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Home My WebLink AboutBLDE-21-007166 Commonwealth of Official Use Only 't Massachusetts Permit No. BLDE-21-007166 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/071 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:6/10/2021 City or Town of: YARMOUTH To the Inspector of Wires.- By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 60 BROADWAY UNIT 1 Owner or Tenant Englewood Association Telephone No. Owner's Address 60 Broadway,West Yarmouth,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro late Box) Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead ❑ Undgrd 0 4f New Service Amps Volts Overhead 0 Undgrd 0 ;. Number of Feeders and Ampacity � /]A Location and Nature of Proposed Electrical Work: Upgrade grounding for swimming pool. O///� I ro Completion of the following table may be waive 6 ."t r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of )1/ �1 I, Transformers No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above ❑ I - ❑ No.of Emergency Lighting 23 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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: (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. r—��_ �� CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) l I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Kenneth G Cataldo Licensee: Kenneth G Cataldo Signature LIC.NO.: 15105 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 OLYMPIA AVE,WOBURN MA 018016307 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 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:$100.00 Zr q,iioakceitraC 4 - ' 0 'W- IcTTTi ti The Commonwealth �"• �� Uic Only -, ID , of 1��a Asa h setts i 4 `` en Iry DepartmI of Public Sa , l 1 1 t Zip 7( !� (P i L.. .-. Oc pa I. o, y Fcc cckcd •'�. / BOARD OF FIRE PREVENTION REGULATIONS A3CENADIts.tto yq _ = �:" iJT i ttJvc °link) By:APPLICATION FOR PERMIT TO PERFORM n Ail ,..'ork to be prriorrncd In Accordance w-iih the Macs-schuseru Electrical Code. 527 CMR�� RI CAL WORK C�0 ( PLEASE P ...LN T IN INK OR TYPE ALL INFORMATION) Date 1417 -a 0 l c i t y o: Tow no f r�I '6 5 7 �li►�,�,0•7° 7h — n Io the Inspector of Wires : The undersigned applies for a permit to perform the electrical work described below. Location (Street f, Number) b nitre at. U ,17 ! '-h..-ie o: Tenant ,E./ 1 jefle d0P....._ /4-31;06/C1/0/ — tuts pe:c t in conjunct ion with a building •-TM . rr - ` F.c.: wit : cs r— moo_ ! I (Check Appropriate Bc•x) :-urposc of Building_ 4946- Utility Author iidtion NO. Existing Service Amp, Volts �r ---- encea�.a Undgrd No. of N,eters Kew Service Amps / Volts Overhead [ J Undgrd ! No. of :deters Number of Feeders and Ampacity '.,:scat ion and Nature of Proposed Electrical Work ,ai4 t-47,'i f CfP,/1 1c 704?"7,a - . tU,� of = r.`,:ght: t letsNo _ __--- - --- N0 . of No; Tubs No . of Transformers Total - — �.'V. of Lighting Fixture; Swimming Pool Above '— in- —__ grnd . , grnd . # Generators 1C'r'A Nu . of Receptacle outlets a, No . of Oil Burners No . of Emergency Lighting Battery Units No . of F• i :.ch 0,2t le 1 ( No . � ��+: s turners FIRE AI.ARtS No . of Zones No . o: Ranee:; No , of Air Cond . Total No ;. of Detection and tons , Initiating Devices No. of Disposals No . of Heat Total Total ------ rumps Tons KWNo . of Sounding Devices .. o. D: sa:tie:s Space /Area Heating ng • kW No . o f Se 1 f Cor,to fined _ Detection /Sounding Devices • o: :^-•:ers Heating Devices }:11 Local fl Municipal I'� Connect ionUQ`h`'r U; +:atcr Heaters KW No , of No . of Low Voltage Signs Ballasts Wiring No . Hydro Massage Tubs f No . of Motors Total HP °THE°: ___ /4 ///7 c P6°e2 4 .7 "W 7 /V', 6 ir6P a/f°° 47 P __ 7�o d v7`(1J - �F7 %1�'ir1/�� _P/ 17v/f/ - iNSUR.UCS COVERAGE : Pursuant to the requirements of Massachusetts General Laws have a current Liability Insurance Policy including Completed Operations Coverage or its substantial t•l...ivaler.t . YES0 NO 0 I have submitted valid proof of same to this office . YES f NO U : : you have checked YES , please indicate the type of coverage by checking the appropriate box. :NSUt 'No L j ?JON) ri °TUFT: 71 ( Flcasc Spec . S". united V,� !UC of t. lectri��:11 Work (E..tp. iration D3( - ork to Start ^ __. __-- Inspection Date . Requested : Rough Final ~ __ ~ Signed under the penalties of perjury : -:Pr NAME if m/7 c/f J I ?/ ___ i-ilrt,�r, ' �G eG-7fi r� Ga/t l . o'.�/� 1. NO. �f/ Licensee f" 1e/�f G/ Signature --- LTC. NO. _2G /c?J t A(!dress pt �Y ,/b O . eTe1 . No . Alt . Tel . No .7,,pl- 7,7- 5-�f� (A, rR' S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its sub--- :tar,tial equivalent as required by Massachusetts General Laws , and that my signature on this permit application waives this requirement . Owner F-, Agent 1� (Please check one ) • Telephone No .. PERMIT FEE S —_ -- --- ----