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HomeMy WebLinkAboutBLDE-22-006461 ., = Commonwealth of Official Use Only Neti �: `: Massachusetts Permit No. BLDE-22-006461 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:5/10/2022 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 CAPT BLOUNT RD Owner or Tenant Joanne Santino Telephone No. Owner's Address 7 CAPT BLOUNT RD, SOUTH YARMOUTH, MA 02664-2810 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 Initiatine Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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: 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 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 qp,_ ci (i6,zLc 6„,, ,,,,,m e_/,,,) ��__, e wlet % 1 Ji Sc;c�CI r� e2 - ECEIVED CC.td(k_____ I I MAY 0 9 ZR �� Commonwea lth al //aeaachuealfa Official Use Only BUILDING Ur , �-t I c� c� 3y f .�if1.: �(IsloartmsnE o�,}' Serviced Permit No. t ��-� � ire • w a'i l°'F° Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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: ,i—_ 9_ aveitOs City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or ter intention to perform the electrical work described below. �j Location(Street&Number) 7 /° i,4/� 6 Jo c 1— Owner or Tenant .J2/q iU A) RA J AJ-A,Are-9 Telephone No. Owner's Address r f �� 1c�®� Is this permit in conjunction with a building permit? Yes ❑ No II�J' (Check Appropriate Box) Purpose of Building S2,v /� FA Ai I >y __Timr//,iv7 Utility Authorization No. Existing Service/©v Amps/ / /4.,:bolts Overhead Undgrd g ❑ No.of Meters 1__- New Service if Amps // / Il Volts Overhead Undgrd 0 No.of Meters / Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: te/ Aod C. a,; kri jD Completion of thefollowinglable may be waived by the In ector of Wires. U. No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans No.o� ( Transformers KVA �t No.of Luminaire Outlets KVA r No.of Hot Tubs Generators KVA t:' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting - grnd. grnd. ❑ Battery Units ` No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS INo.of Zones •-- No.of Switches No.of Gas Burners -No.of Detection and i 4` No.of Ranges Initiating Devices No.of Mr Cond. Total No.of Alerting Devices Heat PumpTons No.of Waste Disposers Number Tons 1 KW No.of Sel ontained Totals:I Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ Other• iY Heating Appliances KW ecu ty ystems: o.o Heaters KW o.o o.o No.of Devices or E uivalent Signs Ballasts Data fDg: No.Hydromassage Bathtubs No.of Devices or E uivalent g No.of Motors Total HP a ecommun ca ons g Ogg: No.of Devices or E uivalent 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: �a 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 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:�,t.�K, w Licensee: y-% I)' j� G / LIC.NO.:_ ^� 7 Signature LIC.NO.: (If applicable,enter"exempt"in the license umber fire.) Address: ,,ma/� '�s 1 Bus.Tel.No. *PerM.G.F '47 �Md a �B/) a +��� -e)bd e)l , J, oi,security work requirestbepartment of Public Safety"S"License: lt'TeL No.. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n��' required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent owner ■ owner's a:ent. Signature Telephone No. PERMIT FEE:$ (50 c 91t