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Home My WebLink AboutBLDE-23-005641 Commonwealth of Official Use Only ot� Massachusetts a r Permit No. BLDE-23-005641 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:4/10/2023 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) 34 SKYLINE DR Owner or Tenant SEBASTIANO ANTHONY Telephone No. Owner's Address SEBASTIANO MARIA, 55 HIGHLAND DR, MIDDLEBURY, CT 06762 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 f 'a New Service 200 Amps Volts Overhead 0 Undgrd "17' >E NQ 1of Me rs Number of Feeders and Ampacity '! ,`d-, ^�` 4 Location and Nature of Proposed Electrical Work: Upgrade service&install EV charger. �' 1 l� ``' ' `� Completion of the followtgitabl a b wgivelh Spector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans N Total Noansformers tit -' ',,, - `� KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lightilig �,, grnd. grnd. , .Battery Units No.of Receptacle Outlets 1 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 ❑ 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 ❑ BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PAUL D FOLEY Licensee: Paul D Foley Signature LIC.NO.: 15686 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 783, MIDDLEBORO MA 023460783 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $100.00 l.ommonaoar#o`Mereeaehreestte Official Use On pi ' t{ t cc77 ��7't ��ii Permit No. C L 3 — L. . ,m 2opartmoni of 3ira-Comical Occupancy and Fee Checked Fo s' BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (leave blank) J APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK sy At work to be performed in accordance with the Ma•srehuaetts Electrical Code(MEC),527 CMR 12.00 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Li( 7/v sJs City or Town of: G r�OV To the Inspector of Wires: d' By this application the undersign. gives notice of his or her intention to perform the electrical work described below. c. Location(Street&Number) .1j Li 5V- 'I i MC e0 r I v G ,J Owner or Tenant CMki bG10GS.60Y10 Telephone No.2..03'597.-14176 1 Owner's Address SGiw•e- G j Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) n Purpose of Building ( eS i ,&ep44'(Lk Utility Authorization No. Existing Service 100 Amps 17.0/ 2 4OVolts Overhead Zi Undgrd❑ No.of Meters I U i New Service 00 Amps 120/2 L(0 Volts Overhead Undgrd❑ No.of Meters I I Number of Feeders and Ampacity O kb MIN 0 p! Location and Nature of Proposed Electrical Work: so ivi 7 fi i ri15te.1. I .v.0 z `i cot;ce deM+at' OncA.rt�cr o vex rw.U- Strvtce °in3(0.de• Completion of the following,table may be waived by the Inspector of Wires. P tal No.of Recessed Luminaires No.of Ceil.-Sus .(Paddle)Fans Tr.of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA r". Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.ofn Detection and In Detection Devices Mill No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers 'Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Connection ❑Other No.of Dryers Heating Appliances KW SecNo of Detems:* vices or Equivalent No.of Water No.of No.of Data Wiring: ICVV Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Equivalent OCHER: C(CGtrtr. Vt:YtZt:.l.L c.VtGtt1•ef 6cr'5 to u',°c c.'.ctP, ,'' Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work:i IS+oe0 (When required by municipal policy.) Work to Start:AStAIt 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 0 OTHER 0 (Specify:I-eaerattoL PAUttla4. -vrov'c- ' c arvIPI I ceratfy,under tbcnatns and penalties of perjury,that Me information on this application is true and complete. `� FIRM NAME: I Q,�A'o\tip �,\Cc tCtL / LIC.NO.:A I5(J 6 Licensee: Signature LIC.NO.:.. 8I?4 I Warp/ledge,enter"exempt"in the license number line.) Bus.Tel.No.' Address: 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)0 owner ❑owner's agent. Owner/AgentPERMIT FEE:$ SignaturetuneTelephone No. r