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Home My WebLink AboutBLDE-21-006847 t, ti� Commonwealth of Official Use Only �E Massachusetts Permit No. BLDE-21-006847 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:5/25/2021 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) 1 MALFA RD Owner or Tenant DOUGLAS LISA A TR T• •.hone No. , Owner's Address C/qkd '. ; 20 WARREN ST, MEDFORD, MA 02155 ' Is this permit in conjunction wi a sing permit? Yes 0 No 0 it B. •'Bp q1 Purpose of Building Utility Authorizati r ' *M . Existing Service 100 Amps Volts Overhead ❑ Undgrd ■ :'_ �.',. New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service&temporary lighting. 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 8 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. 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 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: EUGENIO IANNICIELLO Licensee: Eugenio lanniciello Signature LIC.NO.: 20285 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 HIGH STREET,WOBURN MA 018014373 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: $50.00 a a r Me C77 j7(21 te Commonwaa[tk o`jaosachuiet/d Official Use Only,I c� 0c7 Permit No. 2-E _(0 04 • 7 et -, a apartmant o! lira eruicas f - BOARD OF FIRE PREVENTION REGULATIONS• Occupancya and Fee Checked •�''�,�0.4' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR'12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S -I ' -2 c 2 City or Town of: Yjnil mo - To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) OWE Po f}A.A R04 Owner or Tenant 9jv7H-4.1j/y rnep Telephone No. G/7_ t g6-314Z/p Owner's Address f q/${�-1 C ��I c I qv) k 57&. u N c i 9 0 4 C INALies m664, Is this permit in conjunction with a building permit? Yes El Nq El..--(Check Appropriate Box) Purpose of Building U 4+G(.L.Nq Utility Authorization No. g 5 5 S 8 .l Existing Service /00 Amps 1(V/ VC?Volts Overhead Er Undgrd❑ No.of Meters 2 New Service l CO Anips //0/ ZOVolts Overhead 0*-----Undgrd / gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (f g ereGTc c A L S.e,¢.i G£ pO wc(L d. Li 1 4T Fxe .,ruS 7)2vc.i7 0$J 7' (=o/(aw Completion of the followin 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 8 No.of Hot Tubs Generators KVA l�.r(1,tlJ J! No.of Luminaires 3 Q Swimming Pool Above In- ❑ No.of Emergency Lighting 9l grad, grad. 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. Tom l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: M" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipalnnection El Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP elecommunications 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: 5000 00 (When required by municipal policy.) Work to Start: 1A•5•A. p- 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE B BOND 0 OTHER ❑ (Specify:) I certify,under the pc4i,s and penalties of perjury,that the information on this application is true and complete. FIRM NAME: £f(e..TQAC. LIC.NO.: ?Oa B f A Licensee: Fug g.ji 0 SR AJNI Lc e_(tei Signature IC.NO.: co (If applicable,enter7)"e'x�pt"_in the license ber li. - Bus.Tel.No.: /7' S 9.� ' 93/7 Address: /0 IT r 9 f/ $ I� t/i,�', 1Duw'/.) MASS CI 801 Alt,Tel.No.: - e *Per M.G.L.c. 147,s.5 -61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $