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Home My WebLink AboutBLDE-23-001118 # F Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001118 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: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 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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 F) 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 perjury,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 ()?_C-0 t (w-2,1_ • RECEIVED AUG 2 9 202 t{�� yy� , Official Use oo,(,. huveotaa of ii/meac�,.rHi j Permit No. l( C i �: DING DEPARTM � Is' .� �,.. e e( J" I Occupancy and Fee Checked _/ BOARD OF FIRE PREVENTION REGULATIONS tRev.1;07) „CAVeb;wk) i'. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electical Code( EC).5g7 CMR 12.00 _, (PLEASE PRINT IN INK OR TYPE ALL LVFORMATION) Date: ' a q a a �,' City or Town of: \krt/1DLf->!'{1 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work riesr•ribed below. J Location(Street&N�umber)Owner or Tenant VAht Do I! Telephone No. Owner's Address ra5g61 1-' GVeIYein Ada YarewwLm ilke4 ,L, Is this permit is conjunetlea with a permit? Yes 6 No ❑ (Check Appropriate Box) Purpose of Building-trOd t/ n n ntrA(AD/iA.l Utility Authorization No. 8era 7 o 014 a Existing Service Amps i von. erhead ElUndgrd❑ No.of Meters New Service _ Amps I Volts Overhead❑ Undgrd❑ No.of Meters Number at Feeders mid Aopacky ' / ` Lead.*and Nature of Electrical Work: Wl>l of et I D ?C r 17- //- ba k)iti y of an /1k4 C bii . ni a k�i�'ha . 7 LE1�h1 il l rhtf,.. ..^ V ✓✓ ✓ cis the folee.v tabk be warred by the I Hof No. alai +/00A .t) No.of Renewed Lusminaires No.of Cell.Sesp.(Paddle)FIRS Transformers KVA „_./ Ot No.of Lum a e Outlets No.of Hot Tubs Generators KVA rl V`/a^" ' No.of Luminaires Swimming Pool Aber 0 In-gmd. O No.et Emergency Lighting �1 grad. Battey Uusitt No.of Receptacle Outlets 3 No.of OH Barnes FIRE ALARMS INo.of Zones No.of Switches 3 No.of Gas Burner! No of initialing a No.of Ranges No.of Air Cond. Total Devices No.of Alerting Devices ons Na.of Waste Disposers Totals: Pump Number Tons_._KW__ No.of Self•Contained Totals: - Detecdon/Alertiv Devices No.of Dishwashers Space/Area Heating KW Local❑M keipala Other No.of Dryers Heating Appliances KW SecuritySystems'' No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaton KWSigns fits No.of Device or Equivalent No.Hydramawge Bathtubs No.of Motors Total HP Telecommunication tr vaalleooii No.of Devices or Eoutiv OTHER: f/' Attach additional detail lfdesrred or as required by the!repeater of Wires. Estimated Value of Electrical work^J 7 500 (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 covonge is in force,and has exhibited proof of same to the permit issuing office- CHECK ONE: INSURANCE DI BOND 0 OTHER 0 (cpc,Ty:) I cacyy,under the pairs and pea ores ofperjury,that the b formadoo on this application is true and cohwpiete. FIRM NAME: 00.t, , a E'LeCTr.0 LLC l LIC.NO.: aIa7 5A Licensee: nor el_ E m',Ce soar e. p Signature st c.r>�,.1!e,b,,e„„ LIC.NO.:Si 6 50,E of applicable enter"exempt"in the license number tom.) Bus.Tel.No.?S 1 Ft 5 R 4170 Address: ( ELK Ran The /-1;A6 Lebcsc MA (-7,31y6 AIL TeL No.:So3 A97 $I g$ 'Pa M.G.L.c.147,s.57fi1,security work requires Department of Public Safety"S"License Lic.No. S 3 C Ca-0 0 13 7 3 OWNER'S INSURANCE WAIVER:I am aware that the Licensee doer not have the liability insurance coverage normally required by law.By my signature below,I hereby waive this requirement. l am the(check one)❑owner 0 owner's agent. OwneSignature Telephone No. PERMIT FEE:$Z{o