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Home My WebLink AboutBLDE-22-003037 t� Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003037 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:11/24/2021 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. �1 Location(Street&Number) 12 MARSH SIDE DR ,!Y —( — (8'5(1 Owner or Tenant WALD JAN DAVID TRS Telephone No. Owner's Address WALD DONNA MARIE TRS, 12 MARSH SIDE DR,YARMOUTH PORT, MA 02675 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 ❑ 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: Replacement A/C. 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 Initiating Devices No.of Ranges No.of Air Cond. 1 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 ❑ 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 Signs 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. 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 t zl ( (_ l:p. 1ij' W `e_& U ` P^1 OA) /� i/ 4 rl / Official Use Only I ar.wwr;:.raCth of t'Fa.Lct�c.cla - 3v 37 /\/\�� Permit No. �E. �.JLFUIG:� _:3a..JCPCcFLf.2C2'al' -%:- _ Occupancy and Fee Checked ; ! _ >- BOARD OF FIRE PRFI/FN 110N REGULATIONS [Rev. I/07) (leave blank) /� [ [-L C r 11 4 FOR rEr ..t:s€€ (. TO PERFORM ILL C f' i JC __ t,t. i E 1:1'i All work to be performed in accordance with the Massachusetts Electrical Code C). "27 CMR 12.00 (PLEASE PR/NT In'INK OR TYPE ALL ihIFQRML4TION) Date: // /Co�Z I To the Inspector of Wires: City or Town of: Ye �w)CS J tli � - By this application the undersigned gives notice of his or her intention to performthe electrical work described below. Location (S€re.et^ Ntsmber) j . !/' G►cs k Si 1 - D f-: 1 Owner oe Tenant r)n te L'J . I d Telephone No.714-954-i-i 93, Owner's Address Es this hermit in conjunction with a building per-it? Yes n No (Check Appropriate Boy) ) Purpose of Building Utility Authorization No. L.risESEcg Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps J Volts Overhead E. Undgrd n No.of Meters Number of Feeders and A?ps£ity Location and Nature of Proposed Electrical Work: A- 1 L jt'r.4671 c L .v►7Lel Completion of the following table r„ •be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires INC.of Ceil:Susp.(Paddle)["ens I tt�rarosfo—ens _ A No.of Luminaire Outlets No.of blot Tubs Generators C'Cf3t.Qe'S K1 A Above In- o.of£.mergency LLighting No.of Luminaires Swimming Pool grnci. crilfi. ❑ l l attE 'Units •FIRE ALARMS INo.of Zones E No.of Receptacle Outlets INC.of mil Burners t I F.No.o1 ete£tion end I No.of Switches I No.of Ces Burnersf €ci>ieti g Devices i I Total ;No.o=°..erun Devices f 'No. o P.=noes INo.of Ai Cond. Tons g I^ ,_ 'Heat Pump Number Tons �rC` `I'do.ofSelf-Contained No.of ot'Es e Disposers I Totais• ._.._.. (Detectio€/Aie_rting Devices r No.of _s_asters ISpsce/Area Heating m_Ai E El ❑ other I '- }1Secu t3�Systems:'' jr'o.of Dryers Heating' --ppi>'-'es !VW I No.of Devices or Enaiveleat , f`''4.Gi:"Water �-�, -No.of No.of Da[Wiring: Heaters t-F' Signs Ballasts No.of Devices or EintliVElieEg IT elecommunlcations ;firing: :'1.1o. ydror:eSSage Bathtubs INo.of Motors otai>� No.of Devices or E{l3_civsient :.bTiel E R: .4troch 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 N C Rule 10,and upon completion. !NSUR. NCE 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 E BOND ❑ OTHER ❑ (Specify:) I cettift', under the pains and penalties of perjurv, that the Information on this application is true and compleie FIRM r-AMR: )c�.y1 -s /VI [/c,-;:.:T1 �Ic i^-:c., � :,:. : /' LiC.NG.: Al r 5-7 co? Licensee: "--77.„r^-tc_5 .11. ii�.ne:itt Signature %- �AU./N-e' LiC. NO.: r . _'i (li applicaole, enrer "exempt"in the license number line.) ( t taus.Tel.l�o.:.�V 2-6 7cGi; Address: �i. c��e-,-.Li S .i t-t LAJ • t' .r;.-7>ie fc_ ,/Vj v ZELc mt.Tel.No,5-0$7-6`1 -53�,c =Per M.G.L. c. 147,s 5 7-61.security work requires Department of Public Safety"S"License: Lic_No. OWNER'S'S ENSURANCE W<-5VEE: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below_1 hereby waive this requirement. I am the(check one) owner ❑owner's agent. Owner/Agent C FF% fE f'F Signature Telephone No. i - RME F : S j 'l,i( h i L •j•t. zin c.. t t re, -7„, . L c,,, r