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Home My WebLink AboutBLDE-22-001757 Commonwealth of Official Use Only { Permit No. BLDE-22-001757 i Massachusetts fi 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:9/27/2021 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) 85 STARBUCK LN Owner or Tenant GARULAY ANDREW R Telephone No. Owner's Address GARULAY JANET E, 85 STARBUCK LN,YARMOUTH PORT, MA 02675 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 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Euuivalent 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: Mark A Contonio Licensee: Mark A Contonio Signature LIC.NO.: 21143 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 102 N WESTGATE RD, HARWICH MA 026451600 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 11-6 t' `12Ci('L1( 1 I toinbt te_ __ ram -- 1'; e-, N Official Use Only 0-. ; o .. Comnwnwsa o{nlaeeac�ivas(fa Y�-7 ry "'. 2eparimsni of gips Services Permit No. t p_� I' `?r Occupancy and Fee Checked C tw � ;„_,,,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) cry , f---�- ; 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: Z By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 7-4'2(3U z,_N� k Owner or Tenant d/9-Q f)LA �/ Telephone No. Owner's Address J V Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) p Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd No.of Meters Z El New Service Amps / Volts Overhead❑ Undgrd ElNo.of Meters nNumber of Feeders and Ampadty kLocation and Nature of Proposed Electrical Work: K2 t Ci,{ei✓ /? ,1pWL- 4,c VI No Completion of the followinktable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total 1.13 C,tTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 44 No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grnd. ❑ and. ❑ Battery Units l No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners -No.of Detection and Initiating Devices l l,t No.of Ranges No.of Air Cond. Torsi No.of Alerting Devices No.of Waste Disposers Heat Pump Rumber Tons . KW No.o(Self-Contained Totals: - Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Monnectunicip lion ❑ other Cyy No.of Dryers Heating Appliances KW Security Devices or Equivalent No.of Water No.of No.of Heaters Signs' Data Wiring: Ballasts 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: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived b e owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC BOND 0 OTHER 0 (Specify:) I certify,under the pains d penalties of perjury,that the information on this application is true and complete. FIRM NAME: Al/4 ,Lr ET? i,Q LIC.NO.: ,2/(/3-i`I Licensee: /17q4.te.-4e,0-7a.4✓i a Signature LIC.NO.: 13 yS.8 (If applicable,enter"exempt"in the license number line.) Bus.TeL No.:- 46 771"-01788 Address: Alt.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 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. PERMIT FEE:$ 7,s..,oO