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Home My WebLink AboutBLDE-22-006987 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006987 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:6/2/2022 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) 8 GORDON LN Owner or Tenant MORELLI RICHARD A Telephone No. Owner's Address MELLACE MICHELE P, 8 GORDON LN,YARMOUTH PORT, MA 02675 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 ❑ 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: BAth remodel,fan/light, &cabinet with lights. Completion of the following table may be waived by the bn.,petor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool rnboved. ❑ g rnd. ❑ No.of Emergency Lighting 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 Initiatinu 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 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Michael J Suckow Licensee: Michael J Suckow Signature LIC.NO.: 32459 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 162 MOUNTAIN AVE, PEMBROKE MA 023592647 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 1 .„.2 JUN 0220CC •da,"Kmdachu°e11,3 Official Use Only r //nn( ">�:Y•-;ft_ c7 nn Permit No.�/7/�{l i 62 ( �L 411 IWING DEPARTME T n1 a�Jns J,w,cae 'I �Asm'�'aF=1OC_2REVENTION REGULATIONS Occupancy and Fee Checked [Rev.lro7J peavebiank) 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 INFORMA77ON) Date: (� __Z City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersignegives not a ofhis or her intention to perform the electrical work described below. N1 /C Location(Street&Number)y) 06.71n w Owner or Tenant i/��„/ jilLG`.e-/:.. j ce// Telephone No. Owner's Address rbasri Is this permit in conjunction with a buuiIdin rmit? Yes 1:1--" No ❑ (Check Appropriate Box) Purpose of Building/48 Sl�4 /- 2. L, Utility Authorization No. Existing Service /a i' Amps /}hn/Z' )Volts Overhead U Undgrd❑ No.of Meters k New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: , A. /2 /hiD�� / f:9� ,4 // //Ike/ 1'9 1.u+t�c c wAtRc7L i t kZ L j ( f t vi Comp lion of the following_table may be waived by the Inspector of Wires. Us No.of Recessed Luminaires No.of Cell:Sosp.(Paddle)F No.of 7 otei �7 Fans _Transformers KVA '` No.of Luminaire Outlets h No.of Hot Tubs Generators KVA a No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grad. ❑ Battery Units - �� No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 11, No.of Ranges No.o'Air Cond. Tons 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 CoMunnnetcctipaion 0 No.of Dryers Heating Appliances KW Security Systems:* No.of No.of Water KW No.of No.of Data Wiring DeviCeS or Equivalent Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail Ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 73 Q.e, (When required by municipal policy.) Work to Start:6 -c'- ` 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 Er BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties ofperfeery,that the Information on this application is true and complete. FIRM NAME: A CLN,/Sc../c,/kz.) i_/P. LIC.NO.:3' YJ ? Licensee: e49-v/f',r / Si store/�isj..7 LIC.NO.:3'Z v3 9' (If applicable,ester"exempt"In the/kense!Tiber fine Address:/(, 7 /.sy4A,,fr ,��/ e_ ,, O 7 3'a IV Bus.Tel.No..339 93� /r(76 .Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: LiAIL eeL No. 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 aRenl Owner/Agent Signature Telephone No, PERMIT FEE:$ -CD