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Home My WebLink AboutBLDE-23-001113 #A _,*--, 7 a Commonwealth of Official Use Only �` Massachusetts Permit No. BLDE 23-001113 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 A) 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 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/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 Siens 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 a%-u,,I..a qi2e2-biz-t P.'1 (431L-Z . RECEIVED AUG 2 9 20222 `I ` l.e n w safer a f///yy� aeenchw.Efs ! Officialia Use O 1nly l I . �� k"LDING DEPART NT '77 l Permit No. �2�� ` `4� ti j. -- _ ! of./.}aes Srerolces C l Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS rRev.1,071 (lows blank) v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massachusens Electrical Co�}(EC).1p7 M 12-00 1 zA (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c2q 07 -2' City or Town of: Yarrn(x4 1 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 Locadoa(Street&Number) E Owner or Tent LSIOA,' W 1 J/,( Telephone No. sJi Owner's Address 25g 6r r a-I £U P*f.n R d Yanneu+ 41.4 22 ilt! Is this permit la conjunction with a Chec permit? Yes Li JL J1 No ❑ ( k Appropriate Box) Purpose of Bs�ding�r*LKfoh ,th RCA)(hAti Utility Authorization No. tl&OVID04 qEsisting Service Amps / Volta `4)verknd ElUndgrd❑ No.of Meters ci New Service _ Amps / Volts Overhead 0 l)ndgrd❑ No.of MetersCI Number of Feeders and Aapadty CI Location and Nature of Electrical Work: i[ift of a / ZtGr[errtim'i' 'Geed' (dial' f7f tin]jk4C JULkfr •k•1� n/'0 or .d 4-flih; h/��"ilye.I., �(// ✓ Co the Iollowiregtuble mead be waived by flee 1r f Wire,/ No.of Recessed Lastthuires No.of Cell-Sasp.(Paddle)Form o.o oW !(OOA ^tTransformers KVA IsrJ { No.of Luminei a Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting I No.of Luminaires Swimming Pool gad. ❑ and. ❑ getters Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS INo.of Zones Na.of Swtrehes 3 No.of Gas Burner No.of Detection and Inidstfna Devices No.of Ranges No.of Air Cond. Ton' No.of Alerting Devices No.of Waste Diapasons Heat� Number Too_KW__-- No.of S&-Coati Na.of l*hwashers Spsee/Arn Heating KW Lori❑r n Munkdpal ❑Other Nou of Dryers Aug APPs Security S of Devices or Equivalent No.of WBeaters ider KR ?Va of No. NB its DataNa.of Devices or Equivalent No.Hydramaae qe Bathtubs No.of Motors Total HP IT o WWelecommunications Eq lent OTHER: dnoeh adaltiano'derail ref desired or as required by the Inspector of Wires. Estimated Value of Electrical Week i i rf„{..-no (When required by municipal policy.) Work to Shut: 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 issuance including"completed operation"coverage or its substantial equivalent The undersigned certifies that such covthlige is in force,and has exhibited proof of sonic to the permit issuing office. CHECK ONE: INSURANCE Di BOND❑ OTHER 0 (Specify) I certify.render the pains and penalties of perjury,that the biforasaloa on Ws eppiurton as trae mad eoagrlete. FIRM NAME: D and Z E LecTr.C. LLC pp p LIC.NO.: ,3 I a-)5 A Lken ('o'i er c L. n E n m Cc 5cc Signature sCla,rv�vIr�,C ,P...a„u LIC.NO.:SI 6 Sa,E Of applicable.enter"crave in the iirense number tine.) Bus.Tel.No:7$I R5 Si 9 1 70 Address: �F, ELK R�%n T i- ivt, .0 Lebncc NIA (' R'i6 Alt TeL No.:Sr)g A i 1 RIBS 'Per M.G.L.c.147,s.57-61,security work requites Depatmmat of Public Safety"S'•License: Lit.No. 5 5 C O-O 1 3 7 3 OWNER'S INSURANCE WAIVER:I am aware that the Licensee doe.,not have the liability assurance coverage normally required by law.By my signature below,I hereby waive this requirement.I am the(check one)0 owner 0 owner's agent Ow nt (PERMIT FEE:S Q/ I Signaturenature Telephone No.