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Home My WebLink AboutBLDE-23-004272 Commonwealth of Official Use Only ` o< .itl Massachusetts Permit No. BLDE-23-004272 �--' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07j 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:2/2/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice oa his or her intention to perform the electrical work described below. Location(Street&Number) 51 LILY POND DR Owner or Tenant PAUL TIETNEY Telephone No. Owner's Address 51 LILY POND DR,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes El 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 Nprs Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Install 10 recessed lights,laundry power,&range'�a tee. � Completion of the followingtable` /yp� lye f Wires. No.of Recessed Luminaires 10 No.of Ceil:Susp.(Paddle)Fans No.of b lac->vP O °'11�Vet Transformers VGA No.of Luminaire Outlets No.of Hot Tubs Generators J'�)`V I';),��, 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 1 No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 1c\F No.of Self-Contained Totals: Detection/Alerting 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 Siens No,of Devices or Eauivalent 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: Paul J Notarangelo Licensee: Paul J Notarangelo Signature LIC.NO.: 16080 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:146 HULL ST,HINGHAM MA 020431423 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 ^/(' f� Telephone No. PERMIT FEE:$75.00 c 1(7(2', �av op_ L(7(73 & g4 Commonwealth of trladdachiadtd Official Use Only "i^x y.w: i 2t'� cc77 [[�� Permit No. / 23� '-127z .Clrl,arfmant o/Juv&ecked ;FI I—a Occupancy and Fee Checked • BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / ,,2$' — 2 et 3 z 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) / 1/L y Cr,n‘„ rj Owner or Tenant pi? / -]I(!/7 c/ Telephone No. Owner's Address Is this permit In conjunction with a building permit? Yes Er No El (Check Appropriate Box) Purpose of Building 1 G S, .J7)/I 4/ Utility Authorization No. Existing Service.,24yr props p,-//,7,71) Volts Overhead❑ Undgrd©" No.of Meters I New Service Amps / Volts Overhead El Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L/ <- 7' c / / r r r b, �nt� /.4✓yl� 7"i fO01.4,c- e31'7C,J Mnt!'e' ✓Ovl!'r.4,, w Completion of the followin table me, be waived by the Inspector of Wires. otal Transformers No.of Recessed Luminaires No.of Cell-Susp.(Paddle)Fans Ta n 1 KVA n No.of Luminaire Outlets No.of Hot Tubs Generators KVA dC No.of Luminaires - Swimming Pool Above ❑ ira ❑ No,of Emergency Lighting Ernd. grad. Battery Units `i No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Na of Detection and Initiating Devices I L' No.of Ranges No.of Air Cond. Toss No.of Alerting Devices Na of Waste Dbptrsers Heat Pump Number Tons K_W No.of Self-Contained Totals: ......_................. ��'�-'� DeteMion/AlertingDevices Na of Dishwashers S ace/Area HeatingKW Municipal P Local❑Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: cc(9' t (When required by municipal policy.) Work to Start: 2S-2.;_7 Inspections to be requested in accordance with MEC Rule l0,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❑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:/),S. 1Vc; C.c.,r P L2 I9 H , i 1i f S LIC.NO.:�/C C5 5) Licensee:`,Q u/ Alci rry/.7✓17.0 /O Signaturre <.4,.� LIC.NO.:F z c5G/ (If applicable a ter"exempt"in the license na//mbery/r'ne// n Bus.Tel No.' Address:( () Ai/9�rJ (m'i'� �/ 0'f'' Alt.Tel.No.:7 /-70G- o 7 yc- Per M.G.L.c.147,s.57-61,security work requires I apartment of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I ant 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. Owner/Agent Signature Telephone No, I PERMIT FEE:$