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Home My WebLink AboutBLDE-23-000397 - Commonwealth of Official Use Only E. Massachusetts Permit No. BLDE-23-000397 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:7/26/2022 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) 49 HIGHLAND ST Owner or Tenant BARNOCKY LAURINA Telephone No. Owner's Address 49 HIGHLAND ST,WEST YARMOUTH, MA 02673 °S.‘4," Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 9814689 Existing Service 100 Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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 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 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: James M Venuti Licensee: James M Venuti Signature LIC.NO.: 15798 (If applicable,enter"exempt"in the license number tine.) Bus.Tel.No.: Address:30 JOSIAHS PATH,W BARNSTABLE MA 026681340 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: $50.00 Cot:uwntuaaid all iussa411246elts Official Use Only- �`" Permit No. � 7.,Z (>357 c-Partrsaeraf o �sc�ervic BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ i [Rev. 1/07) blank) (leave tF P 'L C AT l,ON FOR PERt t r TO PERFORM- k EL!C --fC L .:�.R ,.All work to be performed in accordance00 with the Massachusetts Electrical Code(1. C),527 CMR 12.Op (PLEASE PRINT IN INK OR TYPE ALL INFORALITION) Date: `7 City or Town of: Yc rvii c i 1-7i 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) LI C7 /-' ) A I c_vt d .'j frV Owner or Tenant t c 11 GI Owner's Address crh [�CIt yelegitoite i:'o,S�1 Zt525 Es this permit in conjunction with a building permit? Yes f l No ri (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts / V Overhead ❑ Und r€i g 0 No. of Meters New Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Com.letion o the ollowirr_ table . 'be waived b'the Ins.-ctor o-Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o-of drat Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ 'n- ❑ '-o.0 mergency tgi mg i i>d- _rsici. Baste units --- No.of Receptacle Outlets ,- ---- —No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches es No.of Gas Burners 'o-of etection an initiatin Devices No.of RangesNo.of Air Cond. Tots Tons No.of Alerting Devices No.of Waste Disposers eat 'eairip Tons . i. € Totals: Flo.of Se f- ontainea Detectiosi/A.lertiii Devices No.of Dishwashers Space/Area Heating KW 'Local p iuntci a -- --------- No. Connection ❑ after No.of Dryers Heating Appliances Security -- — — No.of"ater No.of Devices or El'r�ivaleri£ Heatersate- lam ' �o'of `o.of Data Wiring: . Si.as Ballasts No.of Dvices or E I.uivaient No. ;ydromassage Bathtubs No.of Motors Total t 'e eco®ea olas''tiriligg; Devices of or E,uivaient Attach additional derail if desired, or as required by the Inspector of Wires Estimated Value of Electrical Work: (When required by municipal policy.) Work to Stan: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVEPA CE: 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 c,�ov�e ge is in force,and has exhibited proof of same to the permit issuing office. LT CHECK ONE: INSURANCE BOND ❑ OTHER nt � ❑ (Specify:) 1 ce t`t, under t e ains and penalties ofperjurl', that the information on this application is true and complete Licensee: •=i,.y`S !b1: (i`U;7,e,t-i Signature s 7 7 i; (If applicable, enter "exempt-in the license number line.) j �'IC' O ' Address:a Wirt j c3 i �I� �' Bus.Tel. No....."E` --nil t ) P� cr,i Sie b lc %1/j/4 u Z! _'Per M.G.L. c. 147, s 57-61.security work requires Department of Public Safety"S"License: Alt.1.ic.No. �oF t��tc 5��•F. OWNER'S INSURANCE WAIVER: 1 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 Owner/Agent owner's a ens. Signature Telephone No. PERMIT FEE: