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Home My WebLink AboutBLDE-22-000132 Commonwealth of Official Use Only Permit No. BLDE-22-000132 Massachusetts to,' 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:7/9/2021 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) 47 BROADWAY Owner or Tenant Nicholas Bronski Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap; II" :ox) Purpose of Building Utility Authorization No. 4%4..1 A Existing Service Amps Volts Overhead 0 Undgrd 0 �A. . New Service Amps Volts Overhead 0 Undgrd 0 Ar r✓�.... Number of Feeders and Ampacity ' � Location and Nature of Proposed Electrical Work: Rewire house. O O .vp Cotnpletion of the following table may? the 41 lor of Wires. No.of Recessed Luminaires 12 No.of Ceil:Susp.(Paddle)Fans No.of 4 Transformers / No.of Luminaire Outlets 15 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 45 No.of Oil Burners FIRE ALARMS No.of Zones ---- -------- No.of Switches 15 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained 10 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Richard L Serpone Licensee: Richard L Serpone Signature LIC.NO.: 6910 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 183 PINE ST, YARMOUTH PORT MA 026752374 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 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: $75.00 CI' z W i Dii /� t` > tv . 1 Conunonwca!h of Ma sachuaalla Official Use Only Cl e22-0j3 Z co a "~;ym_: .0 Permit No. w .=:— Partmani o f Jiro Serviced Occupancy and Fee Checked V = Io !( BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) w APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK c .1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his ofj her intention to perform the electrical work/� described below. Location(Street&Number) K7 / ra e cCWa l:VeS.f Yivrfov/Zq Owner or Tenant N,/mac^tte Ice$ r�'o„N 5 ! Telephone No. Owner's Address Sef r.ry If A,/e 4/42�i4tr,9 ,r'�/4. oofgq* Is this permit in conjunction with a building permit? Yes [��"f No ❑ (Check Appropriate Box) Purpose of Building Py t_k Utility Authorization No. Existing Service 0IOC?Amps U/<Xit,Nolts Overhead Er Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 9S90�cC yt5f�.rq,rUt e si cpyv a� '.r� c✓f/e45, Swifo�isi-recrs . /; �iffiyosfo/Iu',�/i) �%k.i-t F Z&e/ v, a mart t a:-// 'tamp etron of the followingtable m be waived by the Inspector of Wires. `U,tip No.of Recessed Luminaires /� No.of Ceil:Susp.(Paddle)Fans No.or Total Transformers KVA �\ No.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires /C Swimming Pool Above � In- ❑ No.of Emergency Lighting Qrnd. grnd. Battery Units No.of Receptacle Outlets .././.9' No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches /S No.of Gas Burners No.of Detection and ,� Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number 1.ons. KW No.of Self-Contained Totals:I........ .. __`.. . ...._...........__. 1 � � DeteMion/Alert[ngDevices�� No.of Dishwashers ( ' Space/Area Heating KW Local Q Municipal other Connection No.of Dryers ✓ Heating Appliances KW Security Systems:. - No.of Devices or Equivalent No.of Water No.of Heaters KW 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 - Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: S and (When required by municipal policy.) Work to Start: 7/p/,zr Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO(rE{�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 coverage,-,/ is in force,and has exhibited proof of same to the permit issuing office. [ CHECK ONE: INSURANCE Yl BOND 0 OTHER ❑ (Specify:) I certify,under the p, s and penal'es o(perjury,that the information on this application is true and complete. FIRM NAME: r C Qt,. e.,,-`roh.e LIC.NO.: Licensee: t 4 ,4c6 9jc' Signature/�4r LIC.NO.: h/6Z 34 (If applicable,erairLesenv,in the/i nse nqm er line.) u Address: f'7e 4`., /L „, Bus.Tel.No.•��3[a•-i�gjS Tel.No.: 'Per M.G.L.c.147,s.57-61,security work requires parnnent of Public SafetyS"License: Alt 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)Q owner []owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$