The URL can be used to link to this page

Home My WebLink AboutBLDE-22-000176 Commonwealth of Official Use Only i`` 1 Massachusetts Permit No. BLDE-22-000176 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:7/12/2021 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) 11 MACOMBER DR Owner or Tenant Mike Scigel Telephone No. Owner's Address YARMOUTH PORT, MA 02675-2225 Is this permit in conjunction with a building permit? Yes 0 No 0 (® ate Box) Purpose of Building Utility Authorization Existing Service Amps Volts Overhead 0 Undgrd New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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. rnd. 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 CO °zr 2/ q -i eg- //� ��!! //}/pyq/ Official Use Only l�Or.Yl20fIdUEQLLP!O�F=/1L33CLC�1L3Q� ^ � `(9 .7: ' , 25 g ��'rizicad Permit No. tom(fl • -- -•-- Occupancy and Fee Checked l ` ----- BOARD OF FIRE PREVENTION REGULATIONS IONS [Rev. 1/071 (leave blank) 1 71:- P LIC i O t i FOR PEritir6ET TO PER[FOLtil: E ELECT_ RJCAL IMOr•K All work to be performed in accordance with the Massachusetts Electrical Code(h4EC).527 CMR 12.00 (PLEASE PRINT IR INK OR TYPE ALL INFORAMT1ON) Date: -76/ 7/2 City or Town of: �fevmv✓r/4 To the Ins} ctor of Wires: By this application the undersigned gives notice of his or her intention to perforrl the electrical work described below. Location (Street& Number) /I fil < corn ke- Dr Owner or Tenant /14 LC(� S cI oi c ' Telephone No. Owner's Address T �-y Es this permit in conjunction with a building permit? Yes ❑ No U (Check Appropriate Boa) Purpose of Building Utility Authorization No. GI 31 a 0 Esisting Service Amps i Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ammpscity , Location and Nature of Proposed Electrical Work: u el rhe. kj-elje_ricOldi ft 4 `Ic-'M c .I SCrvsC.(. -i-c 2.(DO el-r.-1 eS Completion of the following table may be waived by the Inspector of Wires. INo.of Total No.of Recessed Luminaires No.of Cent:Susp.(Paddle)Fens 1Transformers :KVA No.of Luminaire Outlets No.of Hot Tubs Generators € 'r`'- Above in- No.of Emergency Lighting No.of Luminaires tinaires Swimming Pool grad. ❑ grad. ❑ Bette Units - — t No.of Receptacle Outlets INo.of Oil Burners FIRE ALARMS INo.of Zones [ RNo.of Detection and I No.of Switches I No.of Gas Burners I' initiating Devices t lNo.of Ranges INo.of Air Cond. Tool Vons No.of AIertiog Devices [ eat:amp 7.umber Ins[o '�' •do.of e - ontainec No. of Weste Disposers ,1 HT otais: !Detection/Alerting Devices No.of Dishwashers ISp2celArea seating KW fLOcaI❑ ConneMunicipFction ❑ Other 1 4-1S-eel-lir-Sty stems:- IF o.of Dryers Heating r �'pplieaces I No.of Devices or Eottivalent No.of Water ,_ o.of No.of Data Wiring: Heaters €-`�" Signs Ballasts Noof Devices or ui No.Hydromassage Bathtubs Na.of Motors Total LSP lire ecormusaratioes mug: e nt No.of Devices or Equivalent OTHER: .4 troch additional derail 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 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: INSUB NCE BOND ❑ OTHER ❑ (Specify:) I cet'tifl',wider the pains and penalties of perju ri',tires the information on this application is true and complete. FIRM i:1 A rv`'E: c.m c.-S /V[ _ LI 4-d";i.;'I.'? e.1 c.f.: -y.1 c- :17-.),7-g. /-�/' LAC.NO.: /-,' / 5-7 c?T Licensee: •CT;.n c_S ./14, Van•: Signature U..�LZ2- LIC. NO.: Of applicable.enter "exempt'.in the licerAre number line.) n 1Bus.Tel.Ro.:.0 T—t"�G '7r�Gu Address: �C-) oa.i e.l S r .-1-1-, U (i.:5 -Y,-1 Se (_ i0/4- G ZG6 t A.lt.Tel.No.'SbF'-i,'-r-5.36. =Per M.G.L.c. 147,s 57-61,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,1 hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. r..i:ner/._gent 1 PERMIT FEE: .f' Signature Telephone No. e . �J1J( Ao l f- '. ..:\v .-'T t e, :.--).c . L c^t7