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Home My WebLink AboutBLDE-20-003849 0, Commonwealth of Official Use Only , ._,1 ,9 Massachusetts Permit No. BLDE-20-003849 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:1/13/2020 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) 29 LIVERPOOL DR Owner or Tenant MOOSEKER KRISTINE PERS REP Telephone No. Owner's Address C/O' * 4. E P 0 BOX 1492,WEST DENNIS, MA 02670 Is this permit in conjunction-VVI '11ults `g 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 new kitchen. 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 Light' g grnd. grnd. Battery Units v�`� e No.of Receptacle Outlets No.of Oil Burners FIRE ALA � �� es No.of Switches No.of Gas Burners No.of Detec a Initiating Devi i No.of Ranges No.of Air Cond. Total No.of Alerting ' 1 Tons ` No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained /1 Totals: Detection/Alerting De • No.of Dishwashers Space/Area Heating KW Local 0 Municipal 4p Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent , No.of Water KW No.of No.of Data Wiring: Q Heaters 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: (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. ,•,�JS 3€ c le CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) ��`i" t I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Febo J Ciccotelli Licensee: Febo J Ciccotelli Signature LIC.NO.: 14707 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:324 NOTTINGHAM DR, CENTERVILLE MA 026322134 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 I t �/3( t�� cGtE - Z 1;1 E-cr r694,Nee-c-Coodz/wto i N TCVLAky i2 � � 3d�_ S �� W pr' Cosy; tO , -z .::,( J /� Commonwealth.o1///a�ac fti Official Use Only Hc'4-‘\1 ' . 3 , rq = j== nn Permit No. , ,.. =Ant— - rparlmanf o/5irc Jolt ccs . • ={ ' aOccupancy and Fee Checked _� BOARD OF FIRE PREVENTION REGULATIONS tRev. 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 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM4TION) Date: `/ / ---e' City or Town of: YARMOUTH To the Inspector of Wires_ By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) c/ Ai icies'- ,..-"9/ Owner.or Tenant C , ,? s0n Telephone No. Owner's Address j_ X. / e'8/ I)i., A ray,tz, i ndN f Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose cf Building Utility Authorization No. Existing Service/Or Amps 41 / % Volts Overhead Z----- Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: - _ Completion of thefallowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Total Transformers KVA ,4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ Ia- ❑ ttvo.of Emergency Lighting crud. crud Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ji No.of Switches No.of Gas Burners No.of Detection and • • Initiating Devices No.of Ranges INo.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers I Heat Pump Number Tons KW No.of Self-Contained- Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' LoralMunicipal D Connection 0 °ther No.of Dryers Heating Appliances KW Security Systems:* No.of Water No, of No.of Devices or Equivalent Heaters KW No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of FPires. 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 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. penis of perjury,that the information on this application is true and complete. FIRM NAME: ve c, i,, Ae.//'" Licensee: LIC.NO/9. Cl) 7-�� .I eater"exempt" — " `Signature ��} ��'Cy 0/ LIC.NO.: �f applicable, int a license number ne.) `�1 Address __ p 7,/ S- 6 r G� Bus.TeL No.: -- J "`Per M.G.L.c. 147,s.57-61,security work requires Dy Alt.TeL No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally 5 required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner anally Owner/Agent ❑owner's a est Signature Telephone No. PERMIT FEE: $