HomeMy WebLinkAboutBLDE-20-003624 s Commonwealth of c
� Massachusetts Permit No. BLDE-20-003624Offial Use Only
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:12/27/2019
City or Town of: YARMOUTH To the Inspector of Wire...
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 74 OCEAN AVE
Owner or T ANTHONY DICARLO Telephone No.
Owner's Address 74 OCEAN AVE,SOUTH YARMOUTH,MA 02664
Is this permit in conjunction with a building permit? Yes Cl No Cl (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters
New Service Amps Volts Overhead 0 Undgrd Cl No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: rewire 2 post lights include underground trench(508-726-0009)
Completion of the following t try be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of ///��� / Total
T en/N KVA
No.of Lumieaire Outlets No.of Hot Tabs aA No.of Luminaires Swimming Pool Above ❑ Iq- ❑ No.. r-. t,_
grad. grnd. Batterv'7`
•
No.of Receptacle Outlets Na.of Oil Burners FIRE AL s S
No.of Switches No.of Gas Burners No.of Detection a
Initiating Devices
C/\�IQ7O
No.of Ranges No.of Air Cond. Total
No.of Alerting Devices O
•
No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained
Totals: DetestiontAlertine Devices
No.of Dishwashers Space/Area Mating KW Local Cl 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 Sinus 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: ARTHUR P DOHERTY
Licensee: Arthur P Doherty Signature LIC.NO.: 17197
(If applicable,enter"exempt"in the license number line) Bus.Tel.No.:
Address:372 YARMOUTH RD,HYANNIS MA 026012043 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 Telepho e No. C.�_z I PERMIT FEE:S519.10 175 da
041 g f/a ' (I,c 1 s,`W 3/q w/uQotartrc -rb/3&D-e-M 0
_ A 1r-c. 1(I S/zD
0. Commonwealth of Official Use Only
ft-AA Massachusetts Permit No. BLDE-20-003624
S!' 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:12/27/2019
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) 74 OCEAN AVE
Owner or Tenant ANTHONY DICARLO Telephone No.
Owner's Address 74 OCEAN AVE, 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: rewire 2 post lights include underground trench(508-726-0009)
Completion of the following 1,. i ay be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of a / Total
T era KVA
No.of Luminaire Outlets No.of Hot Tubs
Tet
a s KVA
No.of Luminaires Swimming Pool Above 0 In- ❑ No. , : r i
grad. grnd. Battery T, s
No.of Receptacle Outlets No.of Oil Burners FIRE ALA S 0
No.of Detection a
No.of Switches No.of Gas Burners Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices 0
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: ARTHUR P DOHERTY
Licensee: Arthur P Doherty Signature LIC.NO.: 17197
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:372 YARMOUTH RD, HYANNIS MA 026012043 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 Telepho e No. PERMIT FEE: $30:00 /76 d7)
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ApartmentofgireS Permit No.FjeJOE - alo -0 0.36.
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— BOARD OF FIRE PREVENTION REGULATIONS , •O.�ry•
and Fee Checked
f• � " �. ev. 1/07] „we blank
APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL
•
All work to be performed in accordance with the Massachusetts Electrical CodeWORK
(PLEASE PRINT IN WK OR TYPE ALL INFORMATION) Date:'527 CMR l Zoo
City or Town of YARMOUTH e-� o-� za l
By this application the pndersi ed To the Inspector of Ices:
gn gives notice of his or her intention to perform the electrical work described below.
. Location (Street&Number) 0 CC-A A. i/�
Owner Ur Tenant A/(/Two/,/l� 7J� �—:••����'_--mss S
Owner's Address
/ / ' Giq ('/6 Telephone No.
Is this permit in conjunction with a building permit? •
Yes ❑ No
Purpose of Building0 (Check Appropriate Box)
rN �`'v�/ /' /J(i Utility Authorization No.
t' Existing Service Amps Volts Overhead
_ 0 Undgrd❑ No.of Meters
`\(1 New Service Amps / Volts Overhead
❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
Completion of the follcrwing table may be waived by the Inspector of Wires.
No.of Recessed Luminaires
No.of Ce�7.-Susp.(Paddle)Fans No.of Total
Tran
o formers VA
No.of Luminaire Outlets No.of Hot Tubs
Generators KVA
No.of Luminaires SwimmingPool Above In- •No.of t;mergency Lighting
� ornd. � �-nd_ � Battery Units
0 tw No.of Receptacle Outlets No.of Oil Burners FIRE A.L,AR.MS No.of Zones
W�`C � ! No.of Switches No.of Gas Burners No.of Detection and ,
> NjNo.of Ranges Initiating Devices
s No..of Air Cond. Tons No.of Alerting Devices
W 0 o.of Waste Disposers Heat Pump Number Tons I KW No.of Self-Contained
uj
Totals: Detection/Alerting Devices
0 1 L ,z No.of Dishwashers Space/Area Heating KW' Local❑C uaicipal ❑ Other
W/ C 13 onnecbon
i S'o.of Dryers Heating Appliances KyF, ecnrity Systems:*
m m io,of 'ater No.of Devices or E. ' alent
Heaters KW o.o o.of
g Si. s Ballasts Data Wiring:
V No.Hydromassage BathtubsTelecom
No.of Devices or E.uivalent
•
No.of Motors Total HP Teleco of Devi alio inn g:
OTHER: No.of Devices or •uivalent
S
k Attach additional detail ifdesirec4 or required by the Inspector of Wirer.
Estimated Value of Electrical Wor
Work to Start (When required by municipal policy.)
INSURANCE COVERAGE: Unlet ss waived by the Otions to be �wnecn p�tin accordancewith
p��e of 10,
and upon completion.
the licensee provides proof of liability insurance including"completed operation"coverage or its bcal stantial k may l n1B-The less
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
equivalent.
CHECK ONE: INSURANCE ® BOND 0 OTHER
C
I cettffy, ander the pains and penalties ofperjury, (Specify:)
that the information on this application is true and complete.
d FIRM NAME:
w Licensee: • Tri o r1 LIC.NO.:�/7 /9
o ry s� ��n Signature
o (If applicable,enter" renpt in the license number line) ����� LIC.NO.:
Address:3 r74o L �� /� Bus.Tel.No.:
J `Per M.G.L. c. 47,s.57-61,security work re. fires it,/-5 //7 .,Z"'
OWNER'S INSURANCE 4Department of Public SafetyAlt.Tel.No.: a ---77'"-------- A>/- Q p
Qrequired by law. RANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.No.
Owner/Agent
By my signature below,I hereby waive this requirement I the(check one O c�coverage n --
� 0 owner's a eat