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Home My WebLink AboutBLDE-23-002822 Commonwealth of Official Use only Massachusetts Permit No. BLDE-23-002822 �""." 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) City or Town of: YARMOUTH Date: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) 46 RIVER ST Owner or Tenant JOE PETRUCCI Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriato Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps p Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Number of Feeders and Ampacity Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: Relocate service from 0/H to U/G. 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 rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Ballasts Data Wiring: Signs 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: 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 :) I certify,under the pains and penalties o.fp perjury,er ur that the information on this application istrue and complete. FIRM NAME: ADRIAN P O'MALLEY Licensee: Adrian P O'Malley Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 2414 Address: 167 COLWELL DR, DEDHAM MA 020266421 Bus.Tel.No.: *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 0 owner's agent. Owner/Agent Signature Telephone No. 'PERMIT FEE: $75.00 I . .. Commonwealth oi Mamae h ioath Official Use Only , --- Permit No.(e-,2.--4) Z-Ss -- 2;2/ 2spar1msni ol..7ips Servicdo BOARD OF FIRE PREVENTION REGULATIONS fR -0' Oevcc.uipoanncy anodeaFveeebClahrocec)ked 9 B APPLICATION FOR PER IT 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 IIVFORMATION) Date: toll:i City or Town of: Sou* Yar nnosk-‘it 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) 411 Kivex Skreet 7 6(.— I 2..°)— 008 c? Owner or Tenant a-- Owner's Address Toe Fel-rt.teei Telephone No. 60 1-16 River Street lei.9. .ci 8 2.0 14 Is this permit in conjunction with a building permit? Yes E No 2 (Check Appropriate Box) IA % Purpose of Building Sinctle. .carnily au.leVi at Uti Authorization No. ol J I Existing Service Zoo Amps 17.0 /2.4 0 Volts idverheit Undgrd [II]..ii No.of Meters I ......, q New Service Ze a Amps 17-et / 2.11 0 Volts Overhead E Undgrik,12r No.of Meters I v Number of Feeders and Ampacity 0 Location and Nature of Proposed Electrical Work: 7_ mcenove. everlfte.ack service. anti ,...-t. dee 3routiNck Completion of the following table may be waived by the Inspector of Wires, No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA ,...k , Above r---i In- ri No.of Emergency Lighting No.of Luminaires Swimming Pool K...._nd. L j r grad. I—I Battery Units 1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones ,..-.. No.ofbeteetion and No.of Switches No.of Gas Burners Initiating Devices .,, Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump I Number i Tons 1 KVV Na.of Self-Contained No.of Waste Disposers Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 pounnniecciptialon 0 other No.of Dryers Heating Appliances KW Security Systenis:'' No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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:* IL000. 00 (When required by municipal policy.) Work to Start: I p 1.1117_7 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 El BOND 0 OTHER E:j (Specify:) I cergA, under the pains and penalties ofpedury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: ftp.._.8a • Signature • aill LIC.NO.:.1414...._//7 (If applicable, enter "exempt"in the license number li e. Bus Tel No • Address: tko et s \Nal a Milt 02-LIS 3 Ai • • ....____________*Per M.G.L.C. 147,s, 57-61,security work requires Department of Public Safety"S"License: t.LTiecl.Zcli. 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)[J owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ so. oo