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Home My WebLink AboutBLDE-23-005601 't 1/ Commonwealth of Official Use Only _ ''L Massachusetts Permit No. BLDE-23-005601 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:4/10/2023 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) 29 VACATION LN Owner or Tenant SHELLEY ZOLA Telephone No. Owner's Address 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: Closing in breezeway Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 2 No.of Ceil.-Susp.(Paddle)Fans 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 Space/Area HeatingKW Local ❑ Municipal ❑ Other: No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP 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. 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. 7 CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) Lf— 2-w5_ 0673 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 55987 Licensee: Robert Scala Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:24 Wagon Wheel Lane, Brewster MA 02631 *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 'PERMIT FEE: $75.00 Signature Telephone No. (%u-cti `t(zZW g s-504-- 4a6'2- tJj 2 ( (( ( 60?0444/0 RECEIVED /� BB!! aoachud d Official Use Only l,ommonwsa[th o{"I APR 0�P nni N . f23- of 14 a ` ..Uspartmsnt o f.}irs Servic4 �y7� 3UlLUING UEP� CT�Fee Checked , � BOARD OF FIRE PREVENTION REGUL'A�NS-- -o (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR l2_00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: L-\\(() 7 v City or Town of: �C,1,f%0P,c) v�v 1 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) 'JCI a;. .\O A k6, Owner or Tenant c3\\u \\Q 5 ze-,\ Telephone No. 6(30 1-~ 173a Owner's Address Ci. C :tK>(\ \Cir\t1 kJQ.Fk '1 Y\la',"*\ Q?- 7 3 Is this permit in conjunction with a building permit? Yes lia No E (Check Appropriate Box) . Purpose of Building f 'Ca C,\ Utility Authorization No. Existing Service K Amps I / 7t,JO✓olts Overhead fl Undgrd C No.of Meters I fnC New Service Amps / Volts Overhead Undgrd E No.of Meters l Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C�U `�(� i u�1, J V) Completion of the following.table may be waived by the Inspector of Wires. v► No.of Total `` No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets -1 No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting dt No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones z InitiatingNo.of Switches No.of Gas Burners No. Detection and �. Devices Ili No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices Na.of Waste Disposers Heat Pump Number Tons KW *No.of Self-Contained F Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other 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 No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Equivalent y g No.of Devices or Equivalent OTHER: �j Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec ical Work: t"'7 l„'U (When required by municipal policy.) Work to Start: ` . Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 1 BOND ❑ OTHER ❑ (Specify:) I certify, under the grins and penalties of perjuovhat the information on this application is true and complete. FIRM NAME: I \ge,(41 :;*._CLh\ t ley Arc LIC.NO.: 5`� % 11 -6 Licensee: 12; eti 5(Ct. Signature LIC.NO.: (If applicable,enter"exempt"in the license number live.) n _ • Bus.Tel.No.: 77 L/ -( -7 -0073 Address: , LA j(l C i `lam(C\ Ll `� �? � & i 3\ Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,sbcurity 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)El owner ❑owner's agent. Owner/Agent PERMIT FEE: $ 7�": .h, Signature Telephone No.