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Home My WebLink AboutBLDE-23-001374 Commonwealth of Official Use Only ; . , Massachusetts Permit No. BLDE-23-001374 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:9/15/2022 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) 11 PARKWOOD RD Owner or Tenant PETERSON MARY JANE Telephone No. Owner's Address 11 PARKWOOD RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace 0/H service&relocate panel. 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 Initiatine 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/Alertine 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 Siens 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: James M Venuti Licensee: James M Venuti Signature LIC.NO.: 15798 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 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: $50.00 f Commonwealth,01 Marsachudaile Official Use Only.>�; cy� c7 7.e_ k .111A 4. �GJspartmanf ol} �' Permit No. v�j cis arvics6 If� Occupancy BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] and Fee Checked(leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC) 527 CMR 12.00 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /y�2 Z City or Town of: YARMOUTH To the Inspector of Wires: j By this application the undersigned gives tice of his or her intention to perform the electrical work described below. d Location(Street&Number) // reK(^roo d id EOwner or Tenant L C,S it Gr f(.-ha-StSe) Telephone No. aOwner's Address p ?e��-� 4 d �(A7 Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building Purpose Appropriate Box) Utility Authorization No. Existing Service /OG Amps Z(S/ Z U Volts Overhead�/ L� Undgrd No.of Meters New Service /6G, Amps 12,0/2.90 Volts Overhead E".'-- i Number of Feeders and Ampacity Undgrd ❑ No.of Meters • i Location and Nature of Proposed Electrical Work: (ce_c_ . O,i i in „}' I ,,; Y'c_)c�C.< -ci. c_I,-c_." e-,cc-I r e►� CT et i L c. .$ery t C t., n n e� Completion of the following_table may be waived by the Inspector of Wires. `� No.of Recessed Luminaires No.of ,�; No.of Ceil:Susp.(Paddle)Fans Total =;t No.of Luminaire Outlets Transformers KVA r:1 No.of Hot Tubs Generators KVA vt No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting grad. ❑ grnd. ❑ Battery Units M;' No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and 4' No.of Ranges Total , Initiating Devices No.of Air Cond. No.of Alerting Devices Heat PumpTons No.of Waste Disposers I Number (Tons KW 'No.of Self-Contained Totals: j �'' "" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipa Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.ofNo.of Devices or Equivalent Heaters N0 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: (When required by municipal policy.) Work to Start: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE QVBOND 0 OTHER I certify,under gains and penalties o er u that the information on this application is true and complete. FIRM NAME: p j ry' c • Cy!v'� �/� t L Licensee: S s ilis M LIC.NO.: �j p' (Ifaoplicable, er ex .jin ny Signature ✓V in the!' erase nu er ire.) LIC.NO.: Address: Q J O1 di S ram.` bl c... Bus.Tel.No,• -d *Per M.G.L.c. 147,s.57-61,security work requires Department of SafetyS"License: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n�— required by law. By my signature one below,I hereby waive this requirement. I am the(check Owner/Agent ❑owner owner's a-ent. Signature Telephone No. PERMIT FEE:$