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Home My WebLink AboutBLDE-21-002101 Commonwealth of Official Use Only " �� Massachusetts Permit No. BLDE-21-002101 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:10/20/2020 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) 16 ESSEX WAY Owner or Tenant LOUIS PREZIOSI Telephone No. ff / Owner's Address 16 ESSEX WAY, YARMOUTH PORT, MA 02675-1321 ® // _-/ Is this permit in conjunction with a building permit? Yes 0 No 0 (Check , •pri;4t!P !!! Z3 Purpose of Building Utility Authorization No. 4 Z Existing Service Amps Volts Overhead 0 Undgrd ❑ 1 r • s Aft New Service Amps Volts Overhead 0 Undgrd 0 `i. ' •4.r ' rI/„� Number of Feeders and Ampacity � ' q ' Location and Nature of Proposed Electrical Work: Installation of generator. Completion of the following table may be waived by the Insi 41),f 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 1 KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting g grnd. ,Battery Units No.of Receptacle Outlets 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. 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 Data Wiring: Heaters Siens 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 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: Owen R Rogers Licensee: Owen R Rogers Signature LIC.NO.: 20044 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Po Box 1087,West Chatham MA 026691087 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 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:$50.00 If -li /A 1142 l ACommonmeaAh o Maasac% Official Use Only ''' • /. c� Permit No. E.24 at Q t a 2sparinseni of_tine Services sn cupanecked BOARD OF FIRE PREVENTION REGULATIONS [RevOc, l/o7)cy and(leaveFee blanChk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 O (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /0 -/2- ZE) v City or Town of: ya r> To the Inspector of Wires: r By this application the undersigned gives notice of his or her intention to perform the electrical work described below. a Location(Street&Number) I (9 k Sex' Wad , Niar RDv�'Vl10rr Owner or Tenant 1-0Doz Pre2 DS i Telephone No. (608)332-$LI US Owner's Address I(c Egse,c r y&e ,arc vi Is this permit in conjunction with a building petit? Yes 0 No F (Check Appropriate Box) Purpose of Building Acoe/i•,, Utility Authorization No. Existing Service/00 Amps /20/2'0 Volts Overhead 0-- Undgrd 0 No.of Meters j o1i New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 1 Number of Feeders and Ampadty / Set- lob A Location and Nature of Proposed Electrical Work: 6e44,r4, ' raSlo//A t:brJ W,,-4 /004 e 7.-a nS 54.0,*Pt ro Completion of the followinktable may be waived by the Invector of Wires. LI) No.of Recessed Luminaires No of Celt.-Seep.(Paddle)Fans Trransformers KVA CI nNo.of L, ,, , Outlets No.of Hot Tubs Genera KVA No.of . .,1 , S Poor Above In- �_Nerd Emergency Ltghttng ming grad. ❑ grad. y-tr,Battery Units `j No.of Receptacle r ,r , No.of OB Burners FIRE ALARMS No.of Zones Z. Na of Switches No.of Gas B Nor.of Detection and Initiating Devices %Q No.of Ranges No.of.. , end. Total Tuna No.of Devices � g No.of Waste Disposers ' .nap Number Tons,-_._KW ... No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area KW Local❑ Maaaectnidpioa n 0 Other Co No.of Dryers Heating AppliancesKWSecurity Nf *or Devices or Equivalent No.of Water KW No.of No.o Data wiring; Heaters Signs Ballasts No.o Devices or elecommunicadons EggTuilvnaglent No.Hydromassage Bathtubs No.of Motors Total HP T Devicesor or Eoatva tt OTHER: Attach additional detail if desirei or as required by the Inspector of Wires. Estimated Value of Electrical Work: $/oo (When required by municipal policy.) Work to Start /o-,2-z, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The undersigned certifies that such cov9ge is in force,and has exhibited proof of same to the permit issuing office.CHECK ONE: INSURANCE 9 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and coaspiete: FIRM NAME: (91 4 l208"s / 4/,mac 41 r,,a.lei LIC.NO.: 2.co.Lj R Licensee: ,�,A tQ /S Signature e �� LIC.NO.: S/S(o S r Ofapplicable.enter"esenpt' rn the lkense number line.) Bus.Tel.No./SLR) Vitt-9773 Address: 0, dD c /0 87 t J. Ctia f le a iv( 1 ill A021c (o9 Alt TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ So . °a