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Home My WebLink AboutBLDE-22-007195 bu i I 1 ernO:t 1 i nsu r"am RECEIVED ; n.h) JUN 10 2022eS& O of ii/aeeac�icreetfa cial Use Only A -22-7(�. a . cc�7 nn 1 iii.DING DE PA RT M it ,,,, ,sinE of ire Services Permit NO. A BOARD OF FIRE PREVENTION REGULATIONS Occupancy] and Fee Checked • Rev.]ro7] (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: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nonce orb' __her in- 'on to perform the electrical work described below. Location(Street&Number) /O q e 1 yr,` De, ti Owner or Tenant $-k. 1 (j-r a 2 f G(,,n d Telephone No. Owner's Address uJ Is this permit in conjan , with a building permit? Yes No 0 (Check Appropriate Box) Purpose of Building I '6/b" "1'r t ( Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: m pc,9 S Ct 1 (510"Vic 11-s l j Le Completion etion of the followinttable may be waived by the Inspector of Wires. Lb No.of Recessed Luminaires 'al No.of Cell.-Snsp.(Paddle)Fans Transformers otal t KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.or Emerg ^t` No.of Luminaires Swimming Pool ode ❑ lgrod. ❑ Battery Unitsrory Lighting '^l No.of Receptacle Outlets No.of Oil Burners O FIRE ALARMS [No.of Zones Z. No.of Switches 0No.of Gas Burners No.of Detection and 11 t Initiating Devices _ No.of Ranges No.of Air Cond. Tonsi No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KVE 'No.of SeR-Contained Totals:(' �_~---1 --�••__— Detection/Alertint�Devices No.of Dishwashers Space/Area Heating KW Load ElMonanidpal Cnection ❑ Other No.of Dryers Heating Appliances Ky Security Systems:* No.of W� �No.of No.of No.of Devices or Equivalent KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring Na of Devices or Egniv OTHER: eat Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3V Ot..t+r) (When required by municipal policy.) Work to Start ,-1 D-2 2— 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify;) I certify,under the pains and penalties ofperjury,tluft the4nformatlon on this application is true and complete. FIRM NAME: Q�--F kA i S C LIC.NO.: 3 1 Wc..5 4_ Licensee: r t t t Signature W1 LIC.NO.: (Ifapplicable, r exempt"in th license pother lin ,) Bus.TeL No.. D Address: CL4 i�/&,s iy el 41 Etta.,,id c t _ `t *Per M.O.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Mt. Lic.No. TeL • � '��` OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my 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:$ I I\ 0 I Commonwealth of official Use Only Massachusetts Permit No. BLDE-22-007195 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:6/14/2022 City ol 'OWI 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) 109 NOTTINGHAM DR Owner or Tenant Steve Graziano Owner's Address 109 NOTTINGHAM DRIVE, YARMOUTH PORT, MA 02675 Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) Utility Authorization No. Existing Service Amps New ee p Volts Overhead 0 Undgrd 0 No.of Meters Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 19 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs KVA Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and No.of Rabbit Initiative Devices No.of Air Cond. Total Ton No.of Alerting Devices No.of Waste Dis rs Heat Pump I Number I Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: boo.of Dryers Connection Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters.. No.of Ballasts Data Wiring: , Sinus No.of Devices or Equivalent No.Hydromassage Bathtu No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent ii,{ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated a of trtc ork: (When required by municipal policy.) Work to atatft't ` Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURA)l ,i ! G nless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabi,' ms `F ce i.i*ing"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has e h itecd +''f of Slime to the permit issuing office. CHECK ONE:INSU,E Cir ❑ BOND 0 OTHER ❑ I certi undertfte , a (Specify:) fY, i alties of perjury,that the information on this application is true and complete. FARM N Je y F ' ,Is Licensee: y F Its Signature (Ifapplicable,enter"exe' 't"in the licenser number line.) Tel. NO.: 31851 Address:944'WASHINGTON ST, FRANKLIN MA 020383385 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 my 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:$75.00 I K3414_. CI OS-6 t c4,-,N 1 zz,_ 0...- 3 a