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Home My WebLink AboutE-18-6947 ‘V./ Commonwealth of Official Use Only Permit No. BLDE-18-006947 ft Massachusetts 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:6/6/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 23 ELMCROFT WAY Owner or Tenant VENEZIA LAWRENCE E Telephone No. Owner's Address CHARLTON-VENEZIA NANCY,23 ELMCROFT WAY,YARMOUTH PORT, MA 02675 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: Install generator 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 1 KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency�i� grnd. grnd. Battery Unit .rQs No.of Receptacle Outlets No.of Oil Burners FIRE AL o. Q No.of Switches No.of Gas Burners No.of Detec d Initiatinc_Devic Q No.of Ranges No.of Air Cond. Total No.of Alerting Devic• O 0 4 > Tons 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 0 Municipal ❑ OW:46 Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens 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: John J Ostiguy Licensee: John J Ostiguy Signature LIC.NO.: 18192 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:396 MARION RD, MIDDLEBORO MA 023463102 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$100.00 1 Commeaw sRL of rilatuacitamalle Official Use O . '' 2.part nt° t m Smoked Permit No. ~ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS v.1/07] ve blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(.SIEC).527 Oa 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORNLLTIO.N) Date: *AV c( -_ City or Town of: cll titMAXI'iA%P."( 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) 2 3 E 0-A CO2-o I 1-)' i LI eta. t 0 N`1-k IA 2T^ — Owner or Tenant U QxZ.NA V CAI?1(k- Telephone No.Owner's Address ,— Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building residence rtility Authorization No. ,— Existing Service _ Amps __. __/_____Volts Overhead❑ Uudgrd 0 No.of Meters y_ New Service Amps I Volts Overhead El is ndgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Back up power!generator _ Completion of the_followhng table mar be waived br the Ir tpector of glint. No.of Total No.of Recessed Luminaires No.of Cer7.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No,of emergency Lighting grad. grnd. Batters Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons__KW_ No.of Self-Contained Totals: __••- ••_ Detection/Aterting Devices No.of Dishwashers Space/Area Heating KW Local 1-7 Municipal ❑ other Connection No.of Dryers Heating Appliances R-«• Security Systems:* No.of besices or Equivalent No.of Water. No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent . Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Estimated Value of Electrical Work: Attach additional derail If desired,or as required by the]hspector of Writs. __ _ .. ._.. _ (When required by municipal policy.) Work to Stan: 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 cent(& under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: Reliable Power Services rr LIC.NO.;18192A Licensee: John Ostiguy Signature , LIC.NO.:18192A - (7fapplicable,enter"exen»gpr"in the license number line.) Bus.Tel.No.:508 946 2298 Address: 40 County Rd East Freetown MA 02717 Alt.Tel.No.:508 916 0354 *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 ❑owner's agent. Owner/Agent Signature • Telephone No. I PERMIT FEE:S , 021