Loading...
HomeMy WebLinkAboutBLDE-22-03594 #A Commonwealth of Official Use Only �.i I Massachusetts Permit No. BLDE-22-003594 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'12/28/2021 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) 31 A'Be34B BAXTER AVE 3i 4 r) ,..t/i/ Owner or Tenant GEORGIONIS GEORGE Telephone No. Owner's Address CORBEL DIANE, 1430 RUE DES OBL ATS, CHAMBLY, QC J3L 2M 7 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. NZ 98Z7 Existing Service Amps Volts Overhead 0 Undgrd 0 N 1.of Meters New Service Amps Volts Overhead 0 Undgrd 0 v f o Me›,..ters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service to 200A. .( ,,„ Completion of the following a, w ' e . nspectorWires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of %'a./"N- •l Transformers No.of Luminaire Outlets No.of Hot Tubs0- 4. GeneratorsA No.of Luminaires Swimming Pool Abovegrnd. 0 In- . ❑ No.of Emerge n grad Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS N .ofZ3 s No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: ( Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Municipal Local 0 Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 of perjury,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 *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. 'PERMIT FEE:$50.00 I ti/le S dor4 e5::. fic. /Z/Z4f/Z Official Use Only t�omrawttuteaf[bt of rl1D4.4c+ sC 1,MA:ter c� Permit No. £�-ZZ-3.Se,LiIt lee IMP .Ucc��epeaelrnsnt of 3iea Serviced I F. Occupancy and Fee Checked ,,.,;F ram- BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07j (leave blank) APPLICATION. FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /.Z/2.2'°Z 1 City, or Town of: 'crrri 4.),...Crri 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) 3 i gc_x Fr A-vC_, Owner or Tenant 42. tic— i+r-e-ro►n Telephone No. Owner's Address Es this permit in conjunction with a building permit? Yes n No (Check Appropriate Box) Purpose of Building Utility Authorization No.—) t1,q 8 a-7 Existing Service I Lk Amps /2O/ 2 yb Volts Overhead Er Undgrd❑ No.of Meters / New Service Amps /20 /VitL Volts Overhead Er Undgrd n No.of Meters Number of Feeders and Arnpacity Location and Nature of Proposed Electrical Work: U v e c.a ` OV`c_+r I.,e. t,c 4 C__( ,e c( s c,,rzrtce, 1 *2_0 c> Prtn-k es Corn•lesion o the ollowin: table • •be waived b the Ins, ctor o Wires. moo.0. ota No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool ,tad. ❑ _rnd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners !FIRE ALARMS No.of Zones !No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air on Tons No.of Alerting Devices Heat Pump Number ' ons o.of Self-Contained No.of Waste Disposers Totals: jDetectionlAlerting Devices No.of Dishwashers Space/Area heating KW [Low ❑ri h(lienicipal Connection ❑ Other lfeatin A liarices t b�' 1Security Systems:* No.of!Dryers g PP No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications iring No.Hydromassage Bathtubs No.of Motors TotalHPNo.of Devices or Equivalent OTHER: .4uach 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 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 0 (Specify:) I certift=,under the p ins and penalties of/perjury,that the information on this application is true and complete. FIRM NAME: J c>..eri c..S Ail . L./Lel::ii i;.1 c-C (-' �-. ` /� . LIC.NO.: A-1 5-7 L Licensee: �,-v : . � � .�`�l:S (i`art�;� Signature -e.3A -- `' LIC.NO.: (If applicable.enter "exempt"in the license number line ' Bus.Tel.No.; -i/Z�'-7 u?G Address: j() ... ©St cI,i s F'�'1t tN . y:--Gr.7 5 6 tc.. !VI 4 G 2- 6,5 Alt.Tel.No.:,5-0 '-6`iE-53t T 'Per M.G.L. c. 147.s. 57-61,security work requires Department of Public Safety"S"License: I_ic.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 ❑owner ❑owner's a ens. Owner/Agent PERMIT Fes_ Signature Telephone No. 7 AA A, 1 L. . tr"zYivf"t ® t =,,,, . c c^r? LABEL f^Q C o n.n,7n.k7x- rr,'kr ec�z�n-c c' uj eiL P ')FL- 4