HomeMy WebLinkAboutBLDE-23-001373 /e Commonwealth of Official Use Only
k� Massachusetts
Permit No. BLDE-23-001373
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:9/15/2022
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) 19 CHANNEL POINT DR
Owner or Tenant YANNATOS DIONYSIOS Telephone No.
Owner's Address YANNATOS HARICLIA, 19 CHANNEL POINT DR,WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes Ii 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: Install generator
Completion of the following table maybe 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 1 KVA 18
No.of Luminaires Swimming Pool Above ❑ In- 0 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 No.of Detection and
Initiative 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/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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:$50.00
Cal? 't/ A T'
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g4 Commonwealth of Maadachudette Official Use Only
.-it e 23--(3'73
=" cc�� cc�� �7 Permit No
2eparimant of ire Serviced
il" Occupancy and Fee Checked
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: 9 I L/�Z Z
o City or Town of: YARMOUTH To the Inspector of Wires:
V By this application the undersigned gives notice of his or h intention to perform the electrical work described below.
Location(Street&Number) /9 Ct,et t� 1ro l v) 1- D r.
V Owner or Tenant y a,,.l r7 t�5
Telephone No. 4/7,759 -1139/
�� Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
f Purpose of Building Utility Authorization No.
• ! Existing Service Amps / Volts Overhead
❑ Undgrd❑ No.of Meters
z New Service Amps / Volts Overhead❑ Undgrd�/ g ❑ No.of Meters
Number of Feeders and Ampacity
` k Location and Nature of Proposed Electrical Work:
I8 KG..)
"h"s-_,3�r- SWI 7c�icn�4a� +-,./?. 0aA. . L.i�(c. y40Sc.
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Completion of thefollowingtable may be waived by the Inspector of Wires.
1- No.of Recessed Luminaires No.of Cell:Snsp.(Paddle)Fans No.of Total
,/
Transformers KVA
CA No.of Luminaire Outlets No.of Hot Tubs
c..‘ Generators KVA
-t No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grad. end. ID
Units
`` No.of Receptacle Outlets No.of Oil Burners
FIRE ALARMS INo.of Zones
`- No.of Switches No.of Gas Burners No.of Detection and
i No.of Ranges Total Initiating Devices
g No.of Mr Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number[Tons 1 KW No.of Self-Contained •
Totals:I "' ''""". Detection/Alertin Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal
Connection ❑ Other
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:
OTHER: No.of Devices or Equivalent
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work:
Work to Start: (When required by municipal policy.)
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 e is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE GY BOND 0 OTHER 0 (Specify:)
I certify,under thins and penalties/of perjury,that the information on this application is true and complete.
FIRM NAME: J ,r c ie-s M. Viv)v Is' tl is-`fi'/c ,
LIC.NO.:A�_
Licensee:�l a✓!ti LS , *`�M 3 cJ�'t Signature / 7 S d
(If applicable, ter exempt"in the lice e numb in . LIC.NO.:
C S 1/4 ��,�,,ts b�L Bus.Tel.No..
Address: C) O
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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/Agent ■ owner ■ owner's a:ent.
Signature Telephone No.
PERMIT FEE:$