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Home My WebLink AboutBLDE-22-003386 0 LNG Commonwealth of Official Use Only NI Massachusetts Permit No. BLDE-22-003386 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.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) City or Town of: YARMOUTH TDate:the inspecto 14/2021 By this application the undersigned gives notice of his or her intention to perform the electrical work described below,r(Wires: Location(Street&Number) 26 WREN WAY Owner or Tenant ALGER DALE TRS Owner's Address ALGER NANCY TRS,26 WREN WAY,SOUTH YARMOUTH,MA 02664Telephone No. Is this permit in conjunction with a building permit? Yes❑ No ❑ ( . fojsria[e Box) Purpose of Building Existing Service 100 Utility Authoriza[io New er 200 Amps Volts Overhead ❑ Undgrd 0 s"Meters^ .,..: Amps Voltsl?AD•Pf Number of Feeders and Ampacity Overhead ❑ Undgrd n<vi*AkIYIfters` Location and Nature of Proposed Electrical Work: Upgrade service _ \) �l ♦ y9//J j✓.l cr Completion of the following tab tabiV zie t No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of nspector q/vGi No.of Luminaire Outlets GenerTransator Hot in �A No.of Luminaires SwimmingPool Above In- '`� grnd. ❑ grnd. a Battery of Emerge '` tin No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges lnitlatlnv Devices No.of Air Cond. Total Tong No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons Totals: KWNo.of Self-Contained No.of Dishwashers Detection/Alertinv Devices Space/Area Heating KW Local 0 Municipal fl Oel r: No.of Dryers Heating Appliances Connection - -- No.of Water KW No.of No.of Ballasts KW Security Systems:* Heaters No.of Devices or Eauivalent Stens Data Wiring: No.Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent .Estimated Value of Electrical Work: Attach additional detail if desired or as required by the Inspector of Who Work to start: (When required by municipal policy.) 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 ❑ I certify,under the pains andpenalties o (Specify:) jperJury,that the information on this application is hue and complete FIRM NAME: CATALONI ELECTRIC Licensee: Steven Cataloni Signature Tel. NO.: 12359 (Ijapplieable,enter"exempt"in the license number Tine.) Address:988 King Street,Raynham MA 02767-5314 Bus.Tel.No.: *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 Owner/Agent ) El owner CI owner's agent. Signature Telephone No. IPERMIT FEE:$50.00 ..� S2= /? ris /z,4p 3106 OeILI3c/c '4 OP 14 Commonwealth of Massachusetts Official Use Ony i Department ent FirePermit No. G BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev. 9/O5) (leave blank) Alr- ' PL.ICA�Tt01� FOR PERMIT TO PERFORM ELECT`RICA�. WOR Ali work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 MR 12.00 -4 , PAWN INK OR TYPE ALL INFORMATION) /v� / r}/ _s�, ; City or Town of: 19i� M o ate. � To the Ins ctor . (�� p of Wires: i ,,, ''"°{ 4 the undersign gives notice of his or her intention to perform the electrical work described below. 1 'tikrest&Number) �� 4..)ie a.9 arTenant .441_,<ET __ "94 067---zz _ f_ _- Telephone No. ai,� • sec's Address ` ,3 - 3 s this permit in conjunction with a building permit? Yes 0 No L��.;�/ (Check A ro slate Box rpose of Building � i(� PP p �j ) � Utility Authorization No. ‘? 3 / 3 3 Plating Service / z) Amps id 0 / 8c/Volts Overheadr Undgrd ❑ No. of Meters ` Nam'Service a0� Amps /�a / a Volts / Overhead Undgrd n No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: go >D F `; Completion of the following table may be waived by the Inspector ofWires. ,,, No. of RecessedLuminaires No. of Ceii.-Susp. (Paddle) Fans p �, , , , o. of Total p L. ;4 Y,`" No. of Lumi>safre Outlets Transformers KVA No. of Hot Tubs 4.:4 54 } /� Generators KVA " ' '`,ar` *> Na. of Luminaires -0--- ,* Swimming Pool Above ❑ In- ❑ o. or Emergency Lighting x� � .rnd. rnd. Battery Units 4 ; No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones {l No. of Switches No. of Gas Burners o. of Detection and No. of Ranges _ -- _ �. No. of Air Cond. otal No. of AlertingDevices ces Tons No. of Waste Disposers HeatTotals:Pump No. of Self-Contained otals: 1 Number fTons [KW Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municip it Connection 0 Other No. of Dryers Heating Appliances KW Security Systems:* No. of Water No. of No. of Devices or Equivalent Heaters KWNo. of Data Wiring: Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: OTHER: No. of Devices or Equivalent Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: /� , (When required by municipal policy.) ai Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C GE: Unless waived by the owner, no permit for the perfothe licensee provides proof of liability insurance including "completed operation" covers ce e or electrical work may issue unless undersigned certifies that such cov age is in force, and has exhibited proof of same to the permit issuingsubsgtoffi equivalent.ts ial The office. �; CHECK ONE: INSURANCE g BOND ❑ OTHER I certify, under the pains and penalties0 (Specify:) of perjury, that the information on this application is true and complete+FIRM NAME: e 4-7 GCs,tir`� Licensee: �� - 4 Signature 57-eVeX--) C ` (If applicable, enter ''exempt"in the license number line.) u LIC. NO.: �� // Address: /�f'A)6 Bus. Tel. No.: 0* -5 s'�7- 4r4,Y A)#' &76 ? Alt. Tel. No.: *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability required by law. •$ m insurance coverage normal",3 Y Y signature below, I hereby waive this requirement. I am the (check one) ❑ owner 0 owner's Owner/Agent Signature Telephone No. PERMIT FEE: $ ;? N Ze>. Y s" 4f�3c1--....3c.. Z it), Y ��'�'rd�s ,u jit w/Lv/ v1 iq-,. ,1 i2,4,,,.) sre o-l� ` ✓.v)t L e4✓F ye J'c"7' /a Cr9 is'o-c /?1 t1.14+eC6J ,,.--5 +/ ti L>' tJ?? c'0i712 U'2)✓2 L i L i.vrj.l 1/1) 4-C,At r v s r l')2,0,. 1 >p3,„ 4 �:r is �, r•s .r.;..,:. .zo- ,..i.4.... ,Ii,,4,,....,,,,,, • c,,,`'t 5 z : y x