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Home My WebLink AboutBLDE-22-006049 o• , JO Commonwealth of Official Use Only dE� Massachusetts Permit No. BLDE-22-006049 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:4/21/2022 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) 63 WILLOW ST ' 74 L/ i- 1(3 Owner or Tenant Jason Calvert Telephone No. Owner's Address 63 WILLOW ST, 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel 2 bathrooms, kitchen, living room, &dining room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 16 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 Aboved. ❑ In- ❑ No.of Em: e . i C grn grnd. Battery s / No.of Receptacle Outlets 23 No.of Oil Burners FIRE A �;1 ti No.of Switches 14 No.of Gas Burners No.of Detectio O Z Initiating Devic No.of Ranges 1 No.of Air Cond. To No.of Alerting Device` Heat PumpNumber Tons KW ® <✓ No.of Waste Disposers _No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal ❑ NO y� 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 Eauivalent 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: Anthony C Puopolo Licensee: Anthony C Puopolo Signature LIC.NO.: 22035 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:57 Elliot Lane, PLYMOUTH MA 023604959 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. PERMIT FEE: $75.00 RECEIVED -wlct 1 ( fl atret ri c 1, Corn nonwOa/k 0/Massachusetts Official Use ly APR ,f Permit No. �/2—te0 r j _. : �5. nt/ ,,.spume `� B U I L D I N G ►,` t. t NT Occupancy and Fee Checked ' •ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ii 12 Z City or Town of: cya r rno AV\ To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work descrtlbed below. Location(Street&Number (0 3 ( % \O 51- Owner or Tenant a V Owner's Address �� ✓ . y7 /j, elfPhpeNo. Is this permit in conjunction with a building permit? YesC No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Editing Service ACD Amps /21)/ Z40 Volts Overheai1171 Undgrd❑ No.of Meters New Service Amps / Volts Overhead _�et r ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ferriort o\ o2x 'i?,c3.h2nw1 i k r kPN t Li Utrui .. `D kV\kt1C 12f...X5YV‘ Completion of thefollowinktable may be waived by the Invector of Wires. N ran Lb, No.of Recessed Luminaires /( No.of Ce!!.-Snap.(Paddle)Fans T f ! Transformers KVA No.of Lnminaire Outlets No.of Hot Tubs Generators KVA Ck No.of Luminaires 9 Swhumin Poo! Above In- NO.or t:mergeney Lighting g grad. ❑ grad ❑ Battery Units No.of Receptacle Outlets 2 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 1 - No.of Ranges No.of Air Cond. Total Tons 4No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: """""" Detecdon/Alerilugpevices No.of Dishwashers / Space/Area Heating KW Local Monnun ❑ Cection ❑ ` No.of Dryers No.of Water Heating Appliances KWS urity Systems:4 No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP NoTelecommunications E�qq nt OTHER: Estimated Value of$1 cal Work: Attach additional detail ifdesirea or as required by the Inspector of Wires. Start: (When required by municipal policy.) Work to y s Z2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEIg. BOND 0 OTHER 0 (Specify:) I car,under diee.tains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: f v c:Toto Et et`i- c LLC_ LIC.NO.: o`ZaCS3s-►q Licensee: 47-i J tin y Pu ,/6 Signature LIC.NO: (If applicable,enter"erenr t in the lise number line.) Address: J O 1 2 rt-k W la, gT On% 2 Ckyv - ►�OJ 4i ti 14 Bus.TeL No.:(�7�(I Zf3 a 0,06 *Per M.G.L.c. 147,s.57-61,security work requiresAlt.TeL No.: Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 'Owner/Agent ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ 7,S'a I Cep 6e,y