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HomeMy WebLinkAboutBLDE-23-004382 a"_ Commonwealth of Official Use Only A- t Massachusetts Permit No. BLDE-23-004382 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:2/7/2023 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) 143 PAWKANNAWKUT DR Owner or Tenant AZZARA WARREN J Telephone No. Owner's Address AZZARA CLARE R, 1 LATTIN DR, YONKERS, NY 10705-2520 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 ❑ 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: Septic pump&alarm. Upgrade panel&repair conduit. 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 Initiatine 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 1 _Totals: Detection/Alertine 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 ,Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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: ROBERT GREER Licensee: ROBERT GREER Signature LIC.NO.: 22539 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 140 Peach Tree Rd, Marstons Mills MA 026481841 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 �cc 2/&(j RFGFIVl~ D 11 sFEB 07 2023 ppppppo nwaaAAh Official Use Ony W 23—43 6Z. %i •jai-, ccy/��Pa�� /e-1 s Permit No�i_:ry���;JC PHH7 MFN L[.Ir nla in srvicaa . ` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 47/,2. T City or Town of: �v YA RM O UTH To the Inspector of Wires: a f`1' By this application the undersigned gives notice of his or her intention to perform the electrical work described below. (I 1 Location(Street&Number) IL}3� P Ali �H IV IVA\Al(j / £ S Va`m0 a•t(,t Owner or Tenant `-I�L,{1+1� N i j� Z A �1 pI(R it-t=�� A L h �telephone No. Owner's Address I L A I / �/0 JV n FnS 1 I V'5 p v Is this permit In conJuo with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Jr.-i e I I,n9 Utility Authorization No. �� (` Existing Service {0e, Amps a.20/ .1-1OVolta Overhead❑ Undgrd ] g ® No.of Meters New Service Amps / Volts Overhead❑ Undgrd ElNo.of Meters ©i3 Number of Feeders and Ampacity 2 Logation and Nature of Proposed Electrical Work: r v M P-�C—-h�eu2p�P -t qi t r m s' t'O i epLL,ie 1,4hp'\rt.€1 / Qepctr. C dry vui Lcct sir.IP 0 Pike er eilferi„�he,�Se vs Completion of the followinkmble may be waived by the/nspectoe'of Wires. Lt., No.of Recessed Luminaires No.of Cell Soap.(Paddle)Faos No.of 1 otal ^� Transformers KVA C.1 No.of Luminaire Outlets No.of Hot Tuba Generators KVA 4- No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool gird. u grnd. � Battery Units ---4v No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches 'No,of Detection and No.of Gas Burners Initiating Devices 11! No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number_.tons_,..KW No.of Self-Contained Totals: Detection/AlertinkDevices No.of Dishwashers Space/Area HeatingKW Municipal Local❑Connection El Other No.of Dryers Heating Appliances KW Security Systerus:" No.of WaterNo.of Devices or Equivalent Heaters KW "No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromsssage 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 Elec ical Work: ) OL) Work to Start: 7 (When required by municipal policy.) �7 �023 Inspet{ions 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 ll BOND 0 OTHER 0(Specify:) I certify,under thppains an� penalties of perjury,that the information on this applkation is true and complete.FIRM NAME: e C ,-fit/ Licensee: EG - �: /,� LIC.NO.: �`/,�{. r ��e!c Signatures LIC.NO.:534r Of applicable,enter"exempt"in the/item ',timber'Inc.) C) '- Address:JLIC) rc�c i,tree R �.,.�i a n i/'h.��f��AO.�G4 d Bus.Tel.No.•5OS,a,a 1 3'6 .Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: AIL Lic.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 owner Owner/Agent owner's a ent. Signature Telephone No. PERMIT FEE:$