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Home My WebLink AboutBLDE-22-000177 Commonwealth of Official Use Only 1. E. Massachusetts Permit No. BLDE-22-000177 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:7/12/2021 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) 10 MACOMBER DR Owner or Tenant SEIGAL DIANE ZACK Telephone No. Owner's Address 10 MACOMBER DR,YARMOUTH PORT, MA 02675-2224 Is this permit in conjunction with a building permit? Yes 0 No 0 (r PATtY Purpose of Building Utility Authorization N ,-- A a a a _, Existing Service Amps Volts Overhead 0 Undgrd 0 -` i •• ' NOV 0 . " New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade U/G service. 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 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. TotaloNo.of Alerting Devices 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 ❑ 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 Ballasts Data Wiring: Heaters Siens 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: 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 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: $50.00 (0)-416, i41.147...f ifi Official Use Only _ ' Commonwealth o f esdacfhlF3 eo� _ n Permit No. ZZ r 7 -_ , Occupancy and Fee Checked 5 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) PERFORM RCvie--),PI F ,PLICAC[0OPERMIT <cELEC c . vL � L All work to be performed in accordance with the Massachusetts Electrical Code(IvIEC.527 CMR 12.00 (PLEASE PRIA'T IN INKOR 71PE ALL INFORIriATION) Dare: ' /712_ City or TGwn. of: Ye-v-14/0 v-n-4 To the Inspector of Wires: By this application the undersigned elves notice of his or her intention to perform the electrical work described below. Location (Street& Number) /O Mc.Com -Dr-: Owner or Tenant frig 1 SS Lt 5 c ( Telephone No. Owner's Address Es this perntit in conjunction with 2 building permit? Yes D No Q "" (Check Appropriateos) Purpose of Building Utility Authorization No. / at� 7 Existing Service Amps / Volts Overhead l i Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacit- , Location and Nature of Proposed Electrical Wort: l) 5 set-A<- U 4 d e,rl_r-r3i.i✓i c •G c.c.+ Cc 1 Scnrlcc_ +b 2.6O ,4rri e 5 Completion of the following table may be waived by the Inspector of Wires. No.of Tota? No.of Recessed Luminaires Ido.of Ceil:Sesp.(Paddle)Parts I'i Transformers KVA No.of Luminaire Outlets No.of 3€Tubs Generators IfVA ,6bovetn- l'o.of Emergency Lighting No.of Luminaires Swimming pool grad. ❑ crud. ❑ Bette Units No.of Receptacle Outlets I No.of Oil Burners '.F1RE ALARMS I No.of Zones ) • 'o.of J tc-ction€St- [ No.of Switches 'No.of Ces Burners t Initiating Devices I No.of Ranges I No.of Air Cond. -�of ;ado.Qr Alerting Devices [ 'Heat:zip umber I i oris •do.of e -Contsinen No.of Waste Disposers atais: -._. _._. _ IDetectio&JAierting Devices No.of Dishwashers eskers (Space/, tea meeting KW > l❑ Connection Municipal ❑ Other I Heating lenc_s tri' .-Se-ii.-- -Systems:''' No.of Dryers g``-pFiI No.of Devices or Eiuivalent No.er WaterE=E : No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications-ring: No.Hydromassage Bathtubs No.of Motors oral HP 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 Stan: 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I cer•tifr, under the pains and penalties ofperjur t•,that the information on this application is true and complete. t'IIRi=i NAME: .,..j.1,-1 c...& AA _ ii elvti ice)..x.,-1-,-:c- .E :// LIC.NO.: Al-/5 7 Licensee: . r.i.noo; .'1.1.: (inn•: Signature '� - �-//Jti- LEC.NO.: Of applicable. enter "exempt-in the license number line.) n ( Bus.Tel.No.:.-GT-L.ili- ?DOO Address: -2,co ,L—r F9.7:11.1 W : 1,�5c.r,4>iz h li 1/1,4 G 2.&f� Alt.Tel.No.,5-0F'-ia'lE-5,3(•i =Per M.G.L.c. 147, s 57-61,security work requires Department of Public Safety"S"License: l.ic.No. OWNER'S €NSEIRANCE WA_tV'ER: 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. Owner1Ageat _ Signature Telephone No. € PERMIT FEE: Z %II ,�. t L L L••'L4'1 L. 1( 6, :-:'?"..1. . C.C:.,'r?