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Home My WebLink AboutBLDE-21-006339 a 0 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-006339 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:5/4/2021 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 b low. Location(Street&Number) 21 CADET LN & (4 k 7 Owner or Tenant PREZIOSI MARK J Telephone No. Owner's Address PREZIOSI SUZANNE T,28 PARKSIDE CIRCLE, BRAINTREE, MA 02184 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: Remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 20 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 10 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. 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. 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. ` ,I ,'. _ x'" , m - FIRM NAME: Licensee: Eryk Grassie Signature LIC.NO.: 23071 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 I le-- ( 16-1- nit-for 61/1 tt. -rti CoA2tor cAwn4,6t.t G6-4fi 514, .21 , N' (r?"I/ iedil *07719 i&i r-eccg 663724 te g'9150- (Ictcr Nor off/ n si78 7 ,--- gm4L d z, dv 1Z) 4 r 7leLsz ( 0^,Srrr #-Prtts®•aiy_ /j." i...)h../a r.vs,OL_•-• SNow Mar hJr(R7 r1/4l iv..,/ r AC..onuawrwaik of Maasacksmilia Official Use Only '• -• .1Js�a,�isrsE s��Jaw.cor Permit No. t'-24 —C�3 3 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave yam) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Maesachasetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR.TYPE ALL INFORMA77ON) Date: q/o g,/ 11 City or Town of: yam,/yen;).\-V\ To the Inspector of Wires: f By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) a I C 4...‘.-- L.N l Owner or Tenantc4r }L_ ?ono o .-7 L 1 1Lj Telephone No. Owner's Address ca IC.SAIL(.\ tc - ....,,+At aa. a.. 1 4 Is this permit in conjunction with permit? Yes No ❑ (Check Appropriate Box) q' Purpose of Building r12 "A UtiWy Authorization No. ,7 Existing Service Amps J C) /2";k)Veits Overhead[3 Undgrd 0 No.of Meters (5 New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters L. 1 , Number of Feeders and Ampacity �`IJ Location and Nature of Proposed Electrical Work: Completion ofdbs)6Rowingtable inig be waived by the I pectar of Wires. otal No.of Recessed Luminaires No.of Can.-Snap.sp.(Paddle)Fans To.of TVA `'Zi7 Transformers KVA No.of Luminaire Outlets '7 .) No.of Hot Tubs Generators KVA No.of Luminaires swims"pool Above ❑ In- ❑ Na of Etderts ncy Ligating toad. grad. �rY Units No.of Receptacle Outlets /) No.of Oil Burners FIRE ALARMS No.of Zones No.of No.of Gas Burners cion of Detection and Iii Devices No.of Ranges No.of Air Cold. T otal No.of Alerting Devices No.of Waste Disposers Heat of Number Tons KVV _.... Na of Self-Contained ices No.of Dishwashers Space/Area Heating KW Local 0 MalucenapPedrela 0 Other tecurity lr Na of Dryers Heather APPS KW �s�or Equivalent No.of WaterNo.of No.of Data - Heaters , Signs Ballasts No.of Devices or .uivalent No.HydromassageBathtubs No.of Motors Total HP Teleeo of Devin o r ` . Na of Devices or Eo , � t OTHER: 1 Attach additional detail ifs or as required by the Inspector of Wires. Estimated Value of Electrical Work: ' 0 U (When required by municipal policy.) Work to Stat: CO9KA i ons to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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 cov is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specifr) I certlfr,widerand penalties of perjary,that the information true on this application and complete FIRM NAME•d` ( 6, 5.)( LIC.NO.: - Licensee: •-•(., be-a-SS .:.---) Signature'_ _ LIC.NO.: (If applicable.enter"exempt" n the license number use) /A,, Bus.Tel.No.:7j t II- '.(t) Address: 7 C'Ly i/Y\ Li \A../OL,\A../OL, b'- - i(AA. Y vt4 0 Alt.Te.No.: a *Per M.G.L.c. 147,s.57-61, qty work 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 requi tit. I am the(check one)0 owner 0 owner's agent. Owner/Agent ' Signature Telephone No.. RMIT FEE:$ ,r%