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Home My WebLink AboutBLDE-21-000164 Commonwealth of Official Use Only €0Massachusetts Permit No. BLDE-21-000164 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1Rev.l/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:7/13/2020 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) 73 PINE GROVE RD Owner or Tenant CROSBY KENNETH N Telephone No. Owner's Address 73 PINE GROVE RD, SOUTH YARMOUTH, MA 02664 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: Relocation of 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- ElNo.of Emergency Lighting grid. grnd. Batten,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 Imtiatine 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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. -. t_ CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) 7--;6( 3— O S— ‘S-6 " #6l I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOHN P ANTONE Licensee: John P Antone Signature LIC.NO.: 32046 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 JONES RD, MARSTONS MLS MA 026481045 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. I PERMIT FEE: $75.00 I Z 4, 7/i112,0 t— Official 14 COMMORNMAIK f; Mokmoschuostio �o i�� lY a' ,t 2epartment of irs s Permit No. fl4iCf6 1 Occupancy and Fee Checked f+\, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRIC ' `r. = ` N' All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR I 0 kn ., (PLEASE PRINT IN INK OR TIT ALL INFORMATION) Date: /�ii /� c� ,.x (u City or Town of: N/A/av7-7-/- To the Inspector of Wi 13 By this application the undersign gives •• . of his or her intention to e e uncal work •: , : low. 202 t Location(Street&Number) 73 /it/& ,,,,,e,,, -- Q/4� �i 0"vire/A, C \ Owner or Tenant / 'EA/ '/ 6- a • C Telephone No. P. • "1//. Owner's Address Is this permit in conju with a building permit? Yes 0 No (Check Appropriate Boz) P .7 # r Purpose of Building /1'.E73/1..)e/N/(E U Authorisation No. PI 3 Existing Service /X Amps /• D /d-WG'Volts OverheadUndgrd❑ No.of Meters / <�:•.. New Service /110 Amps rid I0 f/) Volts Overhead a Undgrd 0 No.of Meters / Number of Feeders and Ampadty c_ — /00 Location and Nature of Proposed Electrical Work: F oUf //C�IYT7�/'J�/ Q 7 eZ Z'ZI'C t t e tv nt c p ai,ic l To J/oe O F tae,-"- Completion of the,following,tabk mg be waived by the Inspector of Wires. vl No.of- Total U3 No.of Recessed Luminaires No.of CBL-Sasp.(Paddle)Fans Transformers KVA S' KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators n AboveIn- No.of tmergency Lighting .4No.of Luminaires Swimming Pool fund. ❑ grad. ❑ Battery units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of . No.of Switches No.of Gas Burners bio.Initiating Devices 1 l.t No.of Ranges No.of Air Cond. Ton` No.of Alerting Devices No.of Waste Heat Pump Number Tons_ KW__ *No.of Self-Contained Totals: Deteetion/Aler."_ Devlees No.of Dishwashers Space/Area Heating KW Local❑ Cyonneecaln eer o ❑ °d No.of Dryers Heating Appliances KW SeeurftYN fsta�tiDevices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or ' ,uivalent No.Hydromassage Bathtubs No.of Motors ofDe No.of Devices Total HP Telecco icesorations ' E4. ,t _ OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of l 'cal Work: 5 O. CC) (When required by municipal policy.) Work to Start: ' / ,�4J 0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O RAGE: 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 1 I certify,wider the pains andpenakies of perjury,_that the info „ , this ,, r & „ , is true and complet FIRM NAME: L JI//l1/ AA/7-21A/--C II LIC.NO.:E3361-16 Licensee:J/ 1%1 �j jiovE- Signature I)A14 di 4,4 LIC.NO.:6—&(;)0 Y 6, (/fapplicable,enter"exempt"in the license number line.) w Address: ,.V/JJ'— (JI X/t-S /7b 41Ai//78) /e1-. dAZT eL No.:No.: !sG��'?S L L�6 VV 6 /y et 'Per M.G.L.c. 147,s.57-61,security work requires I , .f Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the - see 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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$