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Home My WebLink AboutBLDE-23-001199 to\p Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001199 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:9/5/2022 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) 8 WINCHESTER CT Owner or Tenant DE MARCO PAUL. Telephone No. Owner's Address DE MARCO MICHELE L, 361 HUDSON ROAD, SUDBURY, MA 01776-1631 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: Divide loft area for office and den. 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- CINo.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 Initiatine 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 Eauivalent 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 6 2Y 4,(ea" g ( uLee We A-MAr;1 n. i eJ (0-00(24061ilitriad-r-) f-,---,,,,,, 1 le /3, 6„, If..' •wr••• RECEIVED 1 SEP 2022 'nwea�oi///aeeachueetfe Official Use Only ' a ., t 0 �ftING DtPARTME 1�e'� nio�� -erviced PermjtNo. + T' - PREVENTION REGULATIONS Occupancy and Fee Checked V [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: CI1 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or er intention to perform the electrical work described below. Location(Street&Number) adelLes wne�or Tenant / e C ' �'' Telephone No. 5"o�- r Owner's Address u/4--cam C 7L .2py- ��y Is this permit in conjunction with a building permit? Yes v Purpose of Building V, NO ❑ (Check Appropriate Box) —� 'e �vF ).t c�fF'de be Utility Authorization No. Existing Service Gov Amps p / Volts Overhead❑ Undgrd[r No.of Meters _i___ New Service Amps _Volts Overhead Number of Feeders and Ampacity' st ❑ Undgrd 0 No.of Meters 1, Location and Nature of Proposed Electrical Work: 4C-wGvc K ex' / - J -r iv-1 ITS yr corn letion o the ollowin table m be waived b the In ctor o Wires. !- No.of Recessed Luminaires < No.of Cell.-Snsp.(Paddle)Fans °•° ota ''Z' No.of Luminaire Outlets Transformers KVA ; No.of Hot Tubs Generators KVA -t No.of Luminaires Swimming Pool ove ❑ n- Baott.oee Umneir enc Y g ngnd. ❑rnd. No.of Receptacle Outlets No.of OIl Burners FIRE ALARMS No.of Zones -. No.of Switches No.of Gas Burners o.o etec on an �' No.of Ranges Initiatin Devices No.of Air Cond. ota Tons No.of Alerting Devices eat ump um e No.of Waste Disposers r ors o.o e - onta ne Totals: No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local 0 un e p No.of Dryers Heating Appliances KW ecu ty CstemsHon ❑ � o.o a er o.° No.of Devices or Equivalent Heaters KW °•° Data Wiring: Si ns Ballasts No.of Devices or uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ons g OTHER: No.of Devices or E uivalent Estimated Value of Electrical Work: 79 ,j0(-. Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) in INSURANCE COVERAGE: Un essInspwai waived by ections to the owner,e requested permit for the performance of ce with MEC Rule electrical wo upon k issueayti the licensee provides proof of liability insurance includingmay nt. unless undersigned certifies that such coverage is in force,and has`exhibited proof of same to the permit issuing o coverage or its ffice. CHECK The CHECK ONE: INSURANCE 0 BOND 0 OTHER I certify,under the pains and penalties o 0 (Specify:) FIRM NAME; jperjury,that the information on this application is true and complete. Licensee: LIC.NO.: (If applicable,enter-exempt"in the license number line.) signature Address: LIC.NO.: Bus.Tel.No.:____________---- Address:M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: AIL TeLOWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance cover'-"-- Ognerd by law. By m si attire below,I herebywaive this requirement. I am the(check one Lic.No. Owner/Age q age normally Signature a / owner ■ owner's a,ent. .0-1_—" ~ Telephone No. of .2'c j•4;),P PERMIT FEE:5 •r+ �, Le `\ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001199 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked y I(air ( 3 [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:9/5/2022 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) 8 WINCHESTER CT Owner or Tenant DE MARCO PAUL Telephone No. Owner's Address DE MARCO MICHELE L, 361 HUDSON ROAD, SUDBURY, MA 01776-1631 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 j Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Divide loft area for office and den. ., 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 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 I Number I Tons I 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 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 ❑ (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: $155.00 ja9tecr to2,3 Cate ) 125(2 L. 1 !-1--?