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Home My WebLink AboutBLDE-23-004000 a n,� Commonwealth of Official Use Only v�- Massachusetts Permit No. BLDE-23-004000 47. ' 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/N INK OR TYPE ALL INFORMATION) Date:1/21/2023 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) 88 LAKEFIELD RD Owner or Tenant TOM McCARTHY Telephone No. Owner's Address 88 LAKEFIELD RD, SOUTH YARMOUTH, MA 02664 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: Split system 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- ElNo.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. 1 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Lomr.,ovueatf/i of re/aeaaclutdelfi Of�c2ial Use/Only t‘l .lJepardmenl o .�iee�eeasc, Permit No. �J-`"C 0 d� BOARD OF FIRE PREVENTION REGULATIONS (RevOcd 07jy and Fee Checked (leave blank) ' APPLICATION FOR FERIMT TO PERFORM ELECTRICAL WORK: All work to be performed in accordance with the Massachusetts Electrical Code C).527 CMR 12.00 (PLEASE PRINT IA'INK OR TYPE ALL JA'FORMMATION) Date: / /S 1z 3 City or Town of: )' r,...e s j-1 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention toI perform the electrical work described below. Location(Street&Number) R R t'.,[!c,.,t j jed Owner or Tenant o, jN c C«-//./ Telephone No. Owner's Address Es this permit in conjunction with a building permit? Yes ❑ No "(Check Ap propriate Sox) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd D No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /" [7v„tt,,s Yvt.rt, SDi:* S ckt,.t Completion of the follox•in table may be waived by the Inspector Wires. No.of Recessed Luminaires 'No.of Cell:Susp.(Paddle)Fans �No•of Total 01 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs 'Generators K.VA No.of Luminaires Swimming Pool Aodv.e ❑ gInnd. ❑ Battery E mertgency Ltghtmg No.of Receptacle Outlets INa.of Oil Burners FIRE ALARMS 'No.of Zones No.of Switches No.of Gas Burners No.of Detection and E _ initiating Devices i[ No.of Ranges No.of Air Cond. To Total ,No.of Alerting Devices No.of Waste Disposers Meat Pump Number'Tons ;No.of Self-Contained Totals: -I---. _{.[E_..!4' Detection/Alerting Devices No.of Dishwashers Space/Area Beating KW ,Lt❑Municipal Na.of Dryers I:eatin Appliances Caunection ❑Ox�ter g pF i KW' ty ems: No.of Water Na.of a of Devices or Equivalent KW No.of Heaters Signs Ballasts Data Wiring: No.of Devices or Equivalent No.F[ydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or os 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 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove office. ge is in force,and has exhibited proof of same to the permit issuing CHECK,ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) I cetiifp,under the pains and penalties of erjurv,that the information on this application is true and complete.r'•ERIKNAME: ;orn,:.-S M. Ir� cic-c'M:c. ' `t g £/n i ,- L[C.NO.: Licensee: L1/4t �'t$�j Y T''^�—S :'�•V�,='R Signature LFC.NO.: (Ifapplicabie.enter"exempt'.in the license number line.) .address: '�f: 'V ,cln S p"''<-I'('t ln!:v:3ar,�jtt'2 L�fc M!-E Ci Zi6�. Bus.Tel.No.:SGF-N27--7:�ot5 `Per M.G.L.c.147,S.57-61.security work requires Department of Public SafetyS"License: Alt I c.NoTel. �SoE' Y2'-S;6 g- 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT p'pp•.$ / =/1/1 rb l L 1v-zna.,�i C` ,s-t,..c,Cc,-»