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Home My WebLink AboutBlde-20-003060 Commonwealth of official use only € Massachusetts Permit No. BLDE-20-003060 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:11/26/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 491 NORTH DENNIS RD Owner or Tenant JASON ROBERT A Telephone No. Owner's Address JASON JULIE L,491 N DENNIS RD,YARMOUTH PORT, MA 02675-2144 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 mini split NC 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 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 el hone No. PERMIT FEE:$50.00 f l _"l-� (commonwealth o V7a 6 /// huJeftJ • Official Use Only ru " 6 ervicxJ 2eparfinenf /.lire J Permit No. _ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '--'`•' ['Rev. 1/07] --- (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code J (MEC),527 CIvIR 12.D0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: yAR Date: //- 2 C,-/c)1'y l/ MOUTH To the Inspector of Wires: 0.9 V" By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ‘.9.../ / Location (Street&Number) 41, i ,(V.o.-..t-‘-‘ ��.,-;1' .62, uOwner or Tenant 12,,6_,--k--- ,;-Sa,,,-) A Telephone No. T� _5 ..tk Owner's Address c, g permit? Yes ❑ No Is this permit in conjunction with a building El (Check Appropriate Box) Purpose of Building Utility Authorization No. 0\Y Existing Service Amps / Volts Overhead 0 Undgrd gr ❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W,r.- /N t,', -sec, Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei1.-Susp.(Paddle)Fans No.of Total Transformers KVA _ No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmia Pool Above In- ❑ 'No.of limergency L ghttng • g =rna. ❑ 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 Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump- Number Tons KW No.of Self-Contained Totals:1 I I Detection/Alertm Devices No.of Dishwashers Space/Area Heating KW' al❑ Municipal Connection ❑ Omr No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No,of Data Wiring: - Signs Ballasts No.of Devices or Equivalent ENo. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Q OTHER: No.of Devices or Equivalent 0 ' Attach additional detail if desired or as required by the Inspector of Wires. 6 Estimated Value of Electrical Work: (When required by municipal policy.) Qi Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. Ci 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 t undersigned certifies that such cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) ,,, I certify, under the pests and penalties of perjury,that the information on this application is true and complete 5 FIRM NAME: , c el,c--5 M t �e--t U4 ( .}r'tsc, A s�, r LIC.NO.: / 1 Licensee: J c_-n,..5 All .V�wt L i" Signature �- �—' (If applicable,enter "eig,pt"in thelicense�rrtuber line.) g LIC.NO.: Address: 2 oS i.c Li S r-ty- W 6c-v-h S f.lam - Bus.Tel.No.: Z' - J Per M.G.L. c. 147,s.57-61,security work requires Department of Public SafetyAlt Tel.No.: - 6"S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverag ne 5 required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner o Owner/Agent ❑owner's a ent al Signature. Telephone No. ..... PERMIT FEE: $