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HomeMy WebLinkAboutBLDE-24-1531- • Sell)( rYzd_. LinCii 1 4411, _ Official Off is Commonwealth ®f Massachusetts5:Only i e Department of Fire Services Permit No. -� `S �� _wf Occupancy and Fee Checked OCT 03 21 BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] --- `-- (leave blank) BUILDING DEPART.. P .(CATION FOR PERMIT TO PERFORM ELECTRICAL WORK By: All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 G, S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 c_ 1 3 Z O 2-y City or Town of: fry API p i./j-}-i To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. rillM lif Location(Street&Number) 7'/ 0 C lou\ �j t J�� /4 0�� t‘k() Owner or Tenant J�f' � ��-�-�'ri Telephone No, !! Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No n (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd f I No.of Meters New Service Amps / Volts Overhead U Undgrd l l No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C Appj,aj- F r A e p�r�, 7 TO �1�5,�� OJT EX, 57'IPJc- 1✓` ,it�r I Completion of the following table may be waived bLthe 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 Totallo.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number TonsW No.of Self-Contained Totals:1 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Secur ty Systems:* No.of Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: 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 if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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 coverage is in force,ancLhas exhibited proof of same to the permit issuing office. _. CHECK ONE: INSURANCE © BOND El OTHER ❑ (Specify:) I certify,under the pains and penalties of perjurit,that the information on this application is true and complete. FIRM NAME:BNYS:llz_ ill C.Tc, CAC <tr17f2 r7a(S �p►� NO.:41 I/ i 7 licensee j�2 F A�1t(-1-`' �� Signatu eye w Y� .NO.: (If applicable,enter"exempt"in the licetilso number line.) ` _ /v� _ Bur tel.No.: Address:57 P7i!7 Tc= H Ih r Mi /I�R G14.ji .r- 7 111 l/2-L� . Alt.Tel.No.:508'1'2,4, .00 *Security System Contractor License required for this!,vork;if applicable,enter the license number here: 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ j 00 --tm\p-, t qui Commonwea th of Official Use Only It 4•1i Massachusetts Permit No. BLDE-23-003842 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 INFORMLL4TION) Date:1/16/2023 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) 74 OCEAN AVE Owner or Tenant ANTHONY DiCARLO Telephone No. Owner's Address 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: Permit to close out expired permits:E20-3624, E20-3681, E20-4184, &E21-4407. Completion of the following table may be waived by the Inspector of Wires. N if Recessed Luminaires jNo.of Ccil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lumiaaire Outlets I No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad_. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones [ o.of Switches No.of Gas Burners No.of Detection and Initiating 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: i Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection I 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.FIydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent 1 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: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:372 YARMOUTH RD, HYANNIS MA 026012043 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