The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005257 c„ / . Commonwealth of Official Use Only ' � �''�'` Massachusetts Permit No. BLDE-22-005257 1/ 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:3/21/2022 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) 87 BERRY AVE Owner or Tenant DREBITKO MICHELE Telephone No. Owner's Address DREBITKO LINDA&COMER ALICE,40 HILLCREST AVE,ALBANY, NY 12203-2717 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: Remodel kitchen 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 1 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 7 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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.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: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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 „tile,ti -31716,2-v- S?1 e7hifi, ( ( cS'oiai ow) 'L i ( gl,eg.--' �W., . _ � s 1 .07: r t rt ,�.q.�r,;.:r.. rAf S., -r-iz: .t�Zt Official Use Only t t t-tiF L`v l l +.t... P t. C.t i � J t_- Department rae�t ofFire Se ,ice, Permit No�i22— � �] '. 'v Occupancy Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9 05 �+W .. (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 (PLE4SE PRINT INIIITK OR TYPE ALL INFORMATION) Date: . 1/ /,.),;)_ City or Town of: ti)u✓kvi 0 f L 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 e. i r,,, A � Owner or Tenant n') i``„ (p ar._ '/ e J Telephone No. Owner's Address ,�i Is this permit in conjunction with a building permit? Yes E No ❑ (Check Appropriate Box) Purpose of Building J /j}yr? . Utility Au orization No. Existing Service Amps / Volts Overhead Undgr No.of Meters New Service Amps / Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: R 0 q L, - / n 1 f/, L .r,„:_ q a Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans —NoTr of T Transformers ICVAVA Na.of Luminaire Outlets I No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- 'No.in Emergency Lighting grnd. Ogrnd. Battery Units V No.of Receptacle Outlets 17 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices TotalNo.of Ranges GqS j No.of Air Cond. Tons No.of Alerting Devices ices No.of Waste Disposers Rear Pump Number. Tons KW No.ofSelf-Contained Totals: ,Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local nnech'on r ,ther l No.of Dryers Heating Appliances KW Security f Devices or Equivalent q No.of Water KW No.of No.of • Data-Wirin �!" Heaters Signs Ballasts No.of Devices or Equivalent ---.) No.Hydromassage Bathtubs No.of Motors Total HP 'eiecommunications Wiring: No.of Devices or Equivalent OTHER: 1 Attach additional detail if desired.or as required by the Inspector of Wires. —F Estimated Value of Electrical Work: (When required by mnniripal policy.) --I' Work to Start: 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 coy- .ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE M BOND (OTHER flSpecify 1 certify,under the pains and,' t i ties o f perpt.,that the in ormation on this application is true and complete. S FIRM NAME: V1-(Or_ I- J 1= I e c. r, L L1-G• LIC.NO.: S C 'l A Licensee: Pu,,,,1 7". \ir i c re, j-.� Signature ( 0,,,o,5Z , LIC.NO.: ,, p g S"s'4 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: .SO$-3 0 4-,1--S 7,}— Address: 11 i rr c 1,or Or t i-e, Fd r-e_s 1-v1a,It ova- O' 0411 y Alt.Tel.No.: Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance cote normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)Owner wners agent. O''nerlAgent Signature Telephone No. ° PERMIT FEE: S