HomeMy WebLinkAboutBLDE-23-001514 1 Commonwealth of Official Use Only
fitisi Massachusetts Permit No. BLDE-23-001514
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:9/21/2022
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) 28 PROSPECT AVE
Owner or Tenant JOE MANGIARATTI Telephone No.
Owner's Address 28 PROSPECT AVE,WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Kitchen remodel&replace panel.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 10 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 10 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 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 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 Eauivalent
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: KENNETH E BROWN
Licensee: Kenneth E Brown Signature LIC.NO.: 21117
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:3 MICHAEL RD, FRANKLIN MA 020382565 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
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK _
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CPR 12,00
O (PLEASE PRINT IN INK OR TYPE ALL INFORMITIQN) Date 9/16/2022
.� City or Town of: Yarmouth
es:
By this application the undersigned gives notice of his or her intention to To the Inspector E work described
Location(Street&Number) 28 Prospect Aveurl1 the electrical described below.
Owner or Tenant Joe Mangiaratti
Telephone No.
Owner's Address 28 Prospect Ave, West Yarmouth MA 02673
Is this permit in conjunction with a building permit? Yes Ej No 0 (Check Appropriate
Purpose of Building Residential Utility
Box)
x Utility Authorization No.
Existing Service Amps I Volts Overhead 0 Undgrd g 0 No.of Meters
New ServiceUndgrd[ No.of Meters
�..�-- Amps / Volts Overhead�
Number of Feeders and Ampacity
0 Location and Nature of Proposed Electrical Work:
Kitchen Remodel- Dishwasher, Range Plug, Microwave,
10 Lights, 10 Receptacles,Replace 200 amp Panel
Completion ofthe/ollowingtabte may be waived by the Inspector Total
of Tires.
t No.of Recessed Luminaires 1 o No.of Cell.-SSnsp.(paddle)Fans No,o
"'. Transformers KVA
cs, No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above d In- NO.ofl mergency Lighting
End. grad. 1Battery Units
No.of Receptacle Outlets _10 No.of Oil Burners
FIRE ALARMS :No.of Zones
No.of Switches No.of Gas Burners fire.of Detection and '
Initiating Devices
No.of Ranges 1 No.of Air Cond. Tone No.of Alerting Devices
j No.of Waste I)isposera Heat Pump Number Toes.._ 'KW No.of Self-Container]
Totals: . Detcction/Alertin Devices
No.of Dishwashers 1 Space/Area Reefing KW
Connection ❑ Other
No.ofDrye Heating Appliance' 'Becut3 Systems:*
�-.
No,of Water KW Na of Devices or Equivalent
No.of
Heaters KW No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Ilydromasaage Bathtubs Yo.of Motors T ettal HP Teleconmmunications Wiring:
• OTHER: Replace 200 amp Panel, Range Hood, Microwave
No#of Devices or Equivalent
Estimated Value of Electrical Work: $5,000 Attack additional detail tirdesired or as required by the Inspector of Wires:
9/7/2022 Inspections to Start: (When �by municipal policy.)
to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no
the licensee provides proof of liabilitypermit for the performance ttt'electrical work may issue unless
insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE C BOND ❑ OTHER Q (Specify:)
I cerdfr,under the pals and penalties ofperJury,that the inftrrmation on this application a trite and complete.
FIRM NAME: Tatra Buildin Corn any Inc
Licensee:' Kenneth Brown LIC.NO.: 744 Al
Signature
(If applicable,enter"exempt"in the license number lure} -' LIC.NO.: 21117A
Address: 3 Michael Rd, Franklin MA 02038 liars.Tel.No.: 774-317-0593
*Per M.G.L.e. 147,s,57-61,security work requires DepartmentAlt.Tel.No.:774-306-1497
OWNER'S INSURANCE WAIVER: I am aare that h e ce does not have the License:
� ranee coverage.
lly
required by law. By my signature below,I hereby waive this.requirement. I am the(check one)0 owneer 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:,$ J