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Home My WebLink AboutBLDE-23-005652 #A Commonwealth of Official Use Only t. : Massachusetts Permit No. BLDE-23-005652 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:4/11/2023 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) 24 EASY ST Owner or Tenant SAND DOLLAR PROPERTIES 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: Installation of fire alarm system. 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 10 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 10 Tons Heat Pump Number , Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 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 ❑ BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DANIEL E DICESARE Licensee: Daniel E Dicesare Signature LIC.NO.: 21275 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:66 ELK RUN, MIDDLEBORO MA 023463065 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $115.00 P-0 Cieett Ct((-C(2-5 -( A IC (3( ( //SO? ;• . rFIWED �`+ APR 10 2023 Cu,...dih 4 mrr..tia Official Use Only '' Permit No. E7--3—S(c:,S2 e ear ,+:�, iJ h.PART IV t+�s Jenvltrd Occupancy and Fee Checked — - = ! -'1T_. PREVENTION REGULATIONS Rev. Ian blank} 1°' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pe:fonned in acco with the Massachusetts Electrical Code(lviEC).527 CMR.12.N (PLEASE PRINT IN LAW OR TYPE ALL I FORS TION) Date: 'I I e I.23 City or Town of: Yarrv.o V-r'j, To the Inspector of Wires: 3 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) (52 Y. EASY S T Bu;ld'i.1 A FOwner or Tenant . an r)o t L ear C LI c-ro r+"+S Telephone No. s y es Owner's Address ..,O, 9 61`c4T Wes &rcm RT} manit''+ t s Is this permit in conjunction with a building permit? Yes [No ❑ (Check Appropriate Box) .f Purpose of Building Tra Z e.b r,a., $�; Ca,,,,TqJ Utility Authorization No. /OaZ? ) / 6 1 Existing Service Amps I Volts Overhead E Undgrd❑ No.of Meters q New Service 1 00 Amps l.20 /Q)OS Volts Overhead C Undgrd ler No.of Meters -7 dNumber of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: t,�}i IQr tie cs i � � ct � roc A Gar Awl �'S/.S7e on i Completion of the followinktable iney be waived by the Invector of Wires. g No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.otinnergeaey Lighting it No.of Luminaires inures Swimming Pool�d. ❑ ❑ amen,traits 4 '•» No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones T. 'No.of Switches No.of Gas Burners leia of Detection and Ind Devices 1 E, !No.of Barges No.of Air Cond. Ton No.of Alerting Devices f0 Vest Pump of Self-Contained (No.of Waste Disposers Totals: Number'Toss :KW - ft}etectioniAle t Devices No.of Dbhwashers Space/Ares Heating KW Local D. Calneefion 0 Otte No.of Dryers Bung Appliances I{R' No.oSeenritYf� or F oslem 'No.of taste 'No.of No.of Data Wiring: Heaters KW Signs Ballasts elecommun No.of Devices or t No.Hydro massage Bathtubs �No,of Motors Total HP 1T No.of Devices or FAtl iestions 'm OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: )3,C'OO (When required by rmmicipal policy.) Work to Start: `0/o/4;2 3 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 covprtge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certify,sender the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: D aria 3 E Lzc.Tt .C:. LLC LIC.NO.: - ! .3.'75 Pi Licensee: l-)a.i, e(, c J i Cc..So.cz Signature fctsu,.F'es.. 'G,, LIC.NO.: .i 6 r1,9,E /II applicable,meter"exempt"in the license number tine.) Bus.Tel.No.: ? i 45 $ 91 ?C Address: toC., ELK i21 t z' /"'1,c+c L e b c':r'c MA C:!9.1' Alt.Tel.No.: .5o E,S 7 i ss- *Per M.G.L.c. 147,s.57-61.security work requires Department of Public Safety"S"License: Lic.No. ,5 SC c, - U C 1 3 7 3 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance" coverage normally m �'' required by law. By my signature below,I hereby waive this requirement. I a the(check one)t...t owner ❑owner's agent. Owner/Agent PERMIT FEE: Signature Telephone No.