The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004389 ,ACI) Commonwealth of Official Use Only _le�: Massachusetts Permit No. BLDE-23-004389 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:2/8/2023 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) 37 LONGFELLOW DR jj ( 95 Owner or Tenant MOYNIHAN GIOVANNA A TRS T/r—' Owner's Address PELLEGRINI JOSEPH TRS, 82 BOUTELLE ST, LEOMINSTER, MA 01483 ephone No. 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 gNo.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 kitchen&two bathrooms Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 9 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 9 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number f Tons I KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Municipal Local ❑ P 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 Signs Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 I certify,under the pains and penalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature Tel. NO.: 32288 (If applicable,enter"exempt"in the license number line.) Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 Bus.Tel.No.: 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 Owner/Agent ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE: $75.00 P4L ( � r5l i 76$" 14 Commonwealth all Kmachadelle Official Use Only Permit No. .all; Z 3 Lk 3 `1 .....et'; n .spar 1 i " & a lmsnl o rrs spureed BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked StyJ 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 12.0 (PLEASE PRINT IM INK DR TYPE ALL INFORMATIQN) �' a, City or Town of: ^ p Date: 020 By this application the undersigned gives oti eM It's or h O U TH intention to perform the elTo the ectrical ectorf k described bel Location(Street&Number) ow. Owner or Tenant O v A r n10 or — Telephone Owner's Address 1 Telephone No. Is this permit in conjunction ru,a building permit?din Yes g No ")0 Purpose of Buildin M t 1 I El (Check.Appropriate Box) , e1 n Utility Authorization No Existing Service Amps L. )2 Volts Overhead New rvice Undgrd No.of Meters Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity g ❑ No.of Meters l Location and Nature of Proposed Electrical Work: �ThIOI1l1< , ,ru Com,letion o the ollowin: table nu be waived b the Ins,ector o Wires. (I" No.of Recessed Luminaires M1 No.of Ceil:Sasp.(Paddle)Fans °`° ota No.of Luminaire OutletsTransformers KVA1 No.of Hot Tubs Generators KVA 1•t" No.of Luminaires 'ove n- `o,o mergency g rn Swimming Pool rnd. ❑ g .a No.of Receptacle Outlets nd ❑ Batte Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 0 No.of Gas Burners 'o.o t etec on an 1 t No.of Ranges Initiatin 1 Devices No.of Air Cond. ota Tons No.of Alerting Devices 'eat ump 'um 1 er one ' `o.o e - onta ae, No.of Waste Disposers Totals: " No.of Dishwashers Detection/Alertin+ Devices Space/Area Heating KW Local Tun crpa No.of Dryers Heating Appliances ecu ❑ Connection ❑ � `o.o "a er KW ty yevices Heaters KW ° ° .° ° No.of Devices or E I trivalent Si l ns Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Motors a ecommNo.of uen caeS or onsEf rivalent Total HP g OTHER: No.of Devices or E,trivalent -- Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) INSURANCE COVERAGE: Unless waived bypections to the owner,no permit e requested in accordance or the performance of e ele lean work completion. the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The may issue unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE it BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the informed,n on this applicati, is true and complete FIRM N• Licensee: /n _ LIC.NO.: Signatu e /� 147 L(If npplicabl: 'se %t in lb' nee Sep � `� "� Address: at 4. � lime./ LIC.NO.• *Per M.G.L.a 147,s.5�61,security work requires s !r A l / Bus.Tel.No. INSURANCE parent of Public SafetyAlt.Tel.No.: OWNER'Srequired by law. WAIVER: I am aware that the Licensee does not havet License: Lic.No. Owner/Agent By my signature below,I hereby waive this requirement. I am the(lcheck one e liability insurance coverage normally Signature I owner • owner's a-ent. Telephone No, PERMIT FEE:$