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Home My WebLink AboutBLDE-22-000265 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000265 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:7/16/2021 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 0 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 grad. 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 Initiatine 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/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 Ballasts Data Wiring: Heaters Siens 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 k7 .qp�� //� � Official Use Only l—oosrnontwaa!J2 or r ta35ackaale,.,ea r Permit No. ?_Z -__...,...9_p �ep�FG utnI of c L�ervica Occupancy and Fee Checked • _• BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07J (leave blank) Ems:l P i=l rG-z FOR �E !r PERFORM O! r ! ` A 1 . ✓ • �% is L f l�. t _ All work io be performed in accordance with the Massachusetts Electrical Code 4EC) 527 CMR 12.00 (PLEASE PRINT IA'INK OR T) ALL INFORMATION) Date: 7 1112 4 Cfty or Town of: YPE cren a ✓ To the Inspector of Wires: By this application the undersigned gives notice of his or her intentio ,,/`/to perform the electrical work described below. Location(Street . Number) /0 2. ,1-1 5c.., 1 -1 I c.± c Owner or Tenant 14 y c-'1e1 i S Ay►t+"'t c. I 405 r t I Telephone a No. Owner's Address -- ls this permit in conjunction with a building permit? Yes ❑ No Er (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ce Amps / N'o(ts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampscity Location and Nature of Proposed Electrical Work: 14 ij/4 C.- r-C_1 ( C c i..01c.r')1` Com lesion o the followin: table . •be waived by the Inspector of Wires. 'o.of Total Na.of Recessed Luminaires lido.of Ceil:Susp.(Paddle)Fans ITransforners =VA No.of Luminaire Outlets No.of Hot Tubs Generators KI-',k Above in- 10.0 t.mergeney l gthting No.of Luminaires SF mm ig i"ool grad. ❑ arnd. ❑ Bette -.Units No.of Receptacle Outlets INc.of Oil Burners !FIRE ALARMS ItN'o.of Zones i -No.of Detection and f I No.of Switches no.of Ges Burners Initiating Devices No.of Ranges IRto.of Air Coad. Total Vous :No.of Alerting Devices Beat Pump Nu tber 'Tons r' No.of Self-Contained Totals: .Detection/Alerting Devi i�do.of Waste Disposers No.of Dishwashers Ssasce/Area eating KW - LOcsl❑ Coaaet t1011 Municipal ❑ O ?er Heating r lienees Securf Sy'+ste>vs: 1 a.of Dryers i; pp` � ' 1 No.of Devices or Eauivelent No.or Water , No.of No.of Data Wiring: Treaters i-e�` Signs Ballasts No.of Devices or E >itivateat —a Rof �rotoss Total CSP Telecommunications'tK iris i'�0. ,_vuromessage Bathtubs No. j E No.of Devices or Equivalent O c 1E•R: �-7� ! .trach additional detail if desired.or as required by the Inspector of Wires Estimated Value of`'Iect 'cal Work: , a• (When required by municipal policy.) Work to Stan: 1 571.-1 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE I BOND ❑ OTHER ❑ (Specify:) I certifit, under the pains and penalties of,perjury,that 1 thei information an this application is true and complete. F itRlbi N PtiE: .3 Cri'Yi�S M . (::.rt i;Ti ccs+'1 L .111.7;.73t / LIC.NO.: /--/ 5 7 ;' Licensee: '77.,-- .14 (9.av—r.i7 Signature -e_..i/L/./v LiC. NO.: (/(applicable.enter "exempt"in the license number line.) n ( i Bus.Tel.No.: 6T-`ii'7000 Address: �i _o�i-.14S fi=�11- 11\-jiia.r,.i 5; 0 ic_. 1/1 C 2-G6- Alt.Tel.No.-.5-0?-6`1Z-5_X T =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: 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 ❑owner's agent_ Owner/Agent Signature Telephone No. c PERME T FEE: € ' P r Aft r. i (— I I• Zen i i Et :-,-,:-.-,..c..- . L c„-:,--1