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Home My WebLink AboutBLDE-21-006728 Commonwealth of Official Use Only Permit No. BLDE-21-006728 EE Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:5/20/2021 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) 32 RAINBOW RD Owner or Tenant Brian Serpone Telephone No. Q Owner's Address MA Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A,'►. •r e 4t5 /Purpose of Building Utility Authorization No. h Q I> Existing Service Amps Volts Overhead 0 Undgrd 0 No.oA AL New Service Amps Volts Overhead 0 Undgrd 0 No.of e O Number of Feeders and Ampacity O Q Location and Nature of Proposed Electrical Work: Replace exterior service. Completion of the following table may be waived by ,'e ,r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 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. 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 Equivalent 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: $50.00 I Is Commonwealth o /uiis i Official Use Only cc�� e�� aeaac ' 7 �' `l 1Jsparlinsn,on,....ti++s�•eriicss Permit No. '(::. -LA—� ( `�v f� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/O7j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).547 C 12.00 (PLEASE PRINT IN INK OR TYP)ALL INFORMATION) Date: 57/6 o?/ City or Town of: i fmnaS4 To the Inspector of ares: By this application the undersigned gives7e of his or her m to perform the electrical work described below. Location(Street&Number) .1„.? / l"j�4OceJ i'AGK Owner or Tenant %.,, , Sprofif// Telephone No. Owner's Address si-y� ,- ce c, <i f101/P Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building X/e`l%+Z Utility Authorization No. Existing Service /Or Amps pc,1.�5()Volts Overhead EK Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 2 , 'c/lttc�i v-/Q5bcr�I/Y 4'4yt'#r _le lei" Sac4-r 64_141 use f- NQS Qrrc•inp `"< / Completion of the followingtable may be waived by the Inspector of Wires.J 'a' No.of Recessed Luminaires No.of Ceil..-Snap.(Paddle)Fans Troamsff ormers TICVA _, No.of Luminaire Outlets No.of Hot Tubs Generators KVA `h No.of Luminaires Swimming Pool Above ❑ In- 0 No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.Initiatingof Deteon and Devices No.of Ranges No.of Air Cond. Tun l No.of Alerting Devices ned No.of Waste Disposers Heato Number 1 Tons KW_____ No.oDetection/Alerting Devices _ No.of Dishwashers Space/Area Heating KW Local 0 Coin 0 Other No.of Dryers Heating Appliances KWSecurito. f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Ega:Sent OTHER: Attach additional detail ifdesired.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 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 ce tify,under the 77,ndipenaltir of per, crythe information on this application is true and complete. Al Z.;9/0 FIRM NAME: 4i/eel/V.( , /Gie % LIC.NO.:doorar Licensee: "i Signature G/ C�� p LIC.NO.:elf-7/66,6 (If applicable.entgr"eremp(n the lic a tuber,line.) Bus.Tel.No.: Address: / 7 //'1 r ,v �� '�.i✓rf Alt.TeL No.: 36o" r�S aper M.G.L.c. 147,s.57-61,security work requires D..: it 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 PERMIT FEE:$ Signature Telephone No.