The URL can be used to link to this page

Home My WebLink AboutBLDE-23-003590 (411 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003590 Ttti.' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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:12/31/2022 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) 4 WHALE RD Owner or Tenant BARRY JAMES J TR Telephone No. Owner's Address JAMES J BARRY TRUST 2005, 35 JACKSON CIR, MARLBOROUGH, MA 01752 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 kitchen &master bathroom. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 12 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges 1 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 1 Space/Area Heating KW Local ❑ Municipal 0 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: Licensee: Zachary Mancini Signature LIC.NO.: 57951 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 Taft Road, West Yarmouth MA 02673 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 J 3p( 25 I 6-451:77' Dom) (1 t 44 Mom. tom) 21 . ECEI 'fED _.._ryn_,..-._ o ea o17aeeachaealle Official Use Only °"-s-'B t*tI EC 3 0 2022 c� Permit No. '�23 -3 to ,.,. !,-.; b ` s tmanl oi..I o Serviette .L(;• „° Occupancy and Fee Checked a,,{'`;If't_DirliOARCIORAERIP PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Y APPLICATION • - 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: /2/5o/22.. City or Town of: YARM O UTH To the Inspector of Wires: By this application the undersigned gives no ice o�/�hiis or her intention to perform the electrical work described below. Location(Street&Number)t )�/16i e ut(hrib?�l)t`'h ( 7 1- iS1ciicI ) Owner or Tenant ;iv) A cite(;e jctrJ Telephone No.Ji M jXt(C C_`mr.a CUM Owner's Address 1 witiii rep ,✓,c,), y c1 rmc ( 1 �(7/t',:f t</j/e,ic/) Is this permit in conjunction with a building permit? Yes ❑ No [ (Check Appropriate Box) Purpose of Building 'ref.eh,wt Utility Authorization No. Existingfa s Servicfa() Am p /Za/ Volts Overhead❑ Undgrd Rj1"-- No.of Meters / New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: )L/6 /,. iBroth / /.,/.h (4r s/ oc 1 Completion of the following table may be waived by the Inspector of Wires. tit No.of Recessed Luminaires J No.of Ceil.-Susp.(Paddle)Fans No.of Total ,-,/ / Transformers KVA �) No.of Luminaire Outlets No.of Hot Tubs Generators KVA t.\ No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting - g grnd. ❑ grnd. ❑ Battery Units _ �1 No.of Receptacle Outlets n__ No.of Oil Burners FIRE ALARMS No.of Zones r -No.of Detection and No.of Switches No.of Gas Burners Initiating Devices 11.1 No.of Ranges 1No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting )evices No.of Dishwashers ? Space/Area Heating KW Local 0 Municipal ❑ der 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 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: / /� 7 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (0 i Lis"v (When required by municipal policy.) p Work to Start:[ 2/3O�?2. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E: 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 BOND 0 OTHER 0 (Specify:) I certify,under the alns and penalties of perjury,that the information on this application is true and complete. FIRM NAME: d14 'V L,/1 , 2z.1 c c LIC.NO.: 5-7?5/-/3 Licensee:gCCCIt ; /t4 1 , 4 . Signature . [.IC.NO.: (If applicable,enter" p ' in th lie nse n tuber line.) , n Bus.Tel.No 41 7 e./2' ct U?o Address: / > �ir✓q 1"t Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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 waivc this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.