The URL can be used to link to this page

Home My WebLink AboutBLDE-19-006663 Commonwealth of Official Use Only 0_ "1111Permit No. BLDE-19-006663 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:5/23/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertor the electrical work described below. Location(Street&Number 77 ROUTE 28 rt/ Owner or Tenant T Telephone No. & 03' Owner's Address 1 ,WEST YARMOUTH, MA 02673 1* di Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bo Purpose of Building Utility Authorization No. ./1 rb Existing Service Amps Volts Overhead 0 Undgrd 0 ers New Service 60 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install service to pole mounted equipment(POLE BESIDE 77 ROUTE 28) 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- ElNo.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 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 KW No.of No.of Data Wiring: Heaters 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: 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: JASON B PISELLI Licensee: Jason B Piselli Signature LIC.NO.: 21933 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 105 TEMI RD, BELLINGHAM MA 020191393 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: $80.00 c Cl/ ,) ( 5 Icy Commonwealth o/mai iaci iette OfficialOf Use Only 1—* t cc�� Permit No. �i`q( 6 �6 ,17_, 2epartment o/. ire Serviced TT '•=tI'1= 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),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:4/9/2019 City or Town of:i't'1 Gtd sv'1-1^ To the Inspector of Wires: By this application the undersigned gives notice of,his or her intention to perform he electr' al work described below. Location(Street&Number) 11 tLI e v zl Citiut u' ( 1A)(i.lit 91� Owner or Tenant U - I , I---( ,p o to f Telephone No. Owner's Address CPO Cs 2 Is this permit in conjunction with a buil ing permit? Yes No Ti (Check Appropriate Box) Purpose of Building Utility Pole Utility Authorization—W.2-3,, 6)i c Existing Service Amps / Volts Overhead Ti Undgrd Ti No.of Meters New Service 60 Amps 2 4/ 0 Volts Overhead INI Undgrd Ti No.of Meters 1 Number of Feeders and Ampacity 1 @ 60A Location and Nature of Proposed Electrical Work: 60A 120/240 Service at the base of the utility pole to power telecom equipment on pole- meter socket, disconnect, panel -supplied by pole top utility transformer Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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 No.of Ranges No.of Air Cond. Total 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 KW Local❑ Municipal ❑ Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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: $5,500 (When required by municipal policy.) Work to Start:4/15/2019 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:Aerial Wireless Services, LLC LIC.NO.:21933A Licensee: Jason Piselli Signatur�-� LIC.NO.:21933A (If applicable,enter "exempt"in the license number line.) �/ Bus.Tel.No.:508-965-2370 Address: 125 Depot Street 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $