The URL can be used to link to this page

Home My WebLink AboutBLDE-21-005703 Commonwealth of Official Use Only � Massachusetts Permit No l3LDE-21-005703 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:4/2/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 22 MICHELLES PATH Owner or Tenant SANTANGELO GAETANO Telephone No. Owner's Address SANTANGELO IDA,28 FIELD RD, MEDWAY, MA 02053 0 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check r s I 'ria e C.,,,../ Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd 0 1 i • rs a New Service Amps Volts Overhead 0 Undgrd 0 No. eebr W I Number of Feeders and Ampacity " Location and Nature of Proposed Electrical Work: Provide power to Radon unit. O✓ O D Completion of the following table may be waived b s it of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of VW Transformers 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 1 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 ❑ Municipal ❑ 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 Signs 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 perjuly,that the information on this application is true and complete. FIRM NAME: Steven A Soby Licensee: Steven A Soby Signature LIC.NO.: 24777 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:22 CLARK ST,YARMOUTH PORT MA 026751811 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 i\cl A (c/z/ t C., mmoruveatth of rilamariumeffs Official Use Only rn _ Apartment a/ Jerked Permit No. 1 l Occupancy and Fee Checked .> BOARD OF FIRE PREVENTION REGULATIONS (Rev.p/07} a 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,(NINK OR TYPEALL INFORMATION) Date: Wawa,I City or Town of: Lyp f��, ,gr,y-j To the I cto#of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) , . L .44)e.%11,.,e/JeS 1s)1/1 & '/311MAI,f d Owner or Tenant 37,0M I rulc4e, 5i9.v.19,U¢ '/o / Telephone No. ' rf3 9 Owner's Address Apt ,- 1. I/ho� 1iy. ! /f ")0 `Y d Is this permit in conjunction with a building penult?u lt? Yes D No !(Check Appropriate Box) Purpose of Building SL, _ it— / , . „We j r//I Utility Authorization No. Existing Service AB" _AAm Amps /ji2 l A4rVolts Overhead 127 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: �t)b SP FDA s i?,i.€�, T V. ,r 'K Completion of thefollowingtable may be waived by the Ins r of Wires. No.of Recessed Luminaires Na of CAL-S p.(Paddle)Fans No.ofTotal Transformers KVA No.of Luminaire Outlets No.of Hit Tubs Generators KVA No.of Luminaires Swimmiutg Pool Above In- No.of LmUnitsergency tagutmg gr�d. ❑ grnd. ❑ B attery No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS fNo.of Zones No.of Switches No.of Gas Burners Na o Initiating Deand vice No.of Ranges No.of Air Cond. T ns No.of Alerting Devices No.of Waste Disposers Dent Pupiip Number Toes _KW No.ofSelf-Contained Totals: Devices No.of Dishwashers Space/Area Heating KW Local❑ Coniaecflon 0 Other No.of Dryers Heating.Appliances KW Security No.of Water No.of or Equivalent Heaters KW No.of No.of Data Wiring: _Signs No.of Devices or Equivalent • No.Hydromtassage Bathtubs No.of Motors Total HP Telecommunications Wiring. No of Devices or Equivalent OTHER Attach aclditiomrl detail if desirer4 or as required by the Inspector of Wires. Estimated Value of Electrical work: ,3757.5, (Who'required by municipal policy.) Work to Start 3 ? .al/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE • GE: Unless waived by irk 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 ofperlmy,that the information on dens application is true and complete. FIRM NAME: ,S.ftPr).o.4.,2 .'Tabs' / L ,r4/e.h4-1J LIGNO.: �y 7 T�-Licensee: % /1 P- Signature LIC.NO.: '/ (Ifapplicable,enter'exempt"in the Ikensenumber 1142 J Address: as e..„.m Q A ' / /� Bus.TeL No.: �39+�r7M/ vc,�� '" `-�9 - Alt.Tel.No.:,5'cR9S'3cjrltR,eld� *Per M.G.L.c. 147,s.57-61,security work Department of Public r"S"License: Lie.No. Alit ,, 7 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signalize 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:$ j,ev (ei,z7'1 301 0 a