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Home My WebLink AboutE-19-3035 I N Commonwealth of Official Use Only lE Massachusetts Permit No. BLDE-19-003035 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/071 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:11/16/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to perform the electrical work described below. Location(Street&Number) 1 RANDOLPH RD Owner or Tenant CAITO SALVATORE A Telephon)ri . Owner's Address CAITO EUGENIA W, 1 RANDOLPH RD,YARMOUTH PORT, MA 02675-1829 ^ {� Is this permit in conjunction with a building permit? Yes 0 No 0 heck Appropriate : ,x) t Purpose of Building Utility Authorizatio' No. 2305050 `e ef- Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Mete . New Service Amps Volts Overhead 0 Undgrd 0 No.of,' ers Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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. Qrnd. 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 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No,of Devices or Equivalent No.of Water KVV No.of No.of Data Wiring: Heaters Stens 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: 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: WALTER W KELLY Licensee: Walter W Kelly Signature LIC.NO.: 21302 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 MONROE LN,WEST YARMOUTH MA 026732731 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 sie urn Coif P r IPO 7X a...;o,...S.of nlassae apartment of ireService! Permit No. a;i:I ' Occupancy and Fee Checked __` BOARD OF FIRE PREVENTION REGULATIONS . 1/07] ' (leave blank) o ILTJI- APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK al om li! in . All work be performed in accordance with the Massachusetts Electrical Code 12.00 e (PLEASE PRINT ININK OR TYPE ALL INFORMA770N9 Date: // / oCity or Town of: YARMOUTH To the Inspector o Wires: W By this application the undersigned gives noticeof his/tf�hq intention the electrical work described below, o o z Location(Street&Number) / at,It/rt'O U z k 9. lbwnefor Tenant M4 '/ 7fl`I A.-0 Kt_ Telephone No. sv5 R —yro Ce m • w e Owner's Address Is this permit in conjunction with a building permit? es 0 No a (Check A ro era x ' Purpose of Building Utility Authorization No. ' 3010 . Existing Service Amps / Volts Overhead Q Undgrd Q No.of Meters _ New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters __ Number of Feeders and Ampacity • O Location anti Natures of Proposed Electrical Work: / /O0 4-M/) O U d-'c-, I) C32 /�t00-e. f4Ne/ FKo 9-pr c A vp�� 1 Completion of lauowfri tab may be bynsppeeccttor of Wires. Trans "� No.of Recessed Luminaires No.of Ca.-Susp.(Paddle)Fans o,of lTotal cvA formers KVA eC No.of Luminaire Outlets No.of Hot Tubs Generators INA V • No.of Luminaires Swimming Pool Above ri In- o No.of Emergency Lighting `` grnd .s-nd Battery Units • L No.of Receptacle Outlets . No.of On Burners FIRE ALARMS JNo.of Zones Cf No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices -�NNo.of Ranges No.of Air Coml. Total N. of Alerting Devices ` No.of Waste Disposers Heat Pump I Number I I ons KW No.of Sell Contained Totals: Deteetion/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local0 Mcipal '� Connection �'� �e� No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Beaten No.of No.of 3 Da KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo fDeior Wiring: - No.of Devices Equivalent OTHER t_.... ° . v Attach additional derail Os-desired or as required by the Inspector of Wirer. 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,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE. BOND 0 OTHER 0 (Specify.) I certify, under a pains and penalties ofperjmy,that the in rmad_ion ot�this application is true and complete. FIRM NAME: Cl f- I Ikid. et onl iI C\t�� iUC LIC NOa- Licensee: (,3ct t-2Vi ll l)A En lit )c Q c/Att_A- LIC.NO.:t�I Qq (Ifapplicable,enter"exempt" nfI atnre 6 in the(ie. a number Ina) f/1 Bus.Tel.No.. Address, 11,44)/0n de i. 'J .. t� p sr ye,rft e u41t Nil- AIG Tei.No.: 1n175,1n175, -dpil 7/ J •Per M.G.E.c. 147,s.57-61,security work requires Department of Public Safety"5"License: Lie.No. nx OWNER'S INSURANCE WAIVEFt: I am aware that the Licensee does not have the liability insurance coverage normally rree�quired/byg law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. `I Signature Telephone No. 1 PERMIT FEE:$ "