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Home My WebLink AboutBLDE-23-001119 Unit G .jj Commonwealth of Official Use Only L'�. ; Massachusetts Permit No. BLDE-23-001119 �`�' 0BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:8/31/2022 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 electrical work described below. Location(Street&Number) 24 EASY ST Owner or Tenant SAND DOLLAR Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for contractors bay(UNIT G) 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 2 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Ton l No.of Alerting Devices 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 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 0 (Specify:) I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: DANIEL E DICESARE Licensee: Daniel E Dicesare Signature LIC.NO.: 21275 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:66 ELK RUN, MIDDLEBORO MA 023463065 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: $240.00 etytreg- ei1 4 �k- t L i3 5 RECEIVED AU' 2 9 2022 `, L (era. • each_/ �h 4 �Of mal},se Only I y? • Y PING UEi'ARTM T 7 Permit No. (/�✓-- I.1,` I p' Occupancy and Fee Checked r: ` BOARD OF FIRE PREVENTION REGULATIONS v.1/071 leave blank Na. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .� All work to be performed let accoriaoce with the Massachusetts Electrical Code�1EC), 7 M 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c 1 a City or Town of: '*1Y/fn(A 4-11 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) EGi S .T�/f L .l l nl+ - I- jail(Owner or Tenant DQ l l Telephone No. y Owner'sAddrea rs7.riq'6!La bi)619°,n RdjL,Yariho14l(L MA l Is this permit la conjunetloa with a b permit? Yes IJ No CI (deck Ap ro ate Box) Purpose of Building irceAr ha ntfl1RC stV i�tot// Utility Authorization No. � ?D✓ 1-4 Ealrtlag Service Amps / Volts "Overhead❑ Uodgrd❑ No.of Meters C New Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters ,,mo�di Number of Feeders and Annuity`? Lando*and Nature of Electrical Work: U�fr, " �!lx�LYt >'r� b lJvin0 Of an likAC J hit.;• • n! o r�h�ta 1 tE ti ilbewlyirtf,2 `, / ✓✓ ✓ Ca the follow" table be waived the I',.,�;,,,,/Qf Wires! '..0Z../ No.of Recessed Luminaires No.of Cdl-Susp.(Paddle)Fans Transformersr EVA l V{.o,�A�ti No,of a om��'Outlets No.of Hot Tubs Generators KVA f07"— Above la- NO.et Lcmergeacy Lighting -t No.of Lamiaaires Swimming Pool grad. ❑ fund. ❑ Battery Units No.of Receptacle Outlets V No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners Na i titfotln�oi ides No.of Ranges No.of Air Cond. T m No.of Alerting Devices No.sfWaa/e Mowers Heat Pump Number Toas__KW__ No.ofSelfCootalaed Totals: ' Deteetlon/AlertieyDevices No.of Dishwashers Space/Area Heating KW Local 0 Co.aectba 0°am. H Brutes Security Systems:. No.of Dryers (APP KR No.of M.v , or Equivalent No.at Water No.of No.of Beaten KW SkimBallastsDa No.of Devices or t Telecommunications No.Hydremwage Bathtubs No.of Motors Total HP No.of Devices or Eq�t OTHER: �1 Attach***Iona!ddail 4.derired or as required by the Impactor of Wires. Estimated Value of Electrical Work.J!,,{- (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 perfoemance 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 collage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Dr BOND 0 OTHER 0(Cp..•ify:) I ceetyy,ander the pains and penalties ofpe.wy,that the Information on this application is true and complete. FIRM NAME: Dana Q ELecTr,c LLC p r� LIC.NO.: ,aia'75q Licensee: nan'eL t Diresoee Signature nC1a.rL,l'e, ;P ... LIC.NO.:S/65.3,E &applicable,enter"exempt"in the license number tine.) Bus.Tel.No..7$I RS R Q 170 Address: (F, ELK Rv n tic PC.c a L e bore MA C, 't y 6 Alt.TeL No.:So . '/ 53 i 85 'Per M.G.L.c.147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. t S C C:-O Q 13 7 3 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 ❑owner's agent. Signature°wee Telephone No. I PERMIT FEE:5/1{Fj/