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Home My WebLink AboutBLDE-23-003644 1 ,, Commonwealth of Official Use Only ar �� Ito Massachusetts Permit No. BLDE-23-003644 ' 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:1/5/2023 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 escribed below. Location(Street&Number) /71f� V ( i> �-4 4 ANNis Owner or Tenant MIKE&TONY, LLC. �Y Telephone No. Owner's Address -- Is this permit in conjunction with a building permit? Yes 0 No 0 (j heck Appro)to Bo ag1/41"' Purpose of Building Utility Authorization No. 7588937 j Existing Service Amps Volts Overhead 0 Undgrd 0 No.o eters New Service 200 Amps Volts Overhead 0 Undgrd 0 .of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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.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: Eric K Decesar Licensee: Eric K Decesar Signature (Ifapplicable, line.) Tel.cable,enter"exempt"in the license number li NO.: 15196 pP Bus. No.: Address:PO BOX 1757, PLYMOUTH MA 023621757 *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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $180.00 —2(-.,t'' ,1. (4-( et C;E.:71-(h.et 1/i/13 l ' . ln1-cp (746`\4) .76 ao-r-&- cie Et.yv f,✓etc cggi4 IciYr01 AN 0 4 202 ° n�vaalth ///aeaachuaatta Official Use Only ' ;' ' �` Permit No, ��3—3 :'4-1 �l w. _ n o�Ju sarvics6 k 1;I,i..v EPARTMENT I LoeftRD OF FIRE PREVENTION REGULATIONS { Occupant y and Fee Checked v __ — Rev. 1/07 (leave blank) 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: / — - ,,Z. 0 A.3 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) 7 5' c.)//2 Owner or Tenant /lc/i is-- 4. c.t L C;... Owner's Address j' Telephone No. Is this permit in conjunction with a building permit? Yes [-a'No 0 (Check Appropriate Box) Purpose of Building S"r n 5 J c f«,l•5, D 1„a l/„,S Utility Authorization No. 7 S 9' U7 37 Existing Service Amps / Volts Overhead Undgrd g ❑ No.of Meters New Service 2.c t Amps /2 el,2 Y Volts Overhead ❑ Undgrd 111--' No.of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C c�iii_ph it.' ,g,.,) /y r tti f-/C r., s Completion of the fotlowingtable my be waived by the Inspector of Wires. l IN No.of Recessed Luminaires No.of Cell:SusNo.of n,! p (Paddle)Fans Transformers Total ''�"� No.of Luminaire Outlets KVA i No.of Hot Tubs Generators KVA ^t'' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. Rrnd. ❑ Battery Units ;;` No.of Receptacle Outlets No.of OH Burners FIRE ALARMS iNo.of Zones c. No.of Switches No.of Gas Burners No.of Detection and t,r No.of Ranges Initiating Devices No.of Air Cond. total Tons No.of Alerting Devices No.of Waste Disposers 1 Heat Pump NNTumber lions 1 KW -No.of Self-Contained Totals: j Detection/Alerting�Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ Other rY Heating Appliances KW Security Systems:* No.of Water , No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) 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 is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEcify:) BOND 0 OTHER I certify,under the pains and penalties ofperjurt that the information on this application is true and complete. FIRM NAME: .c r,; I Li e LT c e Licensee: L/?i C 2r1� L1C.NO.: .S i C. (7.<c -e s r.. it Signature f' — (Ifavplicable,enter"exempt"in the license number line.) �� LIC.NO.: Address: _l ' 3 i,yr i 7 ...7 Bus.Tel.No.: S J I *Per M.G.L.c. 147,s.57-61,security work regal is Department of Public Safety"S"L censer Alt.Tel.No.: Lic.No.OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage no�llY required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner Owner/Agent Signature � owner's a,ent. Telephone No. PERMIT FEE:$