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Home My WebLink AboutBLDE-21-006500 1,t,l� Commonwealth of Official Use Only ` ? Massachusetts Permit No. BLDE-21-006500 . ' 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:5/10/2021 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) 98 IROQUOIS BLVD Owner or Tenant Tony Larusso Telephone No. Owner's Address 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 ❑ 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: Bathroom addition. 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- ❑ No.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. 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 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:) --/ 71_03/ —2tic1 3 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. �O FIRM NAME: Michael A Lenihan Licensee: Michael A Lenihan Signature LIC.NO.: 52081 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 MATHER DR,WAREHAM MA 025711942 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 d lA 5/(i 317.4 ( �' rc- G-0S fN vVA--� ? tom,, ) at (( itici2 Commonwealth oj' Maeaaclumatts I Official L se Only I•. ' -t cc77 Permit No, a-'v( ��0 2 c7� sparimsnt o/}ies Seel/iced 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: l/7/o?/ City or Town of: YAr>»aj 1-1-, 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) Cle Trn "" Owner or Tenant n r • Telephone No 6/7-5"q0•DIS3 Owner's Address q rcrI vr.:s, ._ Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building ke ;dent;a/ Ylorw Utility Authorization No. Existing Service /00 Amps / Volts Overhead Z Undgrd C No of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Adcin� t3+Lirt nrn h fFA� VI Completion of the followingtable mqy be waived by the Inspector of Wires. vi No. W o Total No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans Transformers KVA Q iNo.of Luminaire Outlets No.of Hot Tubs Generators KVA INo.of Luminaires Swimming Pool Above ® In ❑ No.of Emergency Lighting grnd, grad. Battery Units J 'No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones t _ .._..� w . No.of Detection and No.of Switches No.of Gas Burners Initiating Devices I i! No.of Ranges No.of Air Cond. Tons Total No.of Alerting Devices No.of Waste Disposers Ifeat Pump Nun r�7 ons� o.o—TSe ariii smelt— poU Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal 0 Other p Cyonnection No.of Dryers Heating Appliances KW No. f Devices or Equivalent No.of Water - KW No.of moo of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromaas a Bathtubs No.of Motors Total HP "[etecommunications Wiring: y agNo.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: )I-I a t Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: 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 ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE t BOND 0 OTHER [] (Specify:) /Uex� 1.cs} =nsurwnce. A, tncy I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: � LIC.NO.: • Licensee:re.hoe I n.NBn Signature___ - !� LIC.NO.:_5;20E/ (If applicab [Pter"expnpt"in the ligense number line.) Bus.Tel.No.:7 79•F.36,-a'143 Address: ('or4 60//y //I. SAnAA) ,1, Mil 0.2c63 Alt.Tel.No.:___ *Per M,G.L.c. 147,s. 57-61,security 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 requirement. 1 am the(check one)n owner owner's agent Owner/Agent Signature Telephone No. PERMIT FEE: $ • • • j' •