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HomeMy WebLinkAboutBLDE-20-003733 o• Commonwealth of q1POfficial Use Only Permit No. BLDE-20-003733 �E 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:1/6/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice 05 his or her intention to pertorm the electrical work described below. Location(Street&Number) 26 BELLE OF THE WEST RD 12. 5- � (e- Owner or Tenant WILSON MARGARET Telephone No. Owner's Address WILSON STEPHEN V, 10 NEHEMIAH ROAD, SHIRLEY, MA 01464 e Is this permit in conjunction with a building permit? Yes 0 No 0 E S 1151\1@--j Purpose of Building Utility Authonzati Existing Service 100 Amps Volts Overhead 0 Undgrt F r New Service 200 Amps Volts Overhead 0 Undgrd ❑ No. ,f 1e-e s Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service,family room addition, 1st&2nd fl rI. eitte Completion of the following table 11 :- I No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No7'jofrri'vires. Transformers 0 •' No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool grnd.Above ❑ In-grnd. 1:1No.of Emergency Lighting 4 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 7 6 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. cm 8 -4,1-18,54.13 3 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: James M Venuti Licensee: James M Venuti Signature LIC.NO.: 15798 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 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 c0_ 1/3/40 d �-e O f H ( -eta 0_ 446, t 01I K D �t C Sew''t_re (/i y/2o C 5`eze& 1/1,7T 0_0*-4/ VAVV--) , AA'' Comonm wsa[th o////aeeachursifa Official Use Only •� cc�� �c77 nn Permit No. F�- 3-7 33 te, `,-r 2)epari`msnI o/. L Serviced \� 1;._a� Occupancy and Fee Checked l BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) je, �� APPLI T ��' CA ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 471 r (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I-(1,-2-624 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. �` 6 Location(Street&Number) 26, g l c. ,..„-c. i�t c . L�`S i „ . 1 , d Owner or Tenant Telephone No. _ Owner's Address t Is this permit in conjunction with a building permit?qYes Er*../'No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 3"—i Q 73(c) fExisting Service /Qa Amps /20 / '2(116 Volts Overhead Eg- Undgrd❑ No.of Meters I j New Service 700 Amps i 24 12'lib Volts Overhead❑ Undgrd[” No.of Meters / Number of Feeders and Ampadty c -41 Location and Nature of Proposed Electrical Work: 200 ,q u . G N l c.,_h-, c_el Sc✓✓+cc_, „-i,/), morn acliS..1-1oel I ST -1•- Z.Nt -Flo ma,- 1icLi ,,,- Completion of the followingtable meg be waived by the Inspector of Wires. Total • '�' No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No f Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Above In- No.of Emergency Lighting g pool grad. ❑ gmd. ❑ 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. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Num_be_r Tons_ KW No.of Self-Contained Totals: ..._ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Lal❑ Municipal Local 0 Other, Connection No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo.of Devices or Equivalent Heaters ' No.ofigns No.of Data Wiring: 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: 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 c�ov,er�s 'is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE I.+YBOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties oo perjury,that the information on this application is true and complete. FIRM NAME: J „..,GS M . Ven — I E/C.c}2.,+L �= LIC.NO.:/1 / S7I er Licensee: J c..0-1 c S /14 ,.( CN,41' Signature y` ".- ' applicable,!fLIC.NO.: ( enter"exempt"in the license e naibet•l jre.) n Address: .3(' L dg l l..i l/5 r�N S b/ Bus.Tel.No.: 2 F-X00 q *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No. V7-5-3‘ 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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ ?c 1