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HomeMy WebLinkAboutBLDE-23-005923 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005923 '...0 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:4/26/2023 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) 24 BARKENTINE CIR Owner or Tenant CARBONE CARM ELLA A TR Telephone No. Owner's Address CARMELLA A CARBONE TRUST, 24 BARKENTINE CIR, SOUTH YARMOUTH, MA 02664-5108 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters 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 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 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 Ballasts Data Wiring: Heaters Signs 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: Licensee: Joseph Notkin Signature LIC.NO.: 23028 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 95 Meeting Loose Park,Ashland MA 01721 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: $50.00 £ 19 ✓ 43 ' Cornnwncvealth o/Ma3oach,usetti Official Use Only �'� �T. c-� c7 Permit No. 74 1` .. .-/teparirnenl o/.}ire Services 709 ti i 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: 4.2 N-2 3 City or Town of: YatM oKtk Me 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) 2 N BarKent;ne Glitch' Owner or Tenant Telephone No. S Of-7 31- WI Owner's Address 2N Barkea{t;ne cif elf Is this permit in conjunction with a building permit? Yes U No (Check Appropriate Box) Purpose of Building NBNS a Utility Authorization No. Existing Service 100 Amps 11.0 /2'f0 Volts Overhead Wr Undgrd U No.of Meters I 0 1`iber Service 200 Amps J ZO / 2- 4O Volts Overhead 11J Undgrd 7 No.of Meters LU N l ' of Feeders and Ampacity "N &o *Won and Nature of Proposed Electrical Work: E 'f er;or Pelt(, Xnf c rt r Parfet Stake L(,fq/e ri LL1 CV o 1 Completion of the following table may be waived by the Inspector of Wires. IliI ,a of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total CI- i Transformers KVA CC , of Luminaire Outlets No.of Hot Tubs Generators KVA Above ri❑ In- ❑ No.of Emergency Lighting Nu.of Luminaires Swimming Pool grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners I 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. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices INo.of Dishwashers Space/Area Heating KW HLocal❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW ~Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of q Heaters KW Signs Ballasts Data Wiring: g No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent I OTHER: , Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: rP1 e0 (When required by municipal policy.) Work to Start: V-1 N-2 3 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 cov age 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. i FIRM NAME: No Help El t c ffife LIC.NO.: 2 30 2:A Licensee: Sese pi% Mefkln Signature 5 ose Pl. ilorntli LIC.NO.: 2 302$A (If applicable, cot ggr. "exempt"in the license number line.) Address: l5 Met};es l.,•st Park ASh/.tal AftBus.Tel.No.: 5 o s.7 31-sin *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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. I PERMIT FEE: $