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Home My WebLink AboutBLDE-23-001117 # E Commonwealth of Official Use Only _ -� ,,� Massachusetts Permit No. BLDE-23-001117 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 E) 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 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 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 ❑ 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 gj tiz - Ri /7 3(2,-z, ! RECEIVED AU6 2 9 ./Maw/.Naffs Use only al e��iry�erucer Permit No. t` UiLDING DEPAR NT 1 Occupancy and Fee Checked e: VENTION REGULATIONS rRev.1r07] Grant blank) raj APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work m be perfumed in accordance with the Massachusetts Electrical Code(}4a SR 12.00 v (PLEASE PRINT IN INK OR TYPE ALL iNFORMATiON) Date: UQ-I (I 9 City or Town of: yar/P►[)(,N}h To the Inspector of Wires: By:his application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street dr Number) F i 1 L Owner or Trani (SO/1G bQ I fi 1- Telephone No. Owner's Address a -q'Crtto bJt fit, R a! Yarineu+/L if/L4 zi ,yp Is this permit In conjuoetioa with a permit? Yes lJ No ❑ (Check Approp late Box) Purpose ofB lding-ty1ffhan nn/r tiD/Ad/ Utility Authorization No. X, Q30 oq 1Existing Service_ Amps / Volts Overbead❑ Undgrd❑ No.of Meters New Service Amps / yaks Overhead❑ Undgrd❑ No.of Meters 6...i Number of Feeders and Aspadty ILourdes and Nadirs of Electrical Work: >'),r�.{- ,m,,,p� bait, �117 0 n 1/Me f/JAM. 6/ . 2 l-E h ti i/ytr., vl Co the jolt tab4 be waived by the I of ^-1). No.of Recessed Lminairea No.of Ce L-Soap.(Paddle)Fans No.of oral /[)O�Q Transformers KVA J,. L_�_,+ QNo.of Luke Outlda No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool gruel,Abov ❑ in 0 No.of L+mergency Ltghnag god. grad. Bsmry Units No.of Receptacle Outlets 3 No.of OB Burners FIRE ALARMS INo.of Zones nd No.of Switches 3 No.of Gas Burners 'No oft Egon a Devices ' No.of Raages No.of Air Cond. .Tf No.of Alerting Devices ons No.of Waste Disposers Totals: Pump Number.Tom___KW__'No.of SW-Contained " Detection Devices No.of Dishwashers Space/Ares Heating KW Loral 0 Connection Mitnicaal 0 Other No.of Dryers Hag Appliances KW Security f es or Equivalent No.of Wider No.of No.o-f Data Whin Heaters KWSigns Bathuh No.of Devices or E No.Hydremafsge Bathtubs No.of Motors Total HP Te1e paiptlors No.of Devices or Eq OTHER: n Attach additional detail rf desired or as required by the tweeter of Wirer. Estimated Value of Electrical Work/,5 (When required by municipal policy.) Work to Stars: 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 covpfage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND ❑ OTHER 0 (Specify.) I caret&tinder the pains and penakla of perjury,that the information on this application is terse and co.rpleta. FIRM NAME: Dana n tLecir.c LLc LIc.NO.: a1a-?5A Licnaer. D o t L E M,Ce.Sc rs Signature e,b,P.__. LIC.NO.:Si 6''a& (if appiicable,otter"exempt"her the license manber line) Bus.Tel.No.'7?i RS R 4170 Address: (i F., ELK Run 71r jMic4etebc-cc MA C. 1'16 Ah.Te1.No.:-Co q 1;9'1 s3185 'Pet M.G.L.c.147,s.57-61,security work requires D4..xn „t of Public Safety"S"License: Lies No. S SC tO•O G 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 ern the(check one)0 owner ❑owner's agent. Signature Telephone Ne. PERMIT FEE:S 21 f J---. A,