The URL can be used to link to this page

Home My WebLink AboutBLDE-23-005654 #9 Official Use Only • . Commonwealth of f Massachusetts Permit No. BLDE-23-005654 BOARD OF FIRE PREVENTION REGULATIONS anc OccuP Y 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 ❑ (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: Wiring for UNIT#9. 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 I No.of Zones No.of Switches 3 No.of Gas Burners 1 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 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 Devices or Equivalent 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 ofperjury,that the information on this applications true and complete. FIRM NAME: DANIEL E DICESARE Licensee: Daniel E Dicesare Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21275 Address:66 ELK RUN, MIDDLEBORO MA 023463065 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 thecheck one)) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $100.00 Jce,p,I Cel(543 -C1N):1--6/ l 0 (3A3 �� -I E Fa1/ ED /J� �I� :, APR 1 2023 �0 •nw.al 0/mo44oritayx6 Official Use Only C1'� r NCB UL RTMEN9� ^_ ,rl ul of_tire�arrric�l Permit?�io. jj�-Sr�p E. ,,.j`s BOARD OF FIRE PREVENTION REGULATIONS O rpatzcy and Fee Checked [RCv. i/t)7j (leave blank) r, N 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 LVK OR TYPE ALL[NFORM4TION) Date: 411 8 / 3 � City or Town of: Yarn-,o 0-rt, To the Inspector of Wires: CBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. '- Location(Street&Number) c2 Y E4 s y .5 T 13u;zed 1:.5 A unt r I . Owner or Tenant 5 a el A D o LL ems- C,J s-r e,n-,5 Telephone No. Owner's Address ,-..0 ' G rp a r ws sTe rn RI) 4rw+a„ct' lu; Is this permit in conjunction with a building permit? Yes No E (Check Appropriate Box) .I Purpose of Building Too. e,5 rria,-, $4.,;1.8,...5 Utility Authorization No. /Oa q02 / 62 1 Existing Service Amps / Volts Overhead L Undgrd E No.of Meters 1110 New Service 'I DO Amps /070 /Q?D 8 Volts Overhead L. Undgrd No.of Meters ii ` Number of Feeders and Ampadty 1 Location and Nature of Proposed Electrical Work: s LI►1► NQ D c a [6005� 7n Fr 1ei ape, <>. SAY t.0.1 k 13 7144-cprv-• 4.--+1:1 cre, 1 '4, 4 rrrton FL e c Tr,'cat_ pea..0 L. `^ completion of the Mlowu+g,table may be wail ed by the f or of Wires, ma's iNo.of Recessed Lamin sp.( TraoTransformersKi A aires No.of Ceii.-SnPaddle)Fans No VA ^_; 'No.of Lwnlnaire Outlets No.of Hot Tubs Generators KVA Above 1n- No.of Emergency Litgating •t' +No.of Luminaires a Swimming Para tea. ❑ mid. ❑ Battery Units z No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones iNo.of Switches 3 No.of Gas Burners ' To.of Detection and <_ Initiating Devices No.of To No.of Air Cond. nns No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons -KW 'No.of Set1�Contained Totals:I' _ ,Detectioa/Alertbrg Devices No.of Dishwashers SpacelArea Heating KW Local 0 Mu' n ❑ Other Cat No.of Dryers Heating Appliances KW Selfof Q or Ems_h alert No.ooWater lNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or . • .. t No.Hydrama�e Bathtubs No.of Motors Total HP No,of Devices or Egedv4 �.•t OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: [3,OOO (When required by municipal policy.) Work to Start: `f//o/a 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE DaBOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of per}ury,that the information on this application is true and complete. FIRM NAME: D a r e D i=L e c r.c_ �./C LIC.NO.: ,9 j (V)4 ,i Licensee: fin,z i= D t Cc jc<cz Signature c,rrf..c eob-.e„u-, LIC.NO.: Sl 6 59,,E A(If applicable,enter"exempt"in the license number lline.% Bus.Tel.No.: ?'1 ' 91 ?C ddress: A Et K :.‘-1 Zr /\'l, c i.e b c-r- .- M. c`,, 3'1 6 Alt.TeL No.: -Co c, 6 4? 1 S*Per M.G.L.a I47,s.57-5I,security work requires Department of Public Safety"S"License: Lic.No. S SC C - L C 1 3?3 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $