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HomeMy WebLinkAboutBLDE-23-005653 #8 Commonwealth of Official Use Only 1 Massachusetts Permit No. BLDE-23-005653 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 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of UNIT#8. 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 2 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number _ Tons KW No.Detection/Alertingof Self-Contained Devices Totals: No.of Dishwashers Space/Area Heating KW Local 0 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 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: 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $100.00 gAS 73 -- Gvi-4.1 rt251 - iDdOZ j tb Official Use Unit =!" .APR 10 202saki, Permit No. 7_�-5��3 1— s` i ni�3t� �a ; C.- - -c M Occupancy and Fee Checked #,1t-D‘ 8.4,-■ s,_,,,�•_, •EVENTION REGULATIONS [Rev. 11071 (leave blank) ° APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK rA 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 Date: '1 l 8 /a 3 or Town of: yQrt,,o 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) 621 Fa s T .5 T j3 u�l c tJ A U r ;-r R Owner or Tenant ..S „ , a U.ar C.�c-r a+v"+S Telephone No. Owner's Address .-../S 9 ( r..a.r vie.ETerrt RI) err 'Gu '' is11 Is this permit in conjunction with a building permit? Yes Er No 0 (Check Appropriate Box) i Purpose of Building Tra c\e,s m a.- $v,i.8;ug Utility Authorization No. /O aZ? / 6 2 (--1 Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters 3 New Service LIDO Amps /20 /d0 8 Volts Overhead C Undgrd[r No.of Meters Number of Feeders and Anspacity 1 Location and Nature of Proposed Electrical Work: sjs Zu.°� n `a /O©o .Sr. Pr 'rr a de s ry,a, ca•e4 a i oc��r.u. P Le c-rt'tc v C. pang L. m RAY W 4 i aT�nrn a+^^t Completion of the foiiowing table may be waived by the! of Wires. v; No.of No.of Recessed Luminaires No.of Ce 1.-Snsp.(Paddle)Fans Transformers KVA �� Generators KVA Ci No.of Luminaire Outlets No.of Hot Tubs No.of 1✓merg+eacy LightingAla.of Luminaires a SwimminAlwe ID-Pool ❑ a Battery Units •: No.of Receptacle Outlets 3 No.of OH Burners FIRE ALARMS No.of Zones No.of Detection and Na.of Switches 3 No.of Gas BurnersInitiating Devices riots' No.of Alerting Devices IV= No.of Ranges No.of Air Cond. Tons Heat Pump Number,ITeas _1KW _.__aR �-Contained No.of Waste Disposers Totals:1 1 . �� f M� No.of Dishwashers Space/Area Heating KW Local Cyyostrcatioa 0 Ott �No.of Dryers Heating Appliances KW No.of Devices or Egnivalent No.of Water 'No.of No.of Date Wiring: Heaters I Signs Ballasts No.of Devkes or Equivalent No.Bydromaasagt Bathtubs Na.of Motors Total HP Tbiv .ofDevicesor �VVa edeln OTHER: the Inspector of Wires.Attach additional detail if desired or as required by Estimated Value of Electrical Work: 13,000 (When required by municipal policy.) Work to Start: `7111 D/02 3 Inspections to be requested�to accordance with MEC Rule 10.and upon completion.of electrical work may issue unless INSURANCE COVERAGE: Unless waived by the owner,no permit�T��performance�its substantial equivalent The the licensee provides proof of liability insurance including"completed of same to the permit issuing office. undersigned certifies that such collage is in force,and has exhibited proof CHECK ONE: INSURANCE Di BOND ❑ OTHER 0 (Specify:)I certify,under the pains and penalties of pedury,that the information on this application is true and compute Lzc r;C_ i,.LC LIC.NO.: 1 a.73 ,i FIRM NAME: � a n c }`�. � �� LIC.NO.: �1�'1�,)r Licensee: _ a e t 7/ Cc Sa s z g a'ture i sZ 5 4! 10 Bus.Tel.No.: (, dr i r Is the license number line.) � � Alt.TeL No.: 'ScS i;17 91 7.5 if applicable,enter"exempt" Address: r � c� ` 4n iSc N1,c��(•z bc�r•` M *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. Sa C US 13 7 3 OWNER'S INSURANCE WAIVER: I am aware that the Licensee cet notw theve(check one e y)insurance ❑owner coverage ❑awneinormally ent. required by law. By my signature below,I hereby waive this requ Owner/Agent Telephone No." PERMIT FEE: S Signature