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HomeMy WebLinkAboutBLDE-23-001949 Commonwealth of Official Use Only ~ �. Massachusetts Permit No. BLDE-23-001949 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:10/12/2022 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) 8 PIERCE ST Owner or Tenant BETH CIAM PA Telephone No. Owner's Address 8 PIERCE ST,WEST YARMOUTH, MA 02673 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: Remodel. (Partially finished...May have to open walls.) 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 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 ❑ 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 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: MICHAEL F SIMONIS Licensee: Michael F Simonis Signature LIC.NO.: 16862 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 1488, EAST DENNIS MA 026411488 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: $325.00 (c_u_raiy 6414-1-(JIM 1-XP&Q:40 (Olt 8172-- e56f-( (c° CO(ZY • 1 - (6C L [(610 VO ) ' Comnwnuisaa o`Massaciussstis .�O-fficial Use Onl sk • c� c7 n Permit No. 213 % L( ` asparimsnf o f.firs Jervicio i Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07} (leave blank) 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: S//7/2 a. City or Town of: V,¢ sd/-'� To the Inspector of Wires: (I 1.y t; is application the undersigned gives notice of his or her intention to perform the electrical work described below. ` J Location(Street&Number) ec r- T� Owner or Tenant -� /-A C,.g—.,.-r, .f Telephone No. Owner's Address _S'4,—r07-<._ Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Buildings S,..1lr f„,_:./D✓e(L..- Utility Authorization No. 14 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters t Number of Feeders and Ampacity illLocation and Nature of Proposed Electrical Work:/?e,.94. ,i f,.,,r‘ .v�,r.,,, ,84...Se,, , Tlo��F, /fr',g-G. ,9 A-z. ii,4-44, /rcri.. G�'✓.v/>/�#3� 'x'CZ.. ge.p r 1',0,1- , sook.,..e-e stkr,T 1 Completion of the followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. f Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Tio.I Detectionn and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste era 'Beat Pump 1 Number Tons I 1 KW No.of Self-Contained Disposers Totals:I Detection/Alertln Devices No.of Dishwashers Space/Area Heating KW Local 0 Connection iciPal 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 'No.of No.of Data Wiring: Beaten KW Signs Ballasts No.of Devices or Eq uivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeicor Whin y g No.of Devices Equivalent OT tIER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E ectrical Work: (When required by municipal policy.) Work to Start: I' Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) /,-t,o-•^e I -s I certify,under the pains and penalties of pelury,that the information on this application is true and complete. FIRM NAME:(—S/ems-sw$ •F/-C /G -�n c LIC.NO.:ofW P.1o2_ Licensee: 4.-, s Signature - LIC.NO.:�.3d� (If applicable enter"exempt"in the license number line.) Bus.Tel.No.• - '86�7 Address:/�a. /34ak /94,PF 17. APe.s•si S' , 1- 1.0 •0/ Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. CWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally rtqu ed by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent PERMIT FEE:$ �.00 Signature Telephone No. 7 8/18/22,8:38 AM CAP List Portlet Rece.:d Menu Refine Search New Delete GIS View Log Reports Help My Filters --Select-- v Module Building v Showing 1-5 of 14 • Record# Description Status Record Type Address Line 1 Opened Date Related Records Created By Balance Contact Organization Name ® BLD-23-000102 Alterations per app... Issued 1&2 Family Dwelling 8 PIERCE ST 07/07/2022 View RFALLON 0 DAN A SPEAKMAN [ BLD-22-006880 Alterations per app... Issued 1&2 Family Dwelling 8 PIERCE ST 05/27/2022 View RFALLON 0 DAN A SPEAKMAN D. BLDE-22-005516 Wiring for 3 head s... 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