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Home My WebLink AboutBLDE-22-001170 ;.. .r Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001170 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:9/1/2021 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) 20 AMOS RD Owner or Tenant MARINELLI MARIANO TRS Telephone No. Owner's Address MARINELLI M TRS&CARDARELLI P&D, 104 PROGRESS ST,WEYMOUTH, MA 02188 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check opriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No4111P411 New Service Amps Volts Overhead 0 Undgrd 0 o A Number of Feeders and Ampacity p iv/ Location and Nature of Proposed Electrical Work: New receptacles & lights. U Completion of the following tail y b a , ,, ,t .; for of Wires. No.of 1 / II •I No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans � ,� Transformers ' C 'A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 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 KWNo.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (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 RECEIVED AUG 312021n AA`` ry� c � Co • saUh 4 nindeachueetle }Official Use Only .� t9DING Utl'ARTMFt l cc77 ��ii Permit No. l..i`Z Z-(i / 0 �_.h _. _. a tenant of Jim Jirvic�e l h BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/0) cy and Fee Checked ' •"• (leave blank) i 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: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of hisn or her intention to perform the��el/ectrical work descri below. • Location(Street&Number) a p /7 n'l f� R d, IA L ✓ ,Q vier' N"Cl_ Owner or Tenant OW tie 'Telephone No. �p/7'75' -g 3da I Owner's Address r0 SYo rr S5 ,St IiJetijrlr�t ti Ma r)alite k9 Is this permit In conjunction with a buiidln�rmit? Yes ❑ No ❑ (Check Appropriate Box) t Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters d New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 110,0 ) a1-/C k /A W `idA i Location and Nature of Proposed Electrical Work: s Completion of the following table mf be waived by the In etar of Wires. ur No.of Recessed Luminaires No.of CeIL-Soap.(Paddle)Fans No.of Total �1 Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA A No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grad. D'grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection - No.of Switches No.of Gas Burners No.In Hating Devices 11 r No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Dbposers Heat Pump Number Tons....,_.KW No.of Self-Contained Totals: Detection/Alertinpt�Devices No.of Dishwashers Space/Area Heating KW Loral 0 Connectionl mar 0 O No.of Dryers Heating Appliances KW No. f Devices or Equivalent No.of Water 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: y.� 7 7 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:V' d • • (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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND❑ OTHER 0(Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FiRM NAME: LIC.NO.: Licensee: Signature LiC.NO.: (If applicable.enter"exempt"in the license number line.) Bus.Tel.NO:Address: .Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel No.: OWNER'S INSURANCE WAIVER: i am aware that the Licensee does not have the liabil'• insurance"ve.",i required by law. B y sign ow,I hereby waive this requirement. I am the(check•ne T_owner Y• a er's ally Own tune Q 9 t,wner's a_ent. Signature Telephone No.IP 1--1 Sl'i�7 l t.iI