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Home My WebLink AboutBlde-20-001299 tE `\� Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-001299 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:9/9/2019 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) 7 MINDEN LN Owner or Tenant PANEBIANCO ANTHONY THOMAS Telephone No. Owner's Address 7 MINDEN LN,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. r 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: Kitchen renovations Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 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. Batter!Units No.of Receptacle Outlets 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiating 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 1 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. 1/4.- 72.7_- 23 1 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: Manuel A Andino Licensee: Manuel A Andino Signature LIC.NO.: 52474 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 YANKEE DR, BREWSTER MA 026311876 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 a6 tit ctit(el t 1 1 " t qt2kct r �j / --,- 1 Commoner/ of///a6saeiu�af • al Use Only • q c n (� Al, � ieparfinent o f.y'ire�arvicee Permit No. �' ( �� 3 -`= BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 Lt LL ` (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q- 1 - 19 -, City or Town of: YARMOUTH - �� By this application the To the Inspector of Wires: undersigned gives notice of his or her intention to perform the electrical work described below. ' ''§ , Location(Street&Number) 0 z givner or Tenant A Telephone No. (o s 3 • `" `l Oifvvner's Address 32 7i ,Is this permit in conjunction with a building '► permit? Yes ❑ No Er (Check Appropriate Box) Purpose of Building ¶Z Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (/..i.4,cJA a.m.A.4:ry ,� 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 SwimmingPool Above In- No.of Emergency Lighting arnd. ❑ bionic'. ❑ Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Li No.of Gas Burners No• .of Detection and Initiating_Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump`Number !Tons IKW No.of Self-Contained Totals:I Detection/Alerting Devices No.of Dishwashers I Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* uivalent No,of Water No.of No.of Devices or Eq Heaters ' No.of Data Wiring: Signs Ballasts Na of Devices or Equivalent No.Hydronassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent s 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.) "l --7 -t 9 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 C 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. v C CHECK ONE: INSURANCE [� BOND ❑ OTHER ❑ (Specify) I certzfy, under the pains and penalties of perjury,that the information on this application is true and complete. vi ` FIRM NAME: kavet tAel . r .l vt.0 } e(e cir 1-',c-•t W to ah go Licensee: • LIC.NO.: rj�yB _ Signature �li LIC.NO.: (If applicable,inter exempt in the license number line.) ��_ Address: - Bus.Tel.No.: J *Per M.G.L. c. 147,s.57-61,security work requires D artzrtent of Public Safe Alt.TeL No.: Cc OWNER'S INSURANCE WAIVER: I am aware that Licensee does not have the liability insurance overage n— o ly required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 ownero t Owner/Agent0 owner's a eat. Signahzre Telephone No. PERMIT FEE: $ 7,S }I