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Home My WebLink AboutBLDE-22-006385 . ,Commonwealth of Official Use Only c� �' Massachusetts Permit No. BLDE-22-006385 tiMli ,,, 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:5/5/2022 City or Town of: YARMOUTH To the Inspector Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described bel �J Location(Street&Number) 21 TELEVISION LN 6/ / z?' Owner or Tenant Alfredo Lopilato T ephone No. Owner's Address 21 TELEVISION LN,WEST YARMOUTH, MA 02673 ,, a _, Is this permit in conjunction with a building permit? Yes 0 No 0 (C )Bir✓,__.A./v„, O 1 Purpose of Building Utility Authorization Existing Service 100 Amps Volts Overhead 0 Undgrd a ,. ; - ' rs 2'$ 24' New Service Amps Volts Overhead 0 Undgrd • No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen, living room, bathroom, &laundry. Replace meter socket&panel. NC system. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 16 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- o No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 15 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 TTotal 2 No.of Alerting Devices n No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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. /7t'Pr 3(g2(J—S"1/8 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: Licensee: Nathan Donnelly Signature LIC.NO.: 55628 (If applicable,enter"exempt"in the license number line.) �`ec�� `` - (( ) Bus.Tel.No.: Address: 15 Vining Court,Woburn MA 01801 V 1BO { —19('/`I 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:$75.00 fr2/v2' ('off ge5a6 gA-r '-a SitN'4o 8630 gR..cm. -tv 1 -S�' /�io�►/ Sox wI�D Rita /I-Ate up At. on, f r uc -) . 02,6-jv✓ R 6(1,0i-7,5 4l ns i 7/se . ii qa a4E.l-v icriviezfil QF-6, �4E2a)t A-OVt" 6121 5ZC1 1‘}SP 014k (rtn,4 7/t2,/z 1 w [ WED `*+ Commonwaatth o`//Jaeaachueat`fe Official Use Only M A " ` di c�r� 7 Permit No. 1�2Z '(40 3 3� K 1 ` -7,:,',..,.. .lJrparfn+snf o`}irr Serviced L.-------; ENT Occupancy and Fee Checked BU1 IN- ''.. "a ,RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) By — ve APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: � �3 ,2T,ZZ 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. J Location(Street&Number) a/ -Tele v/5/ext IOwner or Tenant A//Creel p ,P I f' -./7) Telephone No. to/____j-9S"), f Owner's Address 52A ,116a✓e_ Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) � - Purpose of Building id i/i,/ Utility Authorization No. c 7 ?.7 1 Existing Service l0& Amps ',to' keo Volts Overhead m Undgrd❑ No.of Meters I QNew Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters , Number of Feeders and Ampacity S/100 Location and Nature of Proposed Electrical Work: W L, 4 , _ CiAik, V J >, t, i3firme)►vt + ell, Ref'dC.lrti . A s,9J e- # f . Ale-a/ A c Syc u it \I‘, Completion of thefollowingtable may be waived by the Inspector of Wires. Traa onsformers KKVVA i,t. No.of Recessed Luminaires Z6 No.of Ceil.-Susp.(Paddle)Fans Noo al �! '4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA CA - No.of Luminaires Swimming Pont Above 0 In- No.of Emergency Lighting mad. grnd. 0Battery Units `:. No.of Receptacle Outlets 2 No.of Oil Burners � FIRE ALARMS No.of-Zones No.of Switches l S No.of Gas Burners No.of Detection and Initiating Devices 11 r No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _KW No.of Self-Contained 1 Totals: Detection/Alertin Devices No.of Dishwashers / Space/Area Heating KW Local 0 Municip Connection 0 other No.of Dryers ' Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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 El trical Work: G 5019 (When required by municipal policy.) Work to Start: 3" 3. 00241 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C 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 [ i BOND 0 OTHER 0 (Specify:) I certify,under the pains and enaities ofperjury,that the information on this application is true and complete. FIRM NAME: �z ��h LIC.NO.: Licensee: Signature LIC.NO.: ' , (If applicable.enter"exempt"in the heels umber line) / _--�_ Address: /$ l/,„t„a A� 44 a�o/ Bus.Tel.No.: ! >?I2 290- Tel*Per M.G.L.c. 147,s.57 1,security work requires Department of Public Safety"S”License: Alt.Lie.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 ■ owner ■ owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE:$