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Home My WebLink AboutBLDE-23-000832 4tri,/ Commonwealth of Official Use Only �. , Massachusetts Permit No. BLDE-23-000832 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:8/16/2022 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) 9 ACADIA RD Owner or Tenant ALBERT DeNAPOLI Telephone No. Owner's Address 9 ACADIA RD,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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel addition&rework garage. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 13 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 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 ❑ 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: Licensee: Joshua Stone Signature LIC.NO.: 56574 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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: $75.00 . r x VEO LLAUG 1 t 22 1CommonwsaGth o`Vlaaeachueatts Official Use Only • li �7 nPermit No.DIN(- " NTsloartmsntol irs Jsrvus4`t ,1 i " Occupancy and Fee Checked ' ,,�= BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK eNs: 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: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersignedgtvesnotice o his or her intention to perform the electrical work described below. « Location(Street&Number) i 4c,C& c) , k ,,__`)-t j ) C J� 144e''-�_i 1/\ Owner or Tenant 4/ imp; -� , dot�:�'jam. GI a Telephone No. t Owner's Address tt Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) Purpose of Building _7/(C.,_`- -i`c.L"— Utility Authorization No. a Existing Service Amps /'}-: /,1. Volts Overhead Y Undgrd❑ No.of Meters 8 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: 1 ? r ). m, c e) ,.eic K ;r y lice-F NA No.Completion of the following table m be waived by the In vector of Wires. qt. No.of Recessed Luminaires No.of Cell.-Sus No.off Total ^/f p.(Paddle)Fans Transformers KVA ca. No.of Luminaire Outlets No.of Hot Tubs Generators KVA A. No.of Luminaires 4• 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 \w No.of Switches No.of Gas Burners NO- of Detection and Initiating Devices 11.! No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: ""' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ �er No.of Dryers Heating Appliances KW Security Systems:4 No.of Water No.of Devices or Equivalent ' Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring. No.of Devices or Equivalent OTHER: `- 6 Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Works l ' (When required by municipal policy.) Work to Start: ,/j °)c _Inspections to be requested in accordance with MEC Rule I0,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: -.S"CsS1-\12,e',_ v, >(, �% _-L. ( L LIC.NO.: �� 7 L/ (� I r Licensee: - jcc,)7j u4 e, /c1�, Signature LIC.NO.: li (If applicable,enter"exempt"in the license number line.) - us.Tel.No.. Address: Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.No. 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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. ( PERMIT FEE:$ 75—