HomeMy WebLinkAboutBLDE-23-001398 Commonwealth of Official Use Only
t`_�, �w Massachusetts
Permit No. BLDE-23-001398
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:9/16/2022
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) 100 CAPT CHASE RD
Owner or Tenant GABRIAL DEGRACE 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 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: Install generator
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 1 KVA 18
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. Ton l No.of Alerting Devices
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 Ng.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 El (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
VIS t 111567,
��._ C0171rllanL/ea& o1 adJac'ei?`s Official Use Only
>d= cc�� cc-77 Permit No.
C=-2 - (370
2)t paetmenl o/J`ire Scpvaees
II Occupancy and Fee Checked
=;tip' 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 C).527 CMR 12.00
(PLEASE PRINT IA'INK OR T)' E ALL INFORMATION) Date: 9 //Z L
City or Town of: -✓'✓i-io 0774 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 ee Number) /Da Geer, C6 c SC /
Owner or Tenant ' L,'ic I ��e f-ro es . Telephone No.
Owner's Address
Es this permit in conjunction with a building permit? Yes ❑ No D (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrcl 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:2✓ 1,,,i'v-L, /7'cc, S h Jt/ c I-V7 �e— /
iAlGl6 (v V2CSu54 =i/1s1 ^ St-I'1! 7
Completion of the followin table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceii:Sus No.of r otal
p.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires swimming1,00i Above ❑ in- ❑ No.01 i mergency Lighting
grad. grad. Batte Units
No.of Receptacle Outlets No.of Oil Burners (FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners !FIRE
of Detection and
Initiating Devices
11
Tons No.of Ranges No.of Air Cond. Toa INo.of Alerting Devices
No.of Waste DisposersHeat Pump 1 Number_ i ons KW 1No.of Self-Contained
Totals: L_"�" "" ,Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW "Local❑ Municipal ❑ Orb
4 Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water Heaters t{Eab, No.of No.of Data Wiring:
Signs Ballasts
No.of Devices or Equivalent
No, Hydromassage Bathtubs No.of Motors Total gip Telecommunications V9iriagg:
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: 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 0 OTHER ❑ (Specify:)
I certfb,,under thr ins and penalties ofperjun',that the information on this application is true and complete.
FIRM NAME: .Jo�vrtt.-S M . tinL:'hi --&-.--1 c._• ..-:-F— ..-... LIC. NO.:
Licensee: ,, ,i,-.1,-....F; .•'Wl: iJ'r.;� ;-j�. Signature �/.�"\-- LIC. NO.:
(If applicable,enter "exempt-in the license number line.)
-7 r? Bus.Tel.No.;SG �/Z -76Gu
Address: n > asp c(I S V--,---ill"fit (/v : v- r.�511—z b Ic Nl/� C5 Z 6 Alt.Tel.No. bF'AYE-5.36
*Per M.G.L.c. 147, s 57-61,security work requires Department of Public Safety"S"License: 1.ic.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)0 owner 0 owner's agent.
Owner/Agent
Signature 7 Telephone No. 1 PERMIT FEE: $
_7 i q t_ -. ItV v1L.t � i�'L,_ . cc:�
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