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
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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