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Home My WebLink AboutBLDE-22-0000904 c �, i-%� ommonwealth of .ill Use Only ,LM, ort Massachusetts Permit No. BLDE-22-000904 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:8/17/2021 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) 52 CROWES PURCHASE Owner or Tenant Steve Garlepi Telephone No. Owner's Address 52 CROWES PURCHASE, 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 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: Kitchen&bathroom remodel. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatinu Devices No.of Ranges 1 No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers 1 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 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: ADAM G LEPIRE Licensee: Adam G Lepire Signature LIC.NO.: 21742 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 PICASSO PL, OSTERVILLE MA 026551245 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 23 8t( ' 1 24 t cofr/-v I RECEIVED ,.,, /`!JG 17 202 aa,� yyj IL? .-. LO of earth el//laeeac uesti4 Official Use Only rDiN Termit No.� �sBOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]Occupancy and Fee Checked(leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 C 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: e/17 `-7 City or Town of: YARMOUTH To the Inspector of Tres: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5A C r4,/fj f1/4 f51 _ Owner or Tenant / /6k j n �.//c.y p 9 Telephone No. -OS(f Owner's Address ---�� ' Is this permit in conjunction h a building permit? Yes ❑ No 1.`4 d� EK. (Check Appropriate Box) W Purpose of Building UtilityAuthorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: //j Telte"/v 1tof, V l +�t Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires p No.of Cell:Soap.(Paddle)Fans No.of Total Transformers KVA 1::.t No.of Luminaire Outlets /0 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ Tn- 'No.of Emergency cy Lighting grnd. grnd. ❑ Battery Units �° No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS [No.of Zones '- No.of Switches No.of Gas Burners 'No.of Detection and It,r Initiating Devices No.of Ranges / No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump Number}Tons W 'No.of Self-Contained Totals: �K__._'-.'..""."'""... Detection/Alerting )evices No.of Dishwashers / Space/Area Heating KW Local❑ Municipal F Connection r-1 other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' Data Wiring: Na.of Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of El ctric 1 Work: (When required by municipal policy.) Work to Start: Inspection a requested in accordance with MEC Rule 10,and upon completion. INSURANCE C E: 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 c�ov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE IV BOND 0 OTHER ❑ (Specify:) I cerdfy,under the p, n and penalties . erjury,tha ' information on this application is true and complete. FIRM NAME: it .. t _A 4 LIC.NO.: s Licensee: Agyilln/ ,4 / (If applicable,erste exem. 'in the license number!i Signature ,�AllPF: �/ LIC.NO.: j„ Address: /�, �'t o�r,.� a// / Bus.TeL No.• ,, OX N" 1' LI' O ter./ Alt.Tel.No.. FFA, *Per M.G. .c. 147,s.57-61,security work requires Department of Public Safety"S"Li nse: Lic.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:$