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Home My WebLink AboutBLDE-22-006205 Official Use Only Commonwealth of Massachusetts Permit No. BLDE-21-006205 BO RD 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:4/27/2021 To the Inspector of Wires: City or Town of: YARMOUTH By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.2 p Location(Street&Number) 864&878 ROUTE 28 //7J S✓O Og06 Owner or Tenant DIGIOVANNI GERARD J Telephone No. Owner's Address DIGIOVANNI JOSEPH,67 BAKER ST, BELMONT, MA 02178-4024 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: Walk through to determine what has been done&what needs permits. (COUNTRY CABINS) Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool Ab grnd. ❑ In-grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiatine Devices No.of Air Cond. • Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices Local ❑ Municipal p Other: No.of Dishwashers Space/Area Heating KW Connection Security Systems:* No.of Dryers Heating Appliances KW Security of Devices or Equivalent No.of No.of Data Wiring: He. Water KW Sins Ballasts No.of Devices or Equivalent Heatteo rs Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 HBR issuing office. office. (Specify:) CHECK ONE:INSURANCE 0 BOND 0 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: GERARD J MAZZOLA LIC.NO.: 24610 Signature Licensee: Gerard J Mazzola Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:30 POUND STREET,UNIT 404,MEDFIELD MA 020522622 *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❑theoliability insner ranee csoverage normally required by law.But t. signature below,I hereby waive this requirement.I am the(checkone) Owner/Agent Telephone No. PERMIT FEE: $200.00 Signature ✓� —; o i was.11-�-420 5(19/2 I i�-- �` Official Use Only �, con+nwnwsaf#o j addachttd.Eld Permit No. -el ij -(Q Z d c lr '.I '` �fpartmani of Lira Jarv{ctd �, Occupancy and Fee Checked ."'i 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( EC) 27 CMR 12.00 ' (PLEASE PRINT IN INK OR TY E ALL INFORMATION) Date: .� 3 City or Town of: ,> , c 6' . �� To the Inspector of Wires: By this application the undersi Al gives notice of his or her intention to perform the electrical work described below. '-- Location(Street&Number) t f`: I''_4- ;-�' Owner or Tenant ( 4....4-4_er -. ' (;'), ("�i% .r 4^`"z.( Telephone No.C;( 7--13i 40 ek= `� Owner's Address (.% i d'g i f r'. S l f_ ( >!�C✓ c,t-Y 7 G, -�► Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building /3-LZ.0 75 16c y4-4`C-/4 (./e!(A`- Utility Authorization No. w Existing Service &0Amps //C/ `L1.0 Volts Overhead 0 Undgrd❑ No.of Meters / u ( New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters \ Number of Feeders and Ampadty 3---c ,44.7ti'-c/7y ? t�6 di../ Location and Nature of Proposed Electrical Work: r .l tit' ,,j= 1 L i f �,ti - Z.,../(�/ --h •e-(:C"i'1( Le) t-' X.T I t . c' ,-7-L• /-rs '-f i!-f C sl'- a t t" Completion of the following table rnDi be waived by the InTctor of Wires. No.of Total u No.of Recessed Luminaires No.of Ce 1.-Susp.(Paddle)Fans Transformed' KVA "„ No.of Luminaire Outlets 7 No.of Hot Tubs Generators �'A ''= Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool tad• ❑ pad, ❑ Battery Units No.of Receptacle Outlets CI No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches ! No.of Gas Burners 'No..of Detection and Initiating Devices ks' No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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 nned tion 0 Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts • No.of Devices or Equivalent Telecommunications Whim No.Hydromassage Bathtubs No.of Motors Total HP No,of Devices or Equivdent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value ofEl trical Work: �f'C ur, (When required by municipal policy.) Work to Start: 3/ j 0-( 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„gains and ptenalties of perjury,that the information on this application is true and complete. FIRM NAME: ^R'e�4 2d -71 IAA A-7? ev LIC.NO.: ` LIC.NO.: Licensee: a 2 'i 6 /D6 Signature,�'��s 1 ,4 ' .�^�/� ��- (If applicable,enter"exempt"{. t e lice rise number line.)_; ; 'l Bus.TeL No.:7 /`3 ifr- Address: 9 h C` z.+i I'I ,r/C( f ,�i(. xl� ,6 1'r' �' (c(a AIt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability ins ce coverage normally required by 1a ,By my si be iv,I hereby waive this requirement. I am the(check one) owner 0 owner's agent. 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