The URL can be used to link to this page

Home My WebLink AboutBLDE-23-005655 #10 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005655 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for UNIT#10. 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 god. 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 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 Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices 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 v l cl 145-23 16 i- 1 Cl. 14013) 3 . R. E. C E.11. 1. APR 10 24 t. 0/Mumachwetti Official Use Only y— 1- ,• '' _ A_w c� Permit No. C >~l0 77 1 & 1i ,t o f...ties SaltIic& U I L D 1 N G D E PA R Occupancy and Fee Checked 1 ,f av __c:_,_.__ c— - - VENTION REGULATIONS Rev. 1l071 (leave blank) NI APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN LVK OR TYPE ALL INFORM4170_N) Date: II 8 /a 3 i City or Town of: Yar'rr,o‘3-rt. To the Inspector of Wires: jBy this application ate undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) c y Fa s T` S T" 1Bu;La>J3 A t In; 7- 10 Owner or Tenant S a c.' n Cl ar- Co.c-i-o n•,y Telephone No. ui Owner's Address ,DA `/ Ere,&r wt.STtry R ) `Pt »-.a u1+ Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) 11 Purpose of Building Trace morn $,,;tai+.J5 Utility Authorization No. ion? 16$ Existing Service Amps / Volts Overhead E Undgrd ID No.of Meters CINew Service '/Dp Amps /.20 ld?08 Volts Overhead Ej Undgrd[r No.of Meters 47/ Number of Feeders and Auipacity 1 Location and Nature of Proposed Electrical Work: 1Al i 9,044 a� a, ft)o o St Fr '7 r+a a ses,,2,, Ea V ( );71,+ a -rh n,M a.td a Joys a4 FLwrr:CAL p C.tr e-1. Completion of the{oilow•u tablemay be waived by the Inspeceor of Wires, No.of Recessed Luminaires No.of Ceii.-S (Paddle)Fans Na.of 1 ' n� Transformers I�'A l No.of Luminsire Outlets No.of Hot Tubs Generators KVA amergeacy g No.of Luminaires a Swimming Po nd ve o! Aboveo ❑ grad. ❑ Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones nd No.of Switches 3 Na.of Gas Burners I 'No.$�Detection No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers 'H�tfotails: Number Toes -KW Self-Contained DetecdaAlerevicts , No.of Dishwashers Space/Ares Heating KW Local❑ Cos+aeetloa 0 Other No.of Dryers Heating Appliances KW ; ` I�of f3e or Equivalent No.of W tar K, No.of No.of Data Wiring: Heaters Signs Ballasts , No.of Devices or , „ No.Hydromassage Bathtubs No.of Motors Total HP T No.of Devices or Eat& at O I'HP,R: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 131 Ono (When required by municipal policy.) Work to Start: `ibo/(23 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 wage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE l, 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: D Gnu - 1 Lee=,s•.c. L.C. LIC.NO.: ! a 5 A Licensee: 7 a. �; e.(„ Cc Selo re. Signature 1.1.:..("e ' e..,.,z,, LIC.NO.: 'I 6 5 ),E {Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.. ?'I Ss'5 ? i i 70 Address: ( (. ELK K,. TAT- f"4, c t.k b c r 4 1'"] `,;3 Y b Alt.Tel.No.: -So g h 9 7 i 5 "Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.Na 5 SC C - 0,C. i 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)[]owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:S