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Home My WebLink AboutBLDE-22-001660 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001660 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:9/22/2021 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) 102 ANSEL HALLET RD Owner or Tenant VENEZIA LAWRENCE E TRS Telephone No. Owner's Address MCFARLAND MARIANNE TR, 102 ANSEL HALLET RD,WEST YARMOUTH, MA 02673 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC 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. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones — No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting 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:) 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: $80.00 C:tg.y l® tt/utegl fJi�{{ r�/p / ri Official Use Only • Commonwe.Q. h o f/-(a53acka _ - h Permit No. �2Z� � � (c'� _ 3cpaFtnwz'Of-ill: Sc vicei Occupancy and Fee Checked 11 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] : (leave blank) ERF l L \1. CL C JCAL ,S . - K L*LLrte0 ? c : All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLE.4SE PRINT IN INK OR TYPE ALL INFORMATION.) Date: 9 l 1 r h.i City or Town of: )/cr-rn o, To the Inspector of-Wires: By this application the undersigned eaves notice of his or her intention to pe Tom the electrical work described below. 1 oration (Street& Number) 1 0 7 A-nse_` I40I I t.l I2 Owner or Tenant 1+),G.vi V11 S rtn t yvla.I tibSps t_I Telephone No. Owner's Address �/ is this permit in conjunction with a building permit? Yes [73 No LJ' (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampscity Location and Nature of Proposed a iectncal Work: jAi 1 rc, y- -1( ce_c_rrtcs)° — ti—VA—C. S yS ftev7 Completion of the iollowing table may be waived by the Inspector of Wires. 10.ofTotal No.of Recessed Luminaires lido.of Ceil:Susp.(Paddle)Fans 1Transformers =VA No. of Luminaire Outlets No.of Hot Tubs (Generators KVA Above fn- No.of Zinergency ligating No.of Luminaires Swimming Pool grad. ❑ grud. ❑ Battery,Units - 1 No.of Receptacle Outlets INc.of Oil Burners .PURE ALARMS INo.of Zones INo.of Detection and No.of Switches INo.of C-es Burners , Initiating Devices Total • No.of Ranges No.of Air Cond. Vons :No.of Alerting)Devices No.IQ.of Waste Disposers Heat:amp -_utrnberTons ..__ do.of elf-Container l Totals: I T o'--' !Detection/Ales-Ong Devices No.of Dishwashers ISpscelArea Meeting KW — cat r--1 Connection ❑ °tiler Security Systems:* No.of Dryers Heating `ppfiegees {i 1 No.of Devices or Eouivnient No.or WaterNo.of No.of Data Wiring: Heaters i,E>Q' Signs Ballasts No.of Devices or Equivalent No. drot::assn a BathtubsMotorst-. 1 elecomsnunications Wiring: g No.of Total_.P No.of Devices or Equivalent .4troch additional detail 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 cg5yage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certilti', under the pains anti penalties of perjur t',the:the information on this application is true and complete FURM 'NAF-IE: 23 c_m.-5 A/I . V:/:..r;a T'? e.1...c.'i-1--e- �. ,:. //�- /-//' LIC.NO.: Ar 15-7 c Licensee: 1 _.;r.-t;_� .'til: fi�.;7% j- Signature -LJ../�/i,f//ti,i LIC. NO.: (Inapplicable.enter "exempt' in the license number line.) n ( _ bus.Tel.No.:56 Ui'2c GO Address: 2 r; 0`-3.-.=L, S '—'1`[- i"v M,�cr,-.7>se 1c vi is 6 2. 6....c Alt.Tel.N045.-0E-1.2,P -5.76.,7- -Per M.G.L.c. 147, s 57-61,security work requires Department of Public Safety"S"License: l.ic_No. OWNER'S INSURANCE WAIVER: 1 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 ❑owner's agent. O--vvo er/A gent [ -- Signature Telephone No. [ PERMIT FEE: i' G �`(/( r t C- t:• ...in u jt--( E-) :f'i=LL . c C:-/-1 V