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Home My WebLink AboutBlde-19-006040 h 1�� .- Official Use Only � ommonwealth of E. ; - Massachusetts Permit No.CBLDE-19-006040 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:4/25/2019 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) 864&878 ROUTE 28 Owner or Tenant DIGIOVANNI GERARD J Telephone No. Owner's Address DIGIOVANNI JOSEPH,67 BAKER ST, BELMONT,MA 02178-4024 Is this permit in conjunction with a bui g permit? Yes 0 No 0 (Chec ppropri• e 1h ) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd • ' 1�•r`y� New Service Amps Volts Overhead 0 Undgrd ■ No. .0'' •r• a]r Ab Number of Feeders and Ampacity , r Location and Nature of Proposed Electrical Work: Permit to perform a walk-through onl VO Comp 'don of the following table may be waive s,r ires. No.of Recessed Luminaires No.of Ceil:Susp.1'addle)Fans No.of Transformers AO No.of Luminaire Outlets No.of Hot Tubs Generators KV No.of Luminaires Swimming Pool Above In- ElNo.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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons '. No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Ar: Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heati' 1 Appliances KW s•curity Systems:* No of Devices or Equivalent No.of Water KW No i f No.of Data iring: Heaters S''ns Ballasts No.of evices or Equivalent No.Hydromassage Bathtubs o.of Motors Total HP Telecom unications Wiring: No.of De es or Equivalent OTHER: Attach additional detail if desir•. 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:U ess waived by the owner,no permit for the performance of electrical work may issue unless the 11•-nsee provides proof of liability ins .,e including"completed operation"coverage or its substantial equivalent.The undersigned certifies t . uch coverage is in force,and has ibited proof of same to the permit issuing office. n' CHECK ONE:INSURAN E 0 BOND 0 OTHER 0 (Specify:) R/C.`' 55‘? ". D (9 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Gerard J Mazzola Licensee: Gerard J Mazzola Signature LIC.NO.: 24610 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 POUND STREET,UNIT 404,MEDFIELD MA 020522622 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:$100.00 Plea- 4141 4 t r _ Commorrrvaa 4 //assort tt Official Use Only _ir►= c� c-7� n �� `t" 11�= Department o f,}Fria J Permit No. — p Serviced ' [R BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked `"'`* ev. 1/07] (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK _Li All work to be performed in accordance with the Massachusetts Electrical Code(AMC),527 CMR 12.00 (I) .� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a1-414-all .2611 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) $ t7 q & ,....,re.- -. Owner or Tenant a �ilt-r'3, ry, c/r rvl3 t7ri.4-dia‘., f�wner's Address b Telephone No. d' __ > '" is tis permit in conjunction with a building permit? Yes ❑ Na N (Check Appropriate Box) I f'uttoose of Building /-G t-e ... Utility Authorization No. A, � 0 f Q j xi' Ling Service 20m- Amps /24/ 2gvVolts Overhead Undgrd❑ No,of Meters e"Id Vert Service ffj, Amps / Volts Overhead❑ Undgrd R._,.,..___. . gr ❑ No.of Meters Number of Feeders and Ampacity U -' " - —Li kation and Nature of Proposed Electrical Work: E'4,Q cl- GCs»ec7 Ji, _ o Completion of the followingtable'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 Swiznmin pool Above In- ❑ "NO.of Emergency Lighting - g =rnd.. ❑ rrnd. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.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 I Number'Tons I KW No.of Self-Contained Totals: 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal 1` Connection Other 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 No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Wilt Gir\ 7'/411.1j,C0f 1,_ (1u tt7 /1„o 45- J?ea- %owm'•f• 17e.'s�� . Attach additional detail if desired or as required by the Inspector of Wires Estimated Value of Electrical Work: Ze/le' (When required by municipal policy.) Work to Start: 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 0 BOND ❑ OTHER ❑penalties (Specify:) I certzfy, under the pains and o ) f perjury,that the information on this application is true and complete. FIRM NAME: 4-F"ft 47, ,r, iv/l9-22 tp Lkc �� LIC.NO.: (� Licensee: ,S p�07 a Signature's /7p ✓ LIC.NO.:(If applicable, enter"exempt"in the license number line.) 010 Address: ��y ne,ry fvp S . Bus.Tel.No. "Per M.G.L. c. 1_s s.5 e:.t. securitywork re If/ r 4 b V e Di ,e,..."-, G azra Alt.Tel.No.: quires Department of Public Safety"S"License: Lic.No. ,z— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 5 required by law y my s. a e elow,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent Owner/Agent d Signature Telephone No " 3 PERMIT FEE: $1 01,i b v J