The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004713 CfrOf�� Commonwealth of ficial Use Only j\ Massachusetts Permit No. BLDE-22-004713 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:2/25/2022 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) 58 LOOKOUT RD Owner or Tenant BELL GEORGE R TRS Telephone No:,,, Owner's Address BELL AUDREY J TRS, 1 ASHLEY WAY,WESTBOROUGH, MA 01581 \ °_ Is this permit in conjunction with a building permit? Yes ❑ No Cl (Check Approp?iate`Box) ',°N, Purpose of Building Utility Authorization No. � Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters`, , New Service Amps Volts Overhead 0 Undgrd ❑ No.of Met s �-, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace two(2)condensers. Completion of the following table may be waived bypector 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 Initiating Devices No.of Ranges No.of Air Cond. 2 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: James M Venuti Licensee: James M Venuti Signature LIC.NO.: 15798 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 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. I PERMIT FEE:$50.00 I �g`'�/� �/jj/�l} I/ Official Use Only LorunoaweaU h o f t'F/a63ach.Liel13 ' _� �r'�/j�� tf �t/ Permit No_ —L1 t 3 z-.. -� '� ,apaFtrent Of �.1 it o_snit o ''' - !( / Occupancy and Fee Checked _ r�7`; BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07} (leave blank) APPLICATION FOR F RM I T 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: 2 /Z i /Z` . City or Town of: Ye-r-evt a-vr?• 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) 57 Z.,Oa le 0 v-4-- rZ L Owner or Tenant ( c. 154,0 Telephone No.50 7-7%'75 7 t Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Urtdgrd 11 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders sad Ampacity Location and Nature of Proposed Electrical Work: Z—A- I C Fort Jtrt soc r'e f/cGc..y4yJ t Completion of the following table may be waived by the Ins ctor o Wires. No.of Recessed Luminaires fro. :S of Ceilets addle Fans NQ•a[ of t p•� ) Transformers KVA No.of Lureinaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ in- ❑ No.of Emergency Lightinggold. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners TIRE ALARMS INo.of Zones ;No.of Detection and No.of Switches No.of Gas Burners,_ Initiating Devices No.of Ranges No.of Air Cond. Tots) INc.of Alerting Devices . _ 'oats g�� No.of�t'aste Disposers Heat Pump Number Tons. .. ' ^No.of Self-Contained Totals: jDetectio&Alerting Devices . No.of Dishwashers Space/Area Beating KW it„„..,❑ Municipal ❑ der Connection No.of Dryers Heating Appliances KW Security 1 %sterns: O.of Eievices or&minima No.of Water Rom, `No.of No.of Data Wiring: Heaters Si.ns Ballasts No.of Devices orEiuivalent No.Hydromessa a Bathtubs No.of Motors Total HP 'F e(eco®atumeations arena gNo.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of fires 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 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [+BOND ❑ OTHER ❑ (Specify:) 1 certify,tinder the pants and penalties ofperjury,that the information on this application is true and complete FIRM NAME: _,}Q-e.-1.:..5 /Vi ii,-..✓i j) c..0 [..r �j� t//' £.IC.NO.: A-/ 5 7 i I Licensee: )..m�S Nl. tfU7.:7? Signature '�, -e._OL ./\--' LIC.NO.: (If applicable.enter "exempt"in the license number line.) n M Bus.Tel.No.;56i-11 -7oou Address; -2,r': __ 0 i<l- S P P11 tN �.ar : a ,-;5-- J 1c.. ,4 0 ?- a Alt.Tel.No..SO '-6,4-1E-5136• *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safely"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,1 hereby waive this requirement_ I am the(check one,❑owner 0 owner's agent. .after/r gent 1 Signature Telephone No. [ PERMIT , r EMr. i (- '• �v f � �r sVi �ltn=ti.c . Cc^-7