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Home My WebLink AboutBLDE-23-004175 Commonwealth of Official Use Only liie\or„ ., , ,.;.v.,j3 _ Massachusetts Permit No. BLDE-23-004175 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:1/27/2023 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) 657 WILLOW ST Owner or Tenant GENTILE LOUIS J JR Telephone No. Owner's Address GENTILE DENISE A, 5 MEADOW LN,WOBURN, MA 01801 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Apr priate Box) Purpose of Building Utility Authorization No. (Ii Is' �/�� 4 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters �+ New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters in we- Number of Feeders and Ampacity to��,,..,,S��IC�"L�J P Location and Nature of Proposed Electrical Work: Upgrade service,wiring for addition, dormer, kitchen, &bath remodel. 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. 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. 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 ❑ Municipal ❑ 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. romassa H d a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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:) '7 (' .`n j )J 6, I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: GREGORY J DAILEY Licensee: Gregory J Dailey Signature LIC.NO.: 40728 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 113 BRENTWOOD CIR, PLYMOUTH MA 023601000 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 ❑ owner's agent. Owner/Agent Signature Telephone No. 'PERMIT FEE: $75.00 -11� l Ciam' 44"(23 W eZi` 6(- C his l 1 w ► ) 1 e►'l L 1 insbir nt Amligaton Nurnber: C.I.O.# 1 5.41 I C_ 1 V ® / I Official Use Only -_— _..__ _-, ea I� of a 53at su3e113 1—-7 7s ,t c Permit No. _ ' BAN 2 6 2023 -4{eperlmenl 01 ire�ervice3 I Occupancy and Fee Checked 't,,WTI gQAR Q �[R PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 'APPIICATIOIWFOR 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: ` /`d,6/`)-3 City or Town of: iniinswit t(ar'' of'Hi 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) ( 5 7 willow <T Parcel ID: Owner or Tenant 1 U in+. 6- +t it r — Telephone No.7 ff be.)) )-)3/ Owner's Address S M 'ea clo W )4 6✓oh uvvt. / 0/'80 l Is this permit in conjuntion 2/,with a building permit? Yes � No ❑ (Check Appropriate Box) Purpose of Building 13 C i a t ht t oil Utilit Authorization No. l) (1 )- '1 p ! Existing Service I Od Amps i YO / 1-`I0 Volts Overhead Undgrd❑ No.of Meters ) New Service 1-0 0 Amps I)0 / ) U Volts Overhead El Undgrd E"No.of Meters I Number of feeders and Ampacity /-00A Location and Nature of Proposed Electrical Work: N e t / }-0014- li-ervl(C, New q c4d. 1.,citl apiel II v rIn A ) KC )-c n 064 b ct'kt re w)o(l1ej Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ccil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches _ Initiating Devices No.of Air Cond. TotalNo.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Hot Pump ,Number 'Tons l KW No.of Self-Contained P Totals: I Detection/Alerting Devices Space/Area HeatingKW Local❑ Municipal ❑ Other No.of Dishwashers P Connection No.of Dryers Heating Appliances KW Security Systems:*No.of Devices or Equivalent -No.of Water KW No.of No.of Data Wiring Heaters Signs Ballasts No.of Devices or equivalent - , Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: q ,d 00 (When required by municipal policy.) Work to Start: - Inspections to he requested in accordance with MEC Rule 10,and upon completion. INSURANCE VE AGE: 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[I BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 6 0t' De,,)cy 'ele 1clotin LIC.NO.: U07,-`� J / LIC.NO.: 110 7 i- f Licensee: 6 r?i v Doi j r Signature / t / Bus.Tel.No.: lit-773'.k3 I (If applicable,enter �er�;"in the tcerfse nunt6er line.) 11'' �y G,a� Address: 11 3 r-Ev t 0 C i i1J't V 17 rel„''y711 /i 41d 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 ❑ owner's agent. Owner/Agent Telephone No. PERMIT FEE:$ Signature