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Home My WebLink AboutBLDE-23-005290 �. . Commonwealth of Official Use Only it* Massachusetts Permit No. BLDE-23-005290 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/N INK OR TYPE ALL INFORMATION) Date:3/27/2023 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) 13 WALTHAM CIR Owner or Tenant HOLLINGSWORTH BENJAMIN ERIC Telephone No. Owner's Address HOLLINGSWORTH B J &WM &J CAHILL, 13 WALTHAM CIR,WEST YARMOUTH, MA 02673 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 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install multi-zone Navien boiler. 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 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 ❑ 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ANTHONY FANTASIA Licensee: ANTHONY FANTASIA Signature LIC.NO.: 54136 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 CHASKE AVE, NEWTON MA 02466 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: $50.00 RECEIVED Ai/1/ � / — /rJ t lileilJ MAR 2 7 @MI o wealth of Massachusetts o�reial use Only_ Permit No.:-Cj=3—5 ?, D a ment of Fire Services Occupancy and Fee Checked: iNG.bu R T PREVENTION REGULATIONS U .1/20231 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 CMR 12.00 City or Town of: YARMOUTH .Date: —Z- —LS' To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 12, \UW\m1 M C\C ,-P- Unit No.: Owner or Tenant: Svc\2 11%\�\��ur)ri�I' Email:A r4N TA-S IA-43Ze ynutl•,, Owner's Address: S lM'd' Phone No.: cis- -- t t�-q(y9(-, Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ Normit No.: Purpose of Building: DV-,G1\t, S\'t\°�J. Utili 'Authorization No.: Existing Service: )(AD Am \20 /Z I iyolts Overhead[ 'Underground❑ No.of Meters: ) New Service: Amps / 11Volts_ Overhead 0 Underground 0 No.of Meters: • Description of Proposed Electrical Installation: L) t J\JCJ,/k V Bo\ Lv tl17 tbriLLVA,\V-cs Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Gmd.❑ Above-Grnd.0 Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System - ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1❑ Level 2❑ Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: LI On.DO (When required by municipal policy) Date Work to Start:3-7 (3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: )if\ "b+i\l&._�P(1\-0-M(%, A-I❑or C-1❑LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: 1)A l Dtl\ V'a V'' \0,, LIC.No.: 5`f /3 6-a Security System Business requires a Division of Occupational Licensure"S"L1C. S-LIC.No.: Address: 333 0 0 0 P A ?— Email: /FA r`(CA S\ G ci\U-1 ` (Am Telephone No.: 619 -S 71 `3 Zh I I certi,under the/ penalties of perjury,that the Information on this `ap lication is true and complete Licensee: ''N Print Name: 0-A' (W\& Is CkV tt l Cell.No.: b f 7 —S7I'—3?6l INSURANCE 1 �E:Unless waived by the owner,no permit for the pe1Crmance of electrical work may issue unless the licensee • . provides proof of liability including"complet peration"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of o the permit issuing office. 1 -- CHECK ONE: INSURANCE BOND El OTHER DI Specify: (k.ft€rA,\ Li B.II r'1\1 OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the liability insurance cove e normally required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)Owner 0 Owner's agent 0 Owner/Agent: Tel.No.: Signature: Email.: