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Home My WebLink AboutBLDE-23-001114 #B - Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001114 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 for contractors bay(UNIT B) 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. rnd. 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 ❑ 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 _RECE1VEO AUG 2 9 2022 ;! rryyEy�t (( I Official Use Only --A4 rr/assach,,vNs �. ,aING DEPART s c7 e�3_11��' k N _ -ep:s G�ni el glee Services Permit No. l c--Y` C 1 ': j` i Occupancy and Fee Checked �: / BOARD OF FIRE PREVENTION REGULATIONS 1Rev.L07] (leave Wank) N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK •a All work to be performed in accordance with the Massachusetts Electrical Code( EC). 7 CMR 12.00 (• PLEASE PRINT IN L'VK OR TYPE ALL LYFOR,NATTO.Y) Date: 8-aqua 1� City or Town of: y aril)r tPh To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. J Locallen(Street&Number) 4 E c Owner or Tenant V oii t b0 I- Telephone No. y Owner's Address tis9'6r rtia 111J o PlP.Q R d Yai,wtrhti AAA:IIs this permit is conjunction with a b/7�g permit? Yes ii No ❑ (Cheek Appro ate Box) frJ r P CA)f Purpose of Building fr DnirI 6AL!/ Utility Anthorizatlon No. (( D 04 Q Existing Service_ Amps !'i Volta "6verhead E Undgrd❑ No.of Meters 1 New service Amps I Volta Overhead 0 Undgrd❑ No.of Meters Chu Number of Feeders and Ampadty ,^,-- /��'"'' Location sad Nature of Pr Electrical Work: of Gt l OL ic1Y'sfnn 'M ((f iii p Qf /Jn VkAC�f([✓�r rr. Al o .�fit'hn �. 7 L-E1 high ha�lye.w _.^ (V/ ✓ (� Co the PoAowirueable r,wy be waived by the 1 of otal I '' 'f No.of Recessed Luminaires No.of CeIL-Sosp.(Paddle)Fans ofTransformers TKVA a KVAJ1 Outlets No.of Lumbar/re Outl No.of Hot Tubs Generators Above In- No.at Emergency Lighting t Na of Lumteaires Swimming Pool ttrnd 0gnd. ❑ Bathry Units No.of Receptacle Outlets V No.of 011 Burners FIRE ALARMS No.of Zones and No.of Switches 3 No.of Gas Burners "lie.oflDetectionDevices No.of Reuges No.of Air Cond. T ns No.of Alerting Devices No.ofWessaDisposers Slipup Number Toes---ItW_--k Self-Contained : Detection/AlesDevices No.of Df bwasbss Space/Ares Heating KW Local❑Mitlicoanirloata 0 Other No.of Dryers Healing Appliances KW D orntoM No.of Water No.of No.of Hahn KW Signs Ballasts Data No. of Dee Devices or F.wivalent No.Hydromessape Bathtubs No.of Motors Total HP 'Telecommunications Egakae No.of Devices or Fqutvaleai OTHER: rf Attach a&6donal dean!)fderired or as required by the Inspector of Wires. Estimated Value of Electrical work 1// Sf�f (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 is in force,and has exhibited proof of sane to the permit issuing office. CHECK ONE: INSURANCE M BOND❑ OTHER 0 (Specify.) I certify,ander the pains and penalties of'asleep,that the information on dais appfceeIon b trite and complete. FIRM NAME: D and p t Lecrr.0 i_tC qq LICNO.: ,3 l d-)5 q Lkeesee: t a n.c L E D i Cc.Se.ro. Sigehmre nC;o.ri.,.Y Ca b)C,,, LIC.NO.:,SI 6 a E (II appi e•otter"exempt"in She license ameba tine.) Ban.Tel.No.•7$i fs'S R ci 170 Address: (G, ELK R,:n '(lc (`t6Lebo,-c MA Ci '('IG Alt TeLNo.:'(c EIS'7 R I SS .Per M.G.L.c.147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. 5 5(c)-O C 1 3 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)❑owner ❑owner's agent. Signature Telephone No. PERMIT FEE:$Z){C