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Home My WebLink AboutBLDE-23-003490 Commonwealth of Official Use Only ,314_ ,;(,:i Massachusetts Permit No. BLDE-23-003490 ' 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:12/27/2022 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) 9 GILBERT ST Owner or Tenant AMADUCCI DIANE H TR Telephone No. Owner's Address GILBERT STREET TRUST, 142 SEAVIEW AVE, SOUTH YARMOUTH, MA 02664 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 ❑ 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 50A sub-panel. 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 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: 12/27/2022 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: Thomas E Cunningham Licensee: Thomas E Cunningham Signature LIC.NO.: 8410 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO Box 48, Leicester MA 015240048 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 n//4 /z/.D%L ,4_. g4 Commonwealth of!r/aesachiaee/G Official Use Only .',=q,.^�t C7� Cc77 [[7� Permit No. c 2 3..g'-1 1 J fin,,5 2eparlmeni ei ire—.cervices �I'=.? 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),5277C RR 12.00 w��/ (PLEASE PRINT IN INK OR TYPE ALL INFORMA77ON) Date: di City or Town of: YARMOUTH To the Inspector of Tres: By this application the undersigned no'eor her in ention to perform the electrical work described below. Location(Street&Number) /L of his 1- Owner or Tenant /�J1 Ye ci Telephone No. Owner's Address c L / �(yY___ Is this permit in conjuncti�o/p�,with a building permit? Yes EI No ❑ (Check Appropriate Box) Purpose of Building iV[ gt (f 177 h. Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /1{,/SI AO ii S`l7// /ti ‘di Completion of the followin (able may be waived by the Inspector of Wires, lit No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans r °f 1 otal e1 Transformers KVA n No.of Luminaire Outlets No.of Hot Tubs Generators KVA dC No.of Luminaires bsr(mming pool Above ❑ In- ❑ No.ofUnits Emergency Lighting tlrod. Battery Units _ No.of Receptacle Outlets /No.of OB Burners FIREZALARMS No.of ids No.of Switches // No.of Gas Burners "No.of Detection and/ s Initiating Devkes I f,r No.of Ranges No.of 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 IOW Local 0 Co°necNo niectio n El Mac C _ No.of Dryers , Heating Appliances Kr Sec uri No o y of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationso.o Equivalent OTHER: f.� 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:fd;-.L)) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVLJJ GE: 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 covepge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND 0 OTHER 0(Specify:) I certify,under thepqtns and peui of er/ury,that the information on t s pplic lion is true and complete./nJ��L��`` FIRM NAME:-yy-� (/1.4/iC/� 2. - e LIC.NO.: /T j/"r V Licensee: t vN/Ur/Odif•a/ Signature LIC.NO.:c-J ?,./ (If applicable, q"exe pit'in the licence number lined Bus.Tel.No.. Address: I �i"X-Af i /1J/11k1 fi �'f' U fl/ AIL Tel.No.:Jt -4"aS 4)33 Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$