appliances , Security Systems:* No.of ater No, No.of Devices or E alert ,IC Heater �' Data Wiring; Signs Ballasts No of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Telecommunications Wiring: v Total HP No.of Devices or uivalent t. OTHER: M Estimated Value of Electrical Work Attach additional detail if wired or as required by the Inspector o W'r DDO C, f ter. c Work to Start: (When required by municipal policy.) `� INSURANC'E COVERAGE: UnlesssInspections d by the owner, io accordance ore th MEC e 10,el and upon completion. the licensee provides proof of liability insurance including"completed operation"coverageerformance of electrical work mayiissue undersigned certifies that such coverage is in force,and has exhibited proof of same to th permit issuingor its goalice alert unless The k , CHECK ONE: INSURANCE ❑ BOND ❑ OTHER I certify, under the pgir�s penalties o u ❑information (Specify:) �\ FIRM NAME: J / P�! ry,that the in orsnation on this application is true and corrtplete n r C / C Zo� Licensee: J C.y7 e LIC.NO.: �� (If applicable , Signature - ' LIC.NO.: t"in the license nu ber lirsr� . Address. 7 / C c�" C f, /, ' / /, Bus.Tel.No.: . 4 j *Per M.G.L. c. 147,s.57-61,security work requires D /�S" Alt Tel.No.: ^�d� Q OWNER'S INSURANCE WAIVER I Department of Public Safety"S"License: Lic.No. OWNS by law, signature am aware that the Licensee does not have the liability insurance cove a 1 gn ture below,I hereby waive this requirement I am the(check one o Owner/Agent age normally >! Signature ❑owner ❑owner's a eat Telephone No. PERMIT FEE: $