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Home My WebLink AboutBLDE-22-006457 Commonwealth of Official Use Only A :21'‘I Massachusetts Permit No. BLDE-22-006457 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) 17 NEPTUNE LN Owner or Tenant NEPTUNE LANE LLC Telephone No. Owner's Address CIO SILVIO DIGIOVANNI, P 0 BOX 370, SOUTH YARMOUTH, MA 02664 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: Replace dis nett for marina 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 0 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: 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 under the pains andS eci I certify, penalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: William L Wolaszek Licensee: William L Wolaszek Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 28768 Address:96 CAPTAIN LOTHROP RD, S YARMOUTH MA 026642818 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. 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 El owner's agent. Owner/Agent Signature Telephone No. II PERMIT FEE:$80.00 ICIZ S S---- ?(117/ , • -d tlf l l � -5 (1 •2n - CM s - P-EtEiVED MAY 0 6 202L aa!! Commonwealth.o1�/aeaachudelle - a Official Use Only BUILDING DEP -y ,::•Ni cc�� nn / By: __ "j�-''r1. �CJs/varGnsni o��iro Jsrvu sa Permit No. ZZ—1p�� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ jRev. 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) City or Town of: no p Date: To By this application the undersigned giveses noti his or her to perform the elect electrical�kdes ribed below. Location(Street&Number) / - Owner or Tenant SG � ,"C' ° /(l1 c 1�^� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes El No Purpose of Building ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps /_Volts Overhead 0 Undgrd❑ No.of Meters New ervice Amps / Volts Overhead city ❑ Undgrd❑ No.of Meters Number of Feeders and Ampa Location and Nature of Proposed Electrical Work: (� a 4 t M' ii is C� 1 Sco )-.-e.- 1�0( C.c v r lil fv Completion o the ollowin: table inbe waived b the Inspector o ]Wires. ,-, No.of Recessed Luminaires ./ No.of Ceti:Snsp.(Paddle)Fans r o ota No.of Luminaire OutletsTransformers KVA of Hot Tubs Generators KVA ICA No. A'" No.of Luminaires n ove ❑ n- 'O.o Units cy g ng Pool g '` No.of Receptacle Outlets rnd. nd. ❑ Batte Units No.of Oil Burners FIRE ALARMS No.of Zones -c. - No.of Switches No.of Gas Burners o.o t etec on an °i` No.of Ranges Initiatin, Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers eat 'ump `um er ons ' Totals: et o e - onta ne No.of Dishwashers Detection/Alertin, Devices Space/Area Heating KW Local❑ 'un c pa No.of Dryers Heating Appliances KW ecu ty Connection onnystem Lion ❑ �� `o.o "a er No.of Devices or E,uivalent HeatersK ' o'o 'o•o Data Wiring:Si:ns Ballasts No.of Dvices or E,uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca s ons " ring: OTHER: No.of Devices or E,uivalent Estimated Value of$le tt real Work: Attach additional detail ifdesired,or as required by the Inspector of Wires, Work to Start: j � --'�d 0--�----- (When required by municipal policy.) 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND I cent! ' epa,under th ❑ OTHER 0 (Specify:) I>(ssand penalties of er u FIRM NAME: ll tic ry,that the Information on this applicatian is true and complete. Licensee: LIC.NO.: g d t= (If applicable,a ter-exeemmppt"i the icens number line.) Signature Address: LIC.NO.: *Per M.G.L.c. 147,s.57- 1 c� Bus.Tel.No.: {'O S I' OWNSOWNER'S INSURANCE WAtyRwork requires Department of Public Safe Alt.Tel.No.se: Lic.No.: required by lIN mysignatureI am aware that the Licensee does not have the liability insurance overage normally Owner/Agent By below,I hereby waive this requirement. I am the(check one Signature owner • owner's a:ent. Telephone No, PERMIT FEE:$ 0 •