HomeMy WebLinkAboutBLDE-22-001250 4 of
e Commonwealth of Official Use Only
Qt,„\
�, Massachusetts Permit No. BLDE-22-001250
• 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:9/2/2021
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) 23 PAULA LN �g CASS
Owner or Tenant Kevin Barbato Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No 0 (Chi ." Box)
Purpose of Building Utility Authorization No u
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 . ,o• t f
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade 0/H 100 amp service to 200 U/G 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- ❑ 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
Initiatine 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/Alertine 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 Ballasts Data Wiring:
Heaters Siens 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: Christohper W Cunha '7 7 - 'fCC Q 3'4
Licensee: Christohper W Cunha Signature LIC.NO.: 12274
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:85 S MAIN ST, BERKLEY MA 027792001 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 my
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
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14,I � BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
IL I . .-- [Rev. 1/07] (leave blank)
'' ( A " PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
C'1 All work to be performed in accordance with the Massachusetts Electrical Code MEC),,527 CMR 12.00
LLY{ O
0 cL (pi?,SE PRINT IN INK OR TYPE ALL INFORMATION) Date: i/Z/L(
uj : t� City or Town of: West Yarmouth To the Inspector of Wires:
B -thi: application the undersigned gives notice of his or her intention to perform the electrical work described below.
Z I,.,.,'i n(Street&Number)23 Paula Lane
•wner or Tenant Kevin Barbato Telephone No. 508-326-3916
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Dwelling Utility Authorization No.6555381
Existing Service 100 Amps 120 / 240 Volts Overhead ❑✓ Undgrd❑ No.of Meters 1
New Service 200 Amps 120 / 240 Volts Overhead
❑ Undgrd ❑✓ No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace 100A overhead service with 200A under ground
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- ❑ 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
Tot
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Municipal
P Local❑ Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of WHeaters KW ater No.of No.of Data Wiring:
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: $3500 (When required by municipal policy.)
Work to Start:9/2/21 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: LIC.NO.:
Licensee: Christopher Cunha Signature L . .. LIC.NO.:12274-B
(If applicable,enter "exempt"in the license number line) Bus.Tel.No.:774-406-0346
Address: 79 Vaughan St. Lakeville, MA 02347 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 0 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $