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HomeMy WebLinkAboutBLDE-22-000135 011 r' Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000135 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:7/9/2021 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) 109 SEAVIEW AVE UNIT 11 Owner or Tenant GALANTE LINDA J Telephone No. Owner's Address 16 NORRIS ST, CAMBRIDGE, MA 02140 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: Remodel 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 1 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons TotaNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p 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 Data Wiring: 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. 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: Thomas S Galante Licensee: Thomas S Galante Signature LIC.NO.: 23010 UIapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:333 Boxberry Hill Rd, East Falmouth MA 025364125 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. I PERMIT FEE: $50.00 I az (>1 L _._ ir, f*z}{, g/tsf RECEIVED JUL 0 8 4-2(/1 /� a� / BUILDING DE 1Nl.ommonwsa[th o`Maeeachudaffe Official Use Only IV' 1, ey I� _ -/ Permit No. e_,12-4)15 S V - 2 epart~msnl oi�u�s Serviced .'_ '''1`� ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked A [Rev. 1/071 (leave blank) C - � 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: ~f-- g - � City or Town of: !YARMOUTH To the Inspector of Wires: Q By this application the undersigned gives notice of his or her intention to perform the electrical work described below. n 1+. t i Location(Street&Number) ( (�C Seat i oer h r FV e . S', �d m &) mi- e .7644'4 1p f0� Owner or Tenant.r4;1--- -°!3.1-PLTI'''rrVci _ � � c) Oui.BywNo 39 J/-6&5 O Owner's Address , et- y4 o 4, 7 7 � Is this permit in conjunction with a building permit? Yes [ No ❑ (Check Appropriate Box) Purpose of Building ('''fled( Utility Authorization No. AExisting Service 1 QC) Amps (aQ/ a 40 Volts Overhead Q Undgrd❑ No.of Meters I New Service I 0 0 Amps Ppb l ,Lb Volts Overhead 252--/Undgrd ❑ No.of Meters Number of Feeders and Ampadty 1740 1t/D 1 f 5 Location and Nature of Proposed Electrical Work: k i -I-c h e V`, ) Completion of thefollowin&table my be waived by the Inspector of Wires. tIANo.of Recessed Luminaires No.of Cell.-Sas No.of Total �! p.(Paddle)Fans Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting �rnd. grnd. ❑ Battery Units No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS 1No.of Zones , ,-- No.of Switches / No.of Gas Burners 'No.of Detection and Initiating Devices - It,r No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin, DevIces No.of Dishwashers Space/Area Heating KW Local❑ CoMunnectionicipal n ❑ other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters ' Signs Ballasts Data o.of Devicess or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent C.) OTHER: qAttach additional detail if desired,or as required by the Inspector of Wires. l Estimated Value of Electrical Work:4070©,0 0 (When required by municipal policy.) �j Work to Start: 7-id--02/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. S" 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 exhi ted proof of same to the permit issuing office. ,^ CHECK ONE: INSURANCE 0 BOND 0 OTHER [(Specify:) ') I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. qt G�5 FIRM NAME: 71)6f ) ,S, (i-a I( M�e LIC.NO.:43 610 E. --Zs Licensee: _ S Q yr P. Signature , : , . ,,,a .f -> NO.: C (if applicable,_enter"xem in the license number line.), f `, a Tel. o.' Address: 3 Off( s�e (,( i 1�-t t' RQ mt7u t Bus. No. �r *Per M.G.L.c. 147,s.57-61,security work requires Department of Public�Safet"S"Li License: Alt.to Lic.No. /gj_7d il-g3 aI �WNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insu in ce coverage normally required by law. B my signatur below,I hereby waive this requirement. I am the(check one 111 owner ■ owner's a.ent. Owner/Agent c.� )� � Signature ��� Q �u�.�t elephone No.7j39-...1c))- x„, a)- PERMIT FEE:$ so-- o3 `10