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Home My WebLink AboutBLDE-22-000543 UNIT A 0, Commonwealth of Official Use Only .t-in Massachusetts Permit No. BLDE-22-000543 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:7/30/2021 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) 225A WHITES PATH Owner or Tenant New England Supply Telephone No. Owner's Address MA 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: Replace existing drop-in fixtures&receptacles. (NEW ENGLAND SUPPLY) 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 9 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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 0 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 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. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) 617- 2-5077 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Joseph L Moniz Licensee: Joseph L Moniz Signature LIC.NO.: 14635 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 FRANKLIN ST,SOMERVILLE MA 021453236 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: $80.00 � 4323-1WillC.� l( C RECEIVED :� AArr y�j JUL 2 9 Carrimonwsalth o`///aeaacl'iuealte Official Use Only c7 {�trt Z210-1'9 1C.,-�7, 1J Permit No. r 4 F sloartmsnt`o� }irs Serviced BUILDING DE 1 r -M,, as' _ Occupancy and Fee Checked By.- — .--- - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: J —2q 1 City or Town of: YARMOUTH To the Inspector of Wires: e By this application the undersigned gives notice of his or her intention to perform the electrical work described below. t Z Location(Street&Number) a a s 4 tof4l i s P 7N Owner or Tenant Neu., riUCtirti Spy (t1 Telephone No. •'1 Owner's Address :a,�cA CL)i4(i n Pal N illi Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) _ Purpose of Building L��A � Utility Authorization No. , Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters '<k) New Service Amps / Volts Overhead pt El Undgrd ElNo.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: • • I Ytlr �lt►u111Svct5ltns bra) t t� (=ia�lWiJ it: /Vet,:L, j �a kt4,1ts vii Lvti V � G‘1..k +sl Completion of thefollowing table may be waived by the Inector of Wires. tlx No.of Recessed Luminaires No.of Cell.-Sas No.of Total r! p.(Paddle)Fans Transformers KVA 'Z' No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires q Swimming pool Above ❑ In- No.of Emergency Lighting grnd. rnd. ❑ Battery Units ` No.of Receptacle Outlets 5- No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners -No.of Detection and t‘: Initiating Devices t, No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of SeTf-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW �❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' 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 ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2i Cir' ' (When required by municipal policy.) Work to Start: 7_Z1_Zi 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 ,] BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties o er u that the Information on this application is true and complete. fp i ry, pp FIRM NAME: 1110)112._ .1.,-L1 izi C LIC.NO.: Licensee: / 'C,A 1 Z g `Signature �� A _ (If applicable,enter"exempt"in thelicense umber line.) �L�`�3 LIC.NO.: ,� (� Address: i Y (e [ ^ vl i Bus.Tel.No.• _ *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: LiAlt c..No. Xr 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:$ --