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Home My WebLink AboutBLDE-21-005723 Commonwealth of Official Use Only E ' sii Massachusetts Permit No. BLDE-21-005723 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:4/5/2021 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 '` ,,,,,v '_ scribed below. Location(Street&Number) 481 BUCK ISLAND RD UNIT 15 Owner or Tenant FOSTER JAMES F `` Telephone No. Owner's Address 481 BUCK ISLAND RD UNIT 15DB,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Replacement furnace. 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 Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No HeatersWater KW No.of No.of Data Wiring: 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 ofperjury,that the information on this application is true and complete. FIRM NAME: James M Venuti Licensee: James M Venuti Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 15798 Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$50.00 J e u('-(z (..otnmonwea&of//laeaachuleth Official Use Only '�' 2-1 97 23 ` c� �7 Permit No. �; _Uspartrnent o`._ire Sertrice9 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,- [Rev. 1/07) -- (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TY.t E ALL INFORMATION) Date: 3r �fMEC). 2. CMR 12.00 City or Town of: 1 Ond Air.. of By this application the undersi n To the Inspector of Wires: g gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 1 Gnr1 fcr� �)t111L i 1� Owner or Tenant J i/k F ` r" Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No jpp Purpose of Building ,mil (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead t I Undgrd❑ No.of Meters r-� Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Corn'letion o the ollowin: table ' be waived b the Ins'•ctor o Wires. No.of Recessed Luminaires No.of Ceil.-Sus p.(Paddle)Fans Transformers ota No.of Luminaire Outlets KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool A I ,ve ❑ n- 'o.o mergency g, mgrnd• :natl. � Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o t ectton an No.of Ranges Initiatin Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers 'eat 'ump ons `o.o e - ontatn Totals: No.of Dishwashers Detection/Alertm: Devices Space/Area„Heating KW Local 0 'unicipa No.of DryersConnection Other Heating Appliances KW ecunty terns: `o.o `'eter KW b o .o No,oft vices or E,uivalent Heaters o Data Wiring Si:us Ballasts No.of Devices or E,uivalent e ecommunications "wing: No.Hydromassage Bathtubs No.of Motors Total HP OTHER: No.of Devices or E 1 uivalent 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.) e requested in accordance with MEC e 10,and uon INSURANCE COVERAGE; Unless waived byInspections to bthe owner,no permitfor the performance lofelectrical ckm may ayti issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The work undersigned certifies that such cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE /certify,under the�ains and penattiesOo� O OTHER 0 (Specify:) FIRM NAME _fperjury,that the information on this application is true and co{-S (/ PP complete Licensee:� Ln �'? 1<-c,"} L' . LIC. NO,: nmc-S /V V "� Signature I S'� (If applicable,enter exempt in the license number line.) /� f LIC• NO.: Address: ""—o rJ i 4, S i`�� + *Per M.G.L. c. 147, s 57 i securityW , Y-� -,-`�sf b 1c' ,�/1/-1 0 2tr,! F Bus.Tel No.:S"d._�� OWNER'S INSURANCE WAIVER: requires Department of Public SafetyAlt.Tel.No•,�p may _,-tL am aware that the Licensee does not have"S"the liability insurance No.nse: lic. Ownrequier/ g law. By my signature below,I hereby waive this requirement. I am the(check one 0 Owner/Agent by la coverage normally: Signatureowner ■ owner's a:ent. Telephone No. PERMIT FEE: $