The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004980 Commonwealth of Official Use Only Art Massachusetts Permit No. BLDE-23-004980 a...0 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:3/10/2023 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) 65 CIRCUIT RD Owner or Tenant DIPIAZZA DAVID Telephone No. Owner's Address DIPAZZA DEBRA, 11 BERGEN AVE, HILLSDALE, NJ 07642 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: Wiring hall/guest bathroom 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. Tons Tota No.of Alerting Devices 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 Connection ❑ Other: 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 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. required bymunicipal olio Estimated Value of Electrical Work: (Whenq p 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: Signature LIC.NO.: 23369 Si Licensee: Adair Martins g Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Address:25 Franklin Avenue, Hyannis MA 02601 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 I f' 1 ' -- RF cEivED 4- 1/..cazel iv to * 75: OD L __MAR 0 on wealth of Massachusetts Of cial Use O l Permit No.: Z�- 1 INC,, DEPART rI3 l/ tment of Fire Services Occupancy and Fee Checked: ►;_ E PREVENTION REGULATIONS [Rev. 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH Date: 03Jozi9.3 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 6 ,-�j;} .fiv Unit No.: Owner or Tenant: T}q w- 1(`,i ¢i A. 2.2.0' Email:_ Owner's Address: I I C CtJe 1G}1e +'t i I I Sdtz-k N)7 07-64, . Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.: Purpose of Building: e j jtl rn-+ Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: j Description of Proposed Electrical Installation: tt)&i Hail/G - l }p C ( (A1QC' , Lu„lepi 4►1 €X.Ltcw s i- CA41,'Vet itvi.ti-ta (1,IAA- ,4 Ut%4-a,e._j- 4v CAAQ. Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: 4) No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: ESwimming Pool:In-Grnd.❑ Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: qjNo.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: allo.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: c , Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1 0 Level 2 0 Level 3 ❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrica Work: q co (When required by municipal policy) Date Work to Start: 03/f(t4.3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: IA R R . cafe. de LUG A-1 0 or C-1 ❑LIC.No.: Master/Systems Licensee: orief,ta.,,r• 40..-r-d-7,.S LIC.No.: l336cj - 4 Journeyman Licensee: 44Lh.i;r M ar bet S LIC.No.: 55 6IZ — Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: a 5 �a..nk Li..-t Hki 47-1,n%c c NA 9 02601 Email: 111 e fh rcefe,1 x-{-n Cam, ";-eN co en. . Telephone No.: 5 a -- 30 1-s 6 /s.ci-e is--61 t I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee:,irk,r /114.4veli 'r Print Name: 4060 r I,e..`c/jrt,f 7r Cell.No.: 502-' I --61+3 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"co eted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of a to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify: 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 agent❑ Owner/Agent: Tel.No.: Signature: Email.: