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Home My WebLink AboutBLDE-23-001112 Commonwealth of Official Use Only t� Massachusetts Permit No. BLDE-23-001112 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 Codc (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 ❑ (Check Appr ri to ox // � ��'' Purpose of Building Utility Authorization No. bib n/fy^r „(�� Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters �x �� 11 1n,�b� AAD f1 A It New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters t0'w" oI'1' Number of Feeders and Ampacity l]'t Location and Nature of Proposed Electrical Work: Main service to building&public distribution 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 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW ,No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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 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: $165.00 /-' t(2.-ONUi .e)-(44 191.pC 71) sielea-VS - 12--tkl--74114e/- eb( 12)? ` r iktstgn! areiO ot� t f1(�->��-a ) t c f'?/�k C c-f`� l2- l" , i' • ' RECEIVED i :` AUG 2 9 2012 •nw.a1th rYlaa.rc/,..,el-., /offciw Use Only ?/ NG DEPARTMEN � C '{ P . arLnenf }iro S.roic,. Permit No. 11 L3 \`l %.— Occupancy and Fee Checked r; N •. BOARD OF FIRE PREVENTION REGULATIONS kRev.1107] (leave blank) i o APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali work to be perfonmed in accordance with the Massachusetts Elxieial Code 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL[NFORLL4TIO.i Date: if a� City or Town of: Ya rfliotdil To the Inspector of Wires: la By this application the undersigned gives notice of b:s or her intention to perform the electrical week described below. Location(Street&Number)� c2 j G(,f`J -i. • Owner or Tenant V(1 Dp ✓ , Telephone No. y Owner's Address r�.`� �r Pd7t (d�Sf�C�n t Is this permit in conjunction with a bm'I permit? Yes ❑ No (Check Appropriate Box) Purpose of Building-}y�W44.l. 1 /,()/]iYRL,/O,ibd'(�l Utility Aathorhation No. Existing Service Amps Volts Overhead ElUudgrd❑ No.of Meters 74ew Service '40 f) Amps 1 C)1d a!p Volts Overhead ElUs,dgrd l No.of Meters np Number of Feeders and Ampadty r>?,r,-fs Of O 5Oic.cMJ L alum. riliciudO h1QOCq, of Location mad Nature of Proposed^ Electrical Work: 8uil�l nwri(lC2Mt non afro Lt)T 4 Jrl a 7a Pe/,l b1.(l lfii,I17. LL)( pi )a ' -ice aZ/Iint,I W. '.Zll, u2ellpzrttc,if itle r,/efc.t/eisft,. Vj \�f J VCompletion of are il wing rtdbble may be waived by the ioB ertoe of Wires. vn No.of Total Ui No.of Recessed Laminairea No.of Cdi.Sasp(Paddle)Fans Transformers KVA Q No.of Luminaire Outlets ,No.of Hot Tubs Generators KVA tO, Above In- No.of Emergency Lighting ve No.of Luminaires Swimming Poo'grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No,of Oil Burners FIRE ALARMS No.of Zones 2 No.of Switches No.of Gas Burners Na of Detection and Z. Initiative Devices Ili : No.of Ranges No.of Air Cond. Tovtasl No.of Alerting Devices No.of Waste Disposers Heatot Number,Toes_.._KR__-No.oct,od Self-Contained n�tnniealedDev No.of Dishwashers Space/Area Beating KW Local❑Con 1p nection ❑othw HeatingAppliances KW Security Systems:• No of Dryers PP No.of Devices or Equivalent Rs.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or E9aivsket No.Hydromesuge Bathtubs No.of Motors Total HP TdewmfDevictso r Wiring: No.of Devices or Equivalent OTHER nn Attach additional detail)f desired or as required by the Inspector of Wires Estimated Value of Electrical Work:/'//,SO Q (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 covnfage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE, INSURANCE le BOND❑ OTHER.0 (Specify:) I certify,near the pains and penalties of perjury,that the k,fisrnsadon on this application is true and coaspiete. FIRM NAME: Darse) z E.LecTc.c. LLC a , I�' LIC.NO.: I a75A Licensee: r)an',c L E D'r CC.Sc Signatu C re a,�..G d cab,e_A.,., LIC.NQ:.S16 id E &applicable.enter"exempt"in the license number fine.; Bur.Tel.No:7 8 I RS R 4170 Address: 6 ELK Qvn t\c t'licloi-,cbot": MA Cla346 AIL TeL No.:in R 617 s;ig$ 'Per M.G.L.c.147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. S SC n-O 0 t 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 requitement.I me die(check one)0 owner ❑owner's agent. Owner/Arent Signature Telephone No. I PERMIT FEE:$1 le, — ttsre duA