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Home My WebLink AboutBLDE-23-003391 a Commonwealth of OfficialUseOnly E.�t►,;' Massachusetts Permit No. BLDE-23003391 ,, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:12/19/2022 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 clectncal work described below. Location(Street&Number) 23V WHITES PATH UNIT 1 Owner or Tenant OSCAR TAYLORS LLC Telephone No. Owner's Address 23 B2 WHITES PATH SUITE 5,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: Outlets in kitchen. Completion of the following table maybe 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 2 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 ❑ 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 Sipns 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: Zachary Mancini Signature LIC.NO.: 57951 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 Taft Road,West Yarmouth MA 02673 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:4t/2. . 24» rig RECEIVED 4. DEC 15 2022 e atveatth oi Maeeac/iaeeite Official Use Only y .. p /� s Permit No. E Z3--3 3 i' -;t.:;':F ING DENHR1 M at o in arvicse - 1,`77,ii' - —— Occupancy and Fee Checked • ' ' n •F 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 b (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:/2(/r/Z a v 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. tLocation(Street&Number) 9Ja -d, 'bit i,/ Pc)b Owner or Tenant T cIC' 0/ Telephone No. cjOwner's Address Z3 Wh.i'/0 I/-/ fo4 ` rf UJ l,)N if II) Is this permit in conjunction with a building permit? Yes ❑ No 0 ----(Check Appropriate Box) C Purpose of Building gib' Utility Authorization No. v Existing Service Amps / Volts Overhead❑ Undgrd g ❑ 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: Gedli, d rJk h ,-,L, X.,k e' "i Completion of the following table mf be waived by the In ector of Wires. No.of Recessed Luminaires No.of CeU.-Soap.(Paddle)Fans No.of Total Transformers KVA ni nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. Li ❑ Battery Units �t No.of Receptacle Outlets 2 No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners -Mo.of Selection and Initiating Devices I•! No.of Ranges No.of Air Cond. Tons I! No.of Alerting Devices No.of Waste Disposers Heat Pump Number((Tons JI KW No.of Self-Contained Totals:I ....1. .I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent KW Heaters 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: 0 Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work /00 (When required by municipal policy.) Work to Start: /5 Z I ections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CAVE GE: 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 cov is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the i s and penalties o perjury,that the in ormation on this application is true and complete.FIRM NAME: / - of , e,c .Grp Licensee:7614 . / �c,vl LIC.NO.:_�j�r�-!J l app licable,enter" empt"in the license number line.) Signature -LIC.NO.: (I Address: Bus.Tel.No.:Q/ .° *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 MI owner's a Z ent. Owner/Agent Signature Telephone No. PERMIT FEE:$