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Home My WebLink AboutBLDE-23-001116 - or Commonwealth of Official Use Only !trill Massachusetts Permit No. BLDE-23-001116 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 perforni 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 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 D) 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- CINo.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 Initiatine 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 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: 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 ko Lik-- Ci/9.4 VI/fr •"" L. uN,, -_ (1123fz . RECEIVED ;,, AUG 2 9 2022 _t m ,la�� col Use Only l e) P ,•ING DEPARTMF 7��7't �`J ! Permit No. -�1 ` • at o`Jire✓Irorcc! �� --- - —--- 1 Occupancy and Fee Checked ✓ - BOARD OF FIRE PREVENTION REGULATIONS rRev.1.071 peavebtazx) N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Elecaical Code(4EC),17 12.00 A (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Opp 07 q o2 ' City or Town of: 'IC(Y!►Uhk4{1 To the Inspector of Wires: u, By this application the undersigned /gives notice of hiss or her intention to perform the electrical work described below. Location(Street&Number)�y FGi`SI� J r G� f b Owner or Taunt (A Ill balk' Telephone No. y Owner's Address ta,5-q 6r r G1-1 G()ef*z/1 R dy�YG(rihW Lh 1L i1/Lq Lui Is this permit is coa)o.etiou with a L.J permit? Yes No ❑ (Check Appproprlate Box) d Purpose of Building-trod{f n f)'R CA)/6d1 v Utility Authorization No. f1 O loo 1QY iExisting Service_ Amps I Volta erhead ElUndgrd❑ No.of Meters New Servie _ Amps I Volta Overhead❑ Undgrd[1] No.of Meters Number of Feeders sad Ampadty CLonde.sad Nature of Proposed Electrical Work: bay. ((Arif p Qf /In yIAC yloral. 'i' p n/' !�/h .n7 LEO tl4hbp4li07 ,-; (� ✓ (� Compktio64the fotlowi rabk my be waived by the In of Wire! f No.of Recessed Luminaires No.of CeiLSusp.(Peddle)Funs ofTransformers TTKVA J7� "I ! �CI No.of Lssire Oadba No.of Hot Tubs Generators KVA I Above In. No.of Kmergency Ltghhog ' No.of L ..Des Swimming Pool grist ❑ grist ❑ Battery Udts No.of Receptacle Outlets 3 No.of OH Burners FIRE ALARMS !No.of Zones No.of Switches 3 No.UGH Burners No ifiDetection ces No.of Ranges No.of Alr Cond. Tel No.of Alerting Devices No.of Waste Disposers 'Hat Totals: Number Toffs--Kit'_—_ De of Se/A.1er. No.of Dishwashers SpaeelArea Heating KW Local 0 reuli.thrgita ❑Other Security Systems:. No.of Dryers Haag APPBs> No.of Devices or Equivalent No.of Water No.of No.of Data Wiring; Beaten KW Sign BaBarts No.of Devices or Ep4�eiyaleat No.Hydrom etege Bathtubs No.of Motors Total HP ITdNo..of Devices ors Ea OTHER: Attach additional detail((desired ores required by the Inspector of Wires. Estimated Value of Electrical work f"5b0 (when required by municipal policy.) Work to Slat 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 opetatioon"coverage or its substantial equivalent- The undersigned certifies that such covphge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 3 BOND 0 OTHER 0 (SP"tfy.) I cadfr,under the pains and penaMe of perjury,ghat the information on this application is true and complete. FIRM.NAME: D and D t Lecirr,c LLC. LIC.NO.: a 1 a75 A L is men: ('a n;e L 5 i]'m Ce.So.cs Signature sC�o,,-J f,J;P .., LIC.NO.:S 16 5,g,E (If applicable.enter-exempt"in the license mother tine.) Bus.Tel.No.--1?i RC R 9 170 Address: F'lb ELK Qurl rr MCc4,CLe6erc MA c-,.ZH6 Att.Tel.No.:SogA9? R185 'Per M.G.L.c.147,s.57.61,security work requires Department of Public Safety"S"License Lic.No. S S C O-0 Q 13 7 3 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally requited by law.By my signature below,I hereby waive this requirement.1 am the(check one)❑owner ❑owner's agent. Owner/Agent Telephone No. 1 PERMIT FEE:$�O I ; r