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Home My WebLink AboutBLDE-22-000067 ' Commonwealth of Official Use Only 4 \' Permit No. BLDE-22-000067 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:7/6/2021 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) 1329 ROUTE 28 Owner or Tenant Crazy Rooster Telephone No. Owner's Address 1329 ROUTE 28, SOUTH YARMOUTH, MA 02664 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: Repairs as required during recent U/O inspection. 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 grind. grind. 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. 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 ❑ 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ANTHONY CERULLO Licensee: ANTHONY CERULLO Signature LIC.NO.: 55099 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:389 LAKESHORE DR,SANDWICH MA 02563 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: $100.00 C.)}1)- i 1 e 12-( tom —Th t RECEIVED wr `Gi LULO2 2� 1 QQ,' 7/? _ _ Commonwealth of t'//aeeachadatte Official Use Only BUILD NG Drt t• . Z2 �� B °"A`iil; �' T .c 77 {{�� Permit No. 1 �•�.� _ spartmanf o�,}ira Jarviced ii V f - Occupancy and Fee Checked icr- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) cfp\-\ . 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: 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) /3.2' RD a g 5 o u+If, yA4 M o o- -► M fI Owner or Tenant ,i 1-6,D p aOS fJ A L V Telephone No.se-0 - 6 _S Owner's Address `, G' p i h e Cyou e. ,0“,-e... H yR Iv 015 A Is this permit in conjunction with a buildin ermit? Yes g P ❑ No; (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: N)c T C C 0 ` v ��-q- ! iJ►.IS CURRcc► \t j, s\, Completion of the following table my be waived by the Inspector of Wires. lI No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans No.of Total "' Transformers KVA '..Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA CA -,t No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting Rind. g nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of SwitchesNo.ofbetection and No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Mouninncipaectionl ❑ Other C No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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: .5 SO O (When required by municipal policy.) Work to Start: I Q.1 1 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 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: /� LIC.NO.: Licensee: �C i`� \\\J l\j� C e i.uk t 1'D Signature OZ„./ LIC.NO.: (lfapplicable, t empt"i the lice a number li 1 Address: ' O C��, �e . ,c(?. C Bus.Tel.No. Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt 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. I am the(check one)Vowner 0 owner's agent. Owner/Agent Signature .'�', Telephone No. E $go s'/,?ofl PERMIT FEE:$ /ZOO ^7 + .1 4� � (, I) �.JL -ti"'N ~ " °� y =_ TOWN OF YARMOUTH . - BUILDING ELECTRICAL GAS ~ j - ...1,1\, 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 —Ai _ Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-0836 PLUMBING MATTACHEESE : SIGNS /�PogATEO �O� BUILDING DEPARTMENT NOTICE OF VIOLATION Inspection Date: (Q(2*( Inspection Type: '4 j ,J (.A L Property Address: /3 -' i • 26 Name: CIQI l f\.DO5Tt�� Owner}g,. Tenant ❑ D / B /A: Telephone: Mailing Address: MG City/Town: SO, yfl a MO U7t( State:44-- Zip Code:De-14c f An inspection of the above captioned property was conducted by the undersigned, during which the following VIOLATIONS were observed: 700 LE-i .=bra AV //V e .I,ns m/ ede Co cry ,- � F7ac.i-e-$ ()NW 1a�lr2 ter iii) 6' Gt,�-7 sc c. TO/-3r l 1 L1�rr- unf $ - -*Z -kind& Cbt/E e 634/cr.4/0-e (ii&PAL,kk_.-C)) di 03 t tz-INC, rice ex t1ih,- 4fi o ) -To cp. .- Coen- �' -o i ) 41, CAP�-r-r WI It-I NG, l Al Nor- L-Ae• <<Nnom) r s c* -O — ►-: c,F ' �,p� C 7 I� ��LICE �� . Lr � ? N PLl X 0 c i (-di at--t ti‘ eau /rt n N S //1/ BASE 11E7V7 i C a!C. 2 COnrou 7S) S oX --.S 4 IvizAlc &V ( ,44. EI,TERit 4c Getc, et Co CoNOTi�dv s o reoo F- 17L ON tl You are hereby ordered to abate or correct said violations within -- --2-- days. Failure to do so may result in criminal/civil complaints being filed against you, which may be subject to fines as prescribed by pertinent laws and regulations, or may delay the issuance of your license. You are also required to contact the Building Department for a re-inspection by the time noted above. Signed: C ` Z��/U--(..o. "' Ali' tT Inspector ji iTitle Copy Received By: T � -+ s•4A Original - Owner/Tenant Yellow Copy - Licensing Authority Pink Copy - Bldg. 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