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Home My WebLink AboutBLDE-23-005902 '4' - Commonwealth of Official Use Only 4 ; Massachusetts Permit No. BLDE-23-005902 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:4/24/2023 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) 23 PAULA LN Owner or Tenant KEVIN BARBATO Telephone No. Owner's Address 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: Install generator 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 1 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 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 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: John J Ostiguy Licensee: John J Ostiguy Signature LIC.NO.: 18192 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:396 MARION RD, MIDDLEBORO MA 023463102 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: $75.00 ta_wztli Li Cy r (4(z($.$ __ Cemasonw.a/ih of J1lailac�iti Official Use Only ii v c� (� Permit No. j— ,1,t �1- aC)epartm.nfof.jireJsrvicee T�� . Occupancy and Fee Checked 2.- 1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave bla►k) 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 INFORILL4TION) Date: ��ClikJ :/ City or Town of: W\A` K --r l 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 c \ vIr 1,eA ' Owner or Tenant .-\i`N �c'.ii)Ce-'Pr M) Telephone No. C.4 J` 3\l(p Owner's Address 'j ,.rt ._a-- Is this permit in conjunction with a building permit? Yes n No K. (Check Appropriate Box) Purpose of Building residence Utility Authorization No. Existing Service Amps I Volts Over-head f 1'ndgi•d{ 1 No.ul tteteu s New Service Amps I Volts Overhead n Undgrd E No.of Meters `umber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Back up power/generator 2 I G jC � Completion of thefollowm_table may be waIved l'the Imp eclor of Wires. al No.of Recessed Luminaires No.of CeiL Tr No-Susp.(Paddle)Fans T of KTV A Transformers KV�1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- no.of l mergence Lighting grnd. grnd. u 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 AlertingDevices 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 ❑ Other No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of No.of No.of Devices or Equivalent Heaters K Data Wiring: Signs Ballasts No.of Devices or Equivalent No.H}dromassage 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: 2.00,3 (When required by municipal policy.) Work to Start: 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 ceriif,under the pains and penalties of perjury,that the information on this application is trite and complete. FIRM NA_N E: Reliable Power Services rrrrII LIC.NO.:18192A Licensee: John Ostiguy Signature_ LIC.NO.:18192A (If applicable,enter"exempt"in the license number line.) vJj Bus.Tel.No. 508 946 2298 Address: 40 County Rd East Freetown MA 02717 Alt.Tel.No.:508 916 0354 "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 ❑owner.s agent. OwnerAgent Signature Telep, ' :'.1� Ry1IT FEE: D v R • APR 2 4 2023 BUILDING DEPARTMENT BY' -.