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Home My WebLink AboutBLDE-23-005651 #A Commonwealth of Official Use Only fi. . Massachusetts Permit No. BLDE-23-005651 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) (f Purpose of Building Utility Authorization No. 10292168 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters ()~ 4141 New Service 400 Amps Volts Overhead 0 Undgrd ll No.of Meters ��! c1(1,� Number of Feeders and Ampacity 21 Location and Nature of Proposed Electrical Work: Service, house panel, &exterior work in new building. 9(�/ Completion of the following table may be waived by the Inspector of lWires. 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 16 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons , KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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. Q6� /'-0S(�p CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) � 4t T7 I certify,under the pains andpenalties o f 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 *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) ❑ owner 0 owner's agent. Owner/Agent Signatu Telephone No. I 'PERMIT FEE: $100.00 . ...-.;\.tili...- (C-' ( (-2.-‘3 rg., ( -2—F) 6uJ 4.,,,,--6,,JA.,..s,„ whp_ _) Le czkze-5 c(2) &kiA 81 k< TZ c �LT r-- s ( . A) &4U i EI REC VED Co , saah 4,,tao4ariiusafi Official Use Only h ,. - . ''PR 10 2023 c7 Perarit No. �23 ��6c. ki A at o/.fi ne Saruic e C * IC AEFJ RT M E N T Occupancy and Fee Checked !' tipIOA I RE "REVENTION REGULATIONS [Rev. iio7) (leave Walk) N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accottiance with the Massachc:set's Electrical Code(MEC).52'7 CMR 12.00 v (PLEASE PRINT IN LVK OR TYPE ALL IVYF'ORMA770N.) Date: y /$/c2 3 1City or Town of: Yarry oL jrh To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ' Locatlan(Street&Number) d V ea.sY 7' 8� l(S;N.3 A 11, �a Owner or Tenant . ,,,,A fl of C 0,,- <�,,,s.,-ea,..,,S Telephone No. e Owner's Address �?.SQ GraaT \)e.s'rerr► pa r, �a as i, Is this permit in conjunction with a building permit? Yea t No ❑ (Check Appropriate Box) Purpose of Building 7r`*M5,v,a.► ;Leal Utility Authorization No. )ha 92 16 8 Existing Service Amps / Volts Overhead El Undgrd_ No.of Meters 3 New Service YCO Amps 420 4.,2CS$Volts Overhead❑ Undgrd Er- No.of Meters .1 �r Number of Feeders and Ampacity SeT6 of Parr . Le.U. 42S0 Weep.;« A t''+.:^- L F Location and Nature of Proposed Electrical Work: l ct.,ai A..LA,,+.j ei, 1,):-41 a ye?o Gam, .St:v Ce/ w` N., 0c /() watt PaoK 5, 2TnAcro u. jA IYxs a P. %IS.c...ar r erne,L j ' Completion of the following table lei be waived by the li ter of Wires. Total i i No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans KVA n Transformers KVA ;lc No.of Luminaire Outlets No.of Hot Tubs Generators KV A 1 k No.of Luminaires Swimming Pool Above ❑fired. Ted, ❑ ffy NO.ot Emergency Leg No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection I+I.: No.of Ranges No.of Air Cond. Torstnitintingpevices i No.of Alerting Devices No.of Waste Disposers Hestgals. Number Toss , �N 9 Deteedonal Device* 1 No.of Dlshwashera SpacelArea Heating KW Local 0 Ma $ l ,,thee ConnectioJ No.of Dryers Harting AppliancesAppliancesKW Securit +No.of Deviceserr Etstad�+asent Tiro.of Water Ito.a! No.of Heaters ' Signs Ballasts ^Da NuW of Derviees or No.Hydromassage Bathtubs No.of Motors Total HP , Na.of Devices or Ifs OTHER: Attach adettional detail if Mired or as requited by the Inspector of Wires. Estimated Value of lectrical Work 1 y Ow (When required by municipal policy.) Work to Start: V 6/ 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 CONyvtage is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: LNSURANCE GI BOND ❑ OTHER ❑ (Specify:) I certif},under lite pains and penalties ofperjurr,that the information on*is application as true and complete. FIRM NAME: D any i Lem; c t.i.0 LIC.NO.: 1 a.?.5 A Licensee: l-)c.n;c L. E Th i ce XI ce. Signature ,ca ru.0 eQb-, -,.., LIC.NO.: .rj'J 6 rj ,E (!{applicable,eater"exempt"in the license number line.) Bus.Tel.No. ?e t $5$ 41 IO Address: ( (, Et K Qury .0 Z. M1 c*\6 Le b< s'c 1vl A C`s 1`1 6 Alt.Tel.No.:_5o 3 b 9? S l S "Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 5 S C G - 0 c 13'7 3 OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: X