The URL can be used to link to this page

Home My WebLink AboutBLDE-21-005648 Commonwealth of Official Use Only ft` Permit No. BLDE-21-005648 Massachusetts 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:3/31/2021 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) 11 BENJAMIN WAY Owner or Tenant DELVECCHIO LINDA M TRS Telephone No. Owner's Address DELVECCHIO DAVID A TRS, 11 BENJAMIN WAY,WEST YARMOUTH, MA 02673 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: Relocate wiring for re-model and add light in dinning room. _ 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 brill,. ❑ In- ❑ No.of Emergency Lighting Above grnd. Battery Units No.of Receptacle Outlets 2 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 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/Alertine 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 Siens 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: John C Burke Licensee: John C Burke Signature LIC.NO.: 50364 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 DIX ROAD EXT,WOBURN MA 018016104 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 1.11/4 If isiv (9:304.9 LIN ream* 414,1w ft L(,2o(74 f Official Use Only J ''-* 1 Commonwealth o/ alaachuletfa Permit No. �� fr...., LI 6 �i .JJeparlmenl o/ ire-.Cervical i 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: c79 r / City or Town of: V4-A ncc.JTl4 To the Inspect of W res: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) J/ ..E t/ J,q/1-AI Owner or Tenant '7J,vt'/ A• G J/Ce /1-,'c7 Telephone No. 77 / -- Owner's Address 53‘,' -- 6 S r 7 Is this permit in conjunction with a building permit? Yes e No ❑ (Check Appropriate Box) Purpose of Building S„"J /ç. /%/,.,/ 1/ 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 Loca 'on and Nature of Proposed Electrical Work: ?P /0 Ot-fe dijr f i/)g_ ILtIM 0744. Mn r/ft. I 14 of A L. /� 7 ge'r"i 77.-1/?,C fdt, ..,i.vr' if'.-2, Completion of the followingtable may be waived by the Inspector of'Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of KVA Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- 0 No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets a 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 No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal I—, Other P Connection No.of Dryers Heating Appliances KW 'Security Systems:* rY No.of Devices or Equivalent No.of WaterK`,�, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Bathtubs No.of Motors Total HP Telecommunications Wiring: No.Hydromassage No.of Devices or Equivalent OTHER: GO Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /c2 s —g (When required by municipal policy.) Work to Start: 3r V / Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 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: • LIC.NO.: Licensee: - ----0 J. ) Z(.1.2 K t Signature \- /�� ,�� LIC.NO.: €s"p J,-4-/ (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: Address: p/ z.).-x J'T o, ,) ,e.r JQe► "71/4 O 12-0/ Alt.Tel.No.: -7 el " 7Jy-/9 *Per M.G.L.c. 147,s.57-61,security work requires Pune. 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/AgentPERMIT FEE: $ -7 j Signature Telephone No.