The URL can be used to link to this page

Home My WebLink AboutBLDE-21-006842 0 Commonwealth of Official Use Only IE - Massachusetts Permit No. BLDE-21-006842 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'5/25/2021 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) liislli-15 NEW HAMPSHIRE AVE Owner or Tenant Paul Cruz Telephone No. Owner's Address 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: Remodel kitchen&bath. New outlets, switches, &fixtures`"' '- ell ; 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 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters 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 S eci I certify,under the pains andpenalties o (Specify:) f perjury,that the information on this application is true and complete. FIRM NAME: BENJAMIN NARDI Licensee: Benjamin Nardi Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 50435 Address:35 GREAT WIND DR, PLYMOUTH MA 023602778 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 0 owner's agent. Owner/Agent Signature Telephone No. I (PERMIT FEE: $250.00 ��ai' ? sparknant ay Permit No. Stlt' BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07cyand Fee Checked [Rev. I107] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacbnsens Electrical Code(AMC),527 Gill 12.00 (PLEASE PRINT IN INIC OR TYPE ALL t1'VFO. MATIOI9 Date: fill a q 1 3 Z/2. I City or Town of: G/ M.0 c.d. 6 To the Inspect of Wires: By this application the undersigns gives notice of his or her intention to pem Owner or Tenantthe electrical work described below. Location(Street&Nu ) /5— Ale L.t/ h 4,1 S ire r t.ci c-.. � (� Z- � Telephone Na.77 q F33 5 79.3 9 Owner's Address 1 5' (,t j 0 b51(r^ r ciL • Is this permit in conjunction with i building permit? Yes M No 0 (Check Appropriate Box) Purpose of Building r 85 i erv1 G e- Utility Authorization No. Existing Service 2 Amps I. 2-3 Z P Volts Overhead ' Un dgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity / Location and Nartigure ' ! of used�eetr ical boric: (` 2 S Z f?l ! �. S e ,V ( '`7 Su)'*' G� 5 c`?'s l}.l C 5 ' Cbmpletion of thefollowinp table may be waived by the Inspector of Wires. 1.12 No.of Recessed Lmninaires Nfl.of Ce7.-Sapp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tabs Generators KVA No.of Luminaires SwimmingPool Above In- .No.of Emergency Lt„ ting lam. Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Swatches No.of Gas Burners No.of Detection and t_NInitiating Devices No.of RangesNo.of Air Cond. Ton No.of Alerting arcing Devices Heat Pump No.of Waste Disposers I Narr rer Tons KWD t Al Devices No.of Dishwashers Space/Area Heating KWMuaiciFal Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP Tel m ns Wiring: Devices or trivalent 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 pLcy 13 2. 2 t 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 cow is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE c BOND ❑ OTHER ❑ (Specify) I certify,under the pains and penatties ofperjany,that the information on this application is time and complete. FIRM NAME: LIC.NO.: Licensee: I3C A Jv a.r d{ S ature.. 4 LIC.NO.: 1 Itcableu exempt"in he li number line) co y (I aPP' ( Bus.Tel.Ns: I �1U tf Address: I<2 i 3 � a �.(2,r e 1 ae�► Pit of D 2 S(2Z Alt Tel.No.: *Per M.G.L.c. 147,s.57-61.securitxyiork requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: lam aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,T hereby waive this Owner/Agent requirement. Tam the(check one)0owner ❑owner's agent Signature Telephone No. I PERMIT FEE:$