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Home My WebLink AboutBLDE-21-006309 or, p4, Commonwealth of Official Use Only €. Massachusetts Permit No. BLDE-21-006309 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:5/3/2021 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) 34 TOWN HALL AVE Owner or Tenant James Grinnell Telephone No. Owner's Address 34 TOWN HALL AVE, 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: Wiring for basement room 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- ElNo.of Emergency Lig .' g grnd. grnd. Battery Units Q / No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARrk‘ .. . I •!c No .of Switches 2 No.of Gas Burners No.of Dete '• •n / ,, Initiatinu De • No.of Ranges No.of Air Cond. Total No.of Alerting De ' • O Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained s&P 4&0 Totals: Detection/Alertine Device No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent O No.of Water KW No.of No.of Data Wiring: Heaters Sins 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: Richard L Serpone Licensee: Richard L Serpone Signature LIC.NO.: 6910 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 183 PINE ST,YARMOUTH PORT MA 026752374 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: $75.00 eQ 00"( c c(SIz VPt • v/ W ..„ .._._____e _____.„ //�� ryy 14 CoMMo,rw.arhit o f M eeachadals Official Use Only '• 11 `/ sparfaw4i of i,.J.rvicae Permit No. O . Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. lro7) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1//0 City or Town of: rc1rrrtoo f�i To the Inspector of ares: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 334 *WI/ /24J/ ,4v-e Owner or Tenant Trot e... Ge i y y eJ/ Telephone No. Owner's Address 31/ 7 ,WI( hied/ Ave Is this permit in conjunction with//a building permit? Yes Er No ❑ (Check Appropriate Box) Purpose of Building /)we f/t43 Utility Authorization No. Existing Service /er.) Amps /AV/,'Volts Overhead Er- Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: r whs$ 4 ,/,.,/,/,7 ,ti ?S„,,„e c►i , v) Completion of the followingtable m be waived by the I ctor of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Tof Total Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA n No.of Luminaires SwimmingPool Above In- No.(it-Emergency Lighting arid. ❑ and. ❑ Battery Units ;,` No.of Receptacle Outlets l0 No.of Oil Burners FIRE ALARMS No.of Zones .� No.of Switches Z. No.of Gas Burners No.of Detection and Initiating Devices 111 No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Dbposen Heat Pump Number Tons KW No.of Self-Contained Totals: __ __.� ___ ._._._.___ Detection/Aleu� s Devia No.of Dishwashers Space/Area Heating KW Local 0 M 0 Other Connectioa No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications W No.Hydromassage �linaaa Bathtubs No.of Motors Total HP No.of Devices or Equlvi ent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (Coi 00 (When required by municipal policy.) Work to Start: j Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE 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 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 cetdljy,under the °�pe of perjury,that the information on this application is true and complete. FIRM NAME: �� G1tir'c lc�t�e / LIC.NO.: A69/0 Licensee: i `, Signature , ,/— __-__ z,. • LIC.NO.:t/6611' (If applicable,enter"es pt"in the license number line.) Bus.Tel.No..sobr^36e-Fs9If Address: S"f / V1 J '-.r lea, ffAt•mrm '/I Alt.TeL No.: *Per M.G.L.c. 147,s.5r-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. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 75,00