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Home My WebLink AboutBLDE-22-004517 4. Commonwealth of Official Use Only 'AI• ►� Massachusetts Permit No. BLDE-22-004517 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1Rev.1/071 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:2/14/2022 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) 7 WINCHESTER CT AM tip_AE-(Y,Y Q9-21442,CJ t7� Owner or Tenant MORGAN JOSEPH F Telephone No. % Owner's Address MORGAN MARY ELLEN,29 PHEASANT ST,WEST ROXBURY, MA 02132-3011 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler. Completion of the following table may be 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 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ 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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 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: Robert A Lombardi Licensee: Robert A Lombardi Signature LIC.NO.: 35866 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1794 ROUND TOP RD, HARRISVILLE RI 028301013 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 J 2 (, c/.72--' yr ( eci...-60,44.4) if\411--- (013 i Q i, 1 RECEIVED _._ 7.B 14 2022 Lo> nwita of r r/assactts +• �= =-S" Official Use Only =- ;I+ / -H= Permit No. / ��--77 ' __rj_:_ Zepartmant o ... it•Q Soul'-es l�C i2 —`T`J _.::.a___ .iNG DEPARTMENT —""-50�� PREVENTION REGULATIONS Occupancy and Fee Checked I 'ev. 1/07) eave blank ADQI 1r+1rtn►r. r- e+ .�r- ___ __ . :ice � ' �� r t 1 V 1 CIV' __ _ W All work to be performed in accordance with the Massachusetts Electrical od Lt� ��'AL WORK QRK (PLEASE PRINT fN INK OR TYPE ALL INFORMATION) Date: NEC),52 c1,2R 1 z.00 City or Town of: ARMOUTH `� CO-a. By this application the finder ed To the Inspector of Wires: fin gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) Owner or Tenant 7 � �YL° � �`>`� -Cb PS / L/t - ✓4-11/ Owner's Address Telephone No. /7- �� r 1/6/ ia5 Ltd'. v Is this permit in conjunction with a building permit? Yes 0 No �� 6 , ... .L (Check Appropriate Box) Purpose of Building ��'a ,`- '� Utility Authorization No.Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New ervtce Amps / Number of Feeders and Ampaci VOID Overhead Undgrd No. of Meters _ Location arid NatureNature of Proposedt GtJ.<v G/TElectrical Work: �r Gl/ ''�f—` -L L'KA -eet/ 2�'s �C�i� :°wezns.ec!Qro Wires. No.of Recessed Luminaires No.of CeiL Snsp,(Paddle)Fans No.of Total No.of Lumiaaire Outlets Transformers I{VA No.of Hot Tubs No.of Luminaires Swimming Pool Generators KVA Above In- `o.o mergency • I png No. of Receptacle Outlets mod' ❑ mod' ❑ Batte • Units No.of Oil Burners No.of SwitchesaMEM3 No.of Zones No.of Gas Burners `o.of Detection and No.of Ranges Initiating Devices No.of Air Cond. No.of Alerting Devices No.of Waste DisposersHeat Toas Pump umber Tons o.of elf-Containe Totals; �� Detection/Alertin• Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connectio_n ❑ Other_ Beating Appliances , Security Systems:* No,of ater No.of Devices or E.uivalent Heaters KW No.o o,of r Si s Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or Es uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or ER trivalent Attach additional detail t desire �C 6. G j; f d orc ys required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) Work to Start; 02 / �0 INSURAN ?J�Inspections to be requested in accordance with MEC Rule 10,and upon completion. C`E C VERAGE: Unless waived by the owner,no permit for the performance of electrical work may the licensee provides proof of liability insurance including"completed operation"coverage or its substan undersigned certifies that such coverage is in force, and has exhibited proof of same to the issue unless CHECK ONE: INSURANCE tial equivalent, The I cerCK ONE: the pains penalties❑ BOND ❑ OTHER Permit issuing office. ❑ (Specify:) perjury,that thefor ¢hon on this application is true and complete. FIRM NAME: - 'e 7- L- Licensee: 4 1LT LIC.NO.; (If applicable,enter " v� Signature =__ empt"in t e license LIC.NO.: �� Address m r Iine.J :�� j "Per M.G.L. c. 147, Ri lJ '1 Bus.Tel.No.. OWNER'S INSURANCE s.57-61,security work requires Department l�� `J3.2S/ RANCE WAIVER: epanent of Public Safety"S"License: It.Tel.No.: OWNER'S ' law. I am aware that the Licensee does not have the liabili insurance No: + Owner/Agent By my signature below,I hereby waive this requirement I am the(check one 0 mince coverage n — I Signature � l owner ❑owner's a ent Telephone No. PERMIT FEE: .ir