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Home My WebLink AboutBLDE-23-001534 , Commonwealth of Official Use Only •.t• , 14 Massachusetts Permit No. BLDE-23-001034 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checke jRev.l/07) APPLICATION FOR PERMIT TO PERFORM ELECTRI k:AL 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•9/23/2022 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) 5 SYRITHAS WAY (/7'9 r � Owner or Tenant PAUL FRISOLI Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriat I Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Met ers New Service Amps Volts Overhead 0 Undgrd 0 No.of Met:"'' rs Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler „t by-the Inspector o Completion of the following table may be wait,: Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fa No.of KVI �Q �Transformers KVA No.of Luminaire Outlets No.of Hot Tubs (( Generators No.of Luminaires Swimming Pool Abtve`` q•� "ICAO _ No.of Emergency Lighting g�a�; ,� �� query Units No.of Receptacle Outlets No.of Oil Burners `' L1 ,/� �w.�f IRE ALARMS No.of Zones No.of Switches . _ ,, Gar / No o>Detection and No.of Gas Burners 1 ,�°' �. E;I . , A -.' Initiatine Devices i. No.of Ranges No.of Air Cond. ToM,: ri, :.;`<,No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons KW ` N4.of Self-Contained _ Totals: '_,N tection/Alerting Deyices No.of Dishwashers Space/Area Heating KW Local ❑ M icity 0 Other: n No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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 f i OTHER: �._ Attach additional detail if desired,or as required by the Inspector ofWir 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DANIEL O WILKEY _ -- Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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 2 It1. 12 /nA--5`, 4 -- '# / rill.17-:„ -4....,:,.....k Conwwwaalth o/'aedachudalld Offic 'al Use Only(,. /��/ c� Permit No. --Ili,.�; ' rt .(.' nsparlmanl of..fw �ervicsd al h ,; � BOARD OF FIRE PREVENTION REGULATIONS Rev. i/07]Occupancy (leave and Fee Checked bl Ink APPLICATION FOR PERMIT TO PERFORM ELECTRIC 'AL WORK . All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C ,r 2.G0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: lit r City or Town of: YARMOUTH To the Insp•ctor of Wires: I By this application the undersigned givesnotice of his or her intention too crff rm the electrical work descri bed below. Am Location(Street mbe ) `�j � hq 5 IA) 1 t y _�ul3Q - GGG - Owner or Tenant p,U 1 r �, ` t Telephone No '. Owner's Address Is this permit in conjunction with a bui ding it? Yes ❑ No ®, (Check Appropri, ste Box) ,1 Purpose of Buldin�)•� \ 4f(d�y Ely/1*,. Utility Authorization No. li•' Existing Service 16Q , Amps /ZO !p4/0 Volts Overhead Undgrd Li No.of Me ers f_ New Service Amps / Volts Overhead❑ Undgrd❑ No.of Mete _ Number of Feeders and Ampaclty - -- is Location and Nature of Proposed Electrical Work: ,c 4C IM[�I ,. � 'V ,5f I Completion of the following table may be waived by the Inspector of Wi 1 No.of'Total . Ll'a No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans r Transformers KVA .t No.of Luminaire Outlets No.of Hot Tubs Gener'ttors KVA Above In. No.of Lmergency Lighting -,. No.of Luminaires • Swimming Pool grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS Ndi.of Goner .1` No.of Switches No.of Gas Burners No.of Detection a/;+i Initla�til. ..cvicu ~ Total $_._.'.___.�.__.. IV No.of Ranges No.of Air Cot:d. Tons No.of Alerting Devices Na of WasteDb Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: '' Detection/Alertin Devices Municipal _., _Y No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ f)t•ecr No.of Dryers Heating Appliances KW Security Devices s or Equivalent:* � . No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent ,_I No.Hydromassage Bathtubs No.of Motors Total HP Tel No of Devicessoor Equivalent __ OTHER: _J .- Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4/)0 (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,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE I. BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the Information on ' applica nn is true and complete. FIRM NLIC.NO.:. � Licensee: iLYt\ y' Signatu LTC.NO.:3__felt" �t.— (If applicable,enter"exempt"in the license nr line.) Bus.TeL No. Address: Alt.Tel.No.. *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)❑owner 0 owner's agent. Owner/Agent PERMIT FEE: $ ___J Signature Telephone No.