The URL can be used to link to this page

Home My WebLink AboutBLDE-22-001658 0 Commonwealth of Official Use Only E ► Massachusetts Permit No. BLDE-22-001658 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:9/22/2021 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) 15 DANBURY ST Owner or Tenant CASARANO JOSEPH J JR Telephone No. Owner's Address CASARANO BARBARA J, 12 MURDOCH ROAD, STONEHAM, MA 02180 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: Rewire kitchen 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. Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: Michael R Prevey Licensee: Michael R Prevey Signature LIC.NO.: 31458 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:3 ALPINE CIR, SAGAMORE BCH MA 025622303 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 my 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 aL)( 4( 9(Vit2-1 16g it(SLtiZt RE_CF ! VED SEP 2 2 20L y�j� Consnronwea�el adeac Official Use(/Only B1JILDIr,, 1: 1i �l(P c cc�� n Permit No F2 I;V a• 1`_- 2epartnu i o`�}ire Serviced 1 i -'jv' Occupancy and Fee Checked ,/. BOARD OF FIRE PREVENTION REGULATIONS [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: -01 -2 I 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) /5 Dan bvr $-t Owner or Tenant Toe Cd f a,fa n a g Telephone No. Owner's Address Is this permit in conjunctyn with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building As'i GLcn- 4, Iia; .. Utility Authorization No. Existing Service i1 " Amps t!G /- zoVolts Overhead® Undgrd❑ No.of Meters f New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 'lieu,;,.C. t't 14..e 1) vi No Completion of the followinKtable maw be waived by the Infector of Wires. I No.of Recessed Luminaires 5 No.of Cel Tranl.-Soap.(Paddle)Fans Tran sformers Kf 'i VA '/ Cl. No.of Luminaire Outlets No.of Hot Tubs Generators ICVA �; No.of Luminaires Swimmingpool Above In- No.of Emergency Lighting grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets g No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners -No.of Detection and { Initiating Devices d 1,! No.of Ranges j jets s No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.6-Reif-Contained Totals: Detection/Alertin Devices No.of Dishwashers I Space/Area Heating KW Local 0 Municonnectionip 0 Other C No.of Dryers Heating Appliances KWSecurityNo Systems:* es or Equivalent No.of Water No.of No.of Heaters ' Signs Ballasts Data Wiring: 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: 252)0-- (When required by municipal policy.) Work to Start: 9-a-a--a I 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 in BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties/� of perjury,that the information on this application is true and complete. _ _ FIRM NAME: 1(/C44e( "rev e6"-" 'Gt,,,,,) Q LIC.NO.: 21 y5FC Licensee: /I iChae 1 {Ire de Signature //t LIC.NO.: (Ifapplicable,ent •"exempt"' the I' a numberline.) Q Bus.Tel.No.: 5OF-a7Y-.25�g Address: 3 /witr/-c, ("," ve.,n e,.e— ,/�'-Lav-1, �?et. 0aSZ0.— *Per M.G.L.c. 147,s.57-61,securityworkAlt.TeL No.: 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/AgentI Signature Telephone No. I PERMIT FEE:$