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Home My WebLink AboutBLDE-22-005945 Official Use Only , 1. Commonwealth of�` "► ' t� r Massachusetts Permit No. BLDE-22-005945 �j, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] k APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK VI 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:4/18/2022 City or Town of: YARMOUTH To the Spector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work descri ed b r Location(Street&Number) 39 MAINE AVE S 2 5(0 Owner or Tenant PARGOLI MICHAEL R Telephone No. Owner's Address 105 MELROSE ST,ARLINGTON, MA 02474 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: Addition 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 eza _ 51 t 8/2 / - -- +c � q 74 i- 7" 2Z2- `f Q � 1 /,� R , �� -( e6 RECEIVED ; 1 ` � APR 15 22� I o aah 01/ aaeach uafts Official my `� rr--- =j''I Permit No. •.� 1'r L�1 7., w. n .(••••41:.... GILDING DEPART '47 ntof_fire Jaewiea! J 1I —___— -- Occupancy and Fee Checked _d :• • ' a • ' 'REVENTION REGULATIONS [Rev. 1/07] (leave blank) E APPLICATION FOR PERMIT TO PERFORM E CTRICAL RK 1._, All work to be performed in accordance with the Massachusetts Electrical Code( • ),527 CM . 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: y �'- e, City or Town of: Y..v i 0 U 7 1-4 To the Ins ctor of Wires: J By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) `-3 q Ai/}1 A i=. A `)F U Owner or Tenant 0 C..) ki r >Z Telephone No. CJ; 7- -Z Z Z 0Z s(.` U Owner's Address 3 V it-74 1,l- ilt.e L✓E i-A cso v' ., 14 Is this permit in conjunction with,a building permit? Yes J. No ❑ (Check Appropriate Box) 4- ' Purpose of Building 4 J fir C tl" Utility Authorization No. LL Existing Service kr: Amps / Volts Overhead n Undgrd n No.of Meters IL New Service Amps / Volts Overhead❑ Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: kiii t i("!'v o. ) Completion of the followingtable may be waived by the Inspector of Wires. v'tTotal I.1 No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans : No.of KVA ' L� Transformers KVA Ci No.of Luminaire Outlets ; No.of Hot Tubs Generators KVA n 't No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 (�' i Initiating Devices Ili No.of Ranges i No.of Air Cond. C TonsTotal No.of Alerting Devices No.of Waste Disposers ( Heat Pump Number Tons KW 'No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers I Space/Area.Heating KW Local❑ Municipal ❑ other Connection No.of Dryers I Heating Appliances KW ' ecu of DaviSyee s or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs (_,' No.of Motors Total HP -TelecommunicationsofDeieor Wiring: No.of Devices 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: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: Address: 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 INSUR,44NCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. ) my s' na e'plow,I hereby waive this requirement. I am the(check one)Z owner ❑owner's agent. Owner/Agent /j /I ',�'�. _ PERMIT FEE: $ Signature ✓ Telephone No. s, ;72aaCl :S