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Home My WebLink AboutBLDE-23-1115 #C Commonwealth of Official Use Only .� Massachusetts Permit No. BLDE-23-001115 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 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 of contractors bay(UNIT C) 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 0 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 Sins 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 RECEIVED AUG 2 9 2022 .1. 1. seAk oil///oaeaehr.../f, Official Use Only `-. „ DING DEPARTMENT ��''77 tr�� ( Permit No. -4((c . y li i:. -1.". of Jim Jeroiccs Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Otev.11071 (leave blank) N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(IEC). 7 CMR 12.00 V (PLEASE PRINT IN�K OR TYPE ALL GVFORrtfATION) Date: 8�aq as . , City or Town of: `IaYmn(A44'1 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&Number) I Owner or Tenant jPi'i/; bo Telephone No. ' Owner's Address .2 iq t3I t U'/ btje,PieLii R d Yanheuuli )/14 ,�i Is this permit in conjunction with a permit? Yes � No ❑ (Check Appropriate Boi)I .i Purpose of Building*O k 44in n tT1!'ILC'I)/het y Utility Authorization No. E O 491 4 Existing Service Amps / Volts "Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters c Number of Feeders and Ampere try Loathes and Nature of Electrical Work: ct i91j. k limp (2 an l�IOAC iyik • j' ' n1 0 l�ln'"-.e7 i-Vri ftba�c lyhfif, i/ �✓ _ (� Ca thrfallowirtgtoble may be waived by the! i Wi (JOA f No.of Recessed Luminaires No.of CelLsasp.(Paddle)Fans N0•of TTottl Transformers KVA J.J ! Ct No.of Lmiadte Outlets Ne.of Hot Tubs Generators KVA Above In- No.of emergency Lighting 1 ' No.of Lmtoairas Swimming Pool grad grad Batttav Usd[s No.of Receptacle Outlets 3 No.of OH Burners FIRE ALARMS INo.of Zones No.of Switches 3 No.of Gas Burners No.Initiating Dnevnkdes No.of Raages No.of Air Coed. Total No.of Alerting Devices No.of Waite Disposers Hem T� Number,Tom__KW--"N 3elfontaloed n/A-C1eerting Devices No.of Dishwashers Space/Area Heating KW Local 0 MCoaneedon ❑unicipal /7 Other No.of Dryers Hag Appliances KW Security Svsteras:* D No.of Devices o. or Eoutvn lent No.of Wader No.of No.of rivaled Heaters ICW Signs Ballasts No.of Devices or Eahaiivaallent No.Hydremawnpe Bathtubs No.if Motors Total HP TNo.elecommunication of Devicesor EyW efvaleat OTHER: Attach addtional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work n'y4Q (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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE G5 BOND 0 OTHER 0 (SP•"ify.) I cart s,ander the pains atsdpeis&dea ofperjury,that the information on this application it tree and complete. FIRM NAME: D and D t Lectr,c_. LLC LIC.NO.: a 1 a'")5 A Lkeasee: I1 an;cL (: 7i Ce.$a.ca Signature o„-,,,,Crof',e LIC.NO.:S165a,E (If applicable.enter"rreurpt•'in the license number Cure.) Bus.Tel.No.--/g i RS R i i 70 Address: 6 ELK Run Mc MI Le bcrc MA C,-93`16 Alt Tel.No.:5o4 A5'l R185 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety's"License: Lic.No. . S C l -cc'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. Telephone No. PERMIT FEE:sl..4o