The URL can be used to link to this page

Home My WebLink AboutBLDE-23-000989 Commonwealth of Official use only Massachusetts Permit No. BLDE-23-000989 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:8/24/2022 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) 64 AVON RD Owner or Tenant THOLE ALEXANDER Telephone No. Owner's Address THOLE LORI, 3 MILBURN DR, HILLSBOROUGH, NJ 08844 Is this permit in conjunction with a building permit? Yes ❑ 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: Kitchen &2nd floor bathroom remodel and install exhaust fan in 1st floor bathroom. 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 0 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: James M Venuti Licensee: James M Venuti Signature LIC.NO.: 15798 (If applicable,enter"exempt"in the license number line.) 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: $75.00 t' i- Ito(91 , RECEIVED . AUG 2 4 2022 /7 -�- l�•mmmoatuea of//la�aac l Official Use Only i• = .•. D E PA yU RTMENT Gj - ---- Permit No.� �� t �� -L —_ Al Ale of...qv-Ecrvtced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ''-a�.o� I 'ev. I/07] ---- (leave blank) . . ..... r"I v rcrtrvKm tLt( I KIGAL WORK All work to be performed in accordance with the Massachusetts Electrical Code . C),527 CMR 12.40 (PLEASE PRINT IN INK OR TYPE ALL I1vFOR/vfATION) Date: City or Town of: yAR�VIOUTH 2 Y �� By this application the �, To the Inspector of Wires: t,tndersi ed?rves notice of his or her intention to perform the electrical work described below. Location (Street&Number) oc/ fit/ Owner or Tenant Owner's Address e.- Telephone No. Is this permit in conjunction with a building permit? Yes No Purpose of Building — (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead _.. Undb d D No. of Meters New Service Amps Volts Overhead Number of Feeders and Ampacity Undgrd No. of Meters Locatioon and Nature of Proposed Electrical Work: Cst'ic�r i i /� t/ + ocy.-n G y• ^� t-p j , 1p�_ rLc',�✓7 , S)�(l . me Completion a the ollowing table in- be waived• the Ins.ector of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Transformers Total No. of Luminaire Outlets KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool in- 'a.o mergency • 1 ung Pool �rnd. ❑ Qrnd. ❑ Battery Units No. of Receptacle Outlets No.of Oil Burners _- FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners o.of Detection and No.of Ranges Initiating Devices Na of Air Conti No.of Alerting Devices Tons Heat Pump Number Tons W o.of elf-Containe• No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Muaicipal Connection ❑ Other _ No.of Dryers Heating Appliances KW Security Systems:* No.of ater No, of No.of Devices or E.uivalent Heaters KW o, of Data Wiring: Sighs Ballasts No.of Devices or E.uivalent No. Hydromassage Bathtubs No.of Motors Telecommunications Wiring: Total HP No.of Devices or E.uivalent OTHER: C.) Estimated 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: 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 .415 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 [BOND 0 OTHER ❑ (Specify:) 2 I certify, under thens and penalties of erjury, that the information on this application is true and complete, S: FIRM NAME: c�h. S M -��- .• /<_,-"f--,c, LIC.NO.: Licensee: _ • Nl i� � /�] f PP Signature ` LIC.NO.: ( I applicable,enter "exempt"in the number line.) f Address c�Sic� e` h b� Bus.Tel.No.: — -! .. �i'� Alt.Tel No.: •.L.VSZ - Per M.G.L. c. 147, s 57-61,security work requires Department of Public Safe — � — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insuraince coverage normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner o 7 Owner/Agent01 ❑owner's a enc. Signature Telephone No. PERMIT FEE: S