HomeMy WebLinkAboutBLDE-21-006461 , — or tikV Commonwealth of Official Use Only
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Massachusetts Permit No. BLDE-21-006461
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:5/7/2021
City or Town of: YARMOUTH 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) 29 KATES PATH VILLAGE
Owner or Tenant Kate/Mullin Telephone No.
Owner's Address 29 KATES PATH,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 ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Recessed lighting,surface lights, &gas fire place.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 22 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. 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/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 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. Qr l�
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) SteCJ 6
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: CATALONI ELECTRIC
Licensee: Steven Cataloni Signature LIC.NO.: 12359
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:988 King Street, Raynham MA 02767-5314 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:$75.00
Coma+wnweafth o/rilamacituasii4 Official Use Only /
0, � 'i c� c7 Permit No. 2- — () ( (PI
.LSsparimani o j,,.,tips..SerViC s
' Occupancy and Fee Checked
b REGULATIONS [Rev.BOARD OF FIRE PREVENTION (leave blank)
\' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
%..1
All work to be performed in accordance with the Massachusetts Elect ical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5 l a/
c City or Town of:)/4.2,10t:Y7f PO 7 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) a- el K I)TE,2., ,,47W Owner or Tenant /04-7 066//t, Telephone No.
Owner's Address ,St E
•k1 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building //vl�t Utility Authorization No.
Existing Service Amps / Volts Overhead El Undgrd 0 No.of Meters
1 New Service Amps / Volts Overhead El Undgrd 0 No.of Meters
riNumber of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: /C/1 G/<of#7-/'6 /2 f C 3-SC7) a'-
,,° 5vi2. A1av1iT7 z-iah`n a/�S T72c-:-.o eF
Completion of the followinktable my be waived by the Inspector of Wires.
14). No.of Recessed Luminaires a 2 No.of CeiL-Snap.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
rA
No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting
�v g grad. ❑ grad. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners Rio.of Detection and
Initiating Devices
11 I No.of Ranges No.of Air Cond. TOE No.of AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number,Toss otals: _KW NDe of on/Ale main
No.of Dishwashers Space/Area Heating KW Local Devices
❑ Connection
❑ 016er
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water , No.of No.of Data Wiring
Heaters Signs Ballasts No.of Devices or Equivalent
No.Aydromassage Bathtubs No.of Motors Total HP Telecommunications WhUr
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:5-6-,1 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 covsage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjary,that the information on this application is true and complete.
FIRM NAME: d47W C-0.V/ Z62' /r(~ LIC.NO.:,4/073(9
Licensee: �J-7� C2i1-774 ,t r Signature add -h /" LIC.NO.: f ///1-
(If applicable,enter"exempt"in the license number line.' Bus.TeL No.: -—f 13/f
Address: 9 /C/416 ,57 /<� ` 1 /Ll Ai. Alt.TeL No.:
*Per M.G.L.c. 147,s.57-61,security work requires t 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)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE:$