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Home My WebLink AboutBLDE-23-002022 y}�a Commonwealth of Official Use Only F� Massachusetts Permit No. BLDE-23-002022 �-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07j 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:10/17/2022 City or Town of: YARMOUTH To the Ins pector of Wires: By this application the undersigned gives nonce of his or her intention to perform the etectncal work described below. Location(Street&Number) 39 ERICKSON WAY Owner or Tenant JESUS RAMOS Telephone No. Owner's Address 39 ERICKSON WAY,SOUTH YARMOUTH,MA 02664-2201 n,Vat- Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box)J�Box),— tit •A e l3'S/y9�yY Purpose of Building Utility Authorization No. 10687154 ( Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead ❑ 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 Initiation 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/Alertine 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 Sinns No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: RANDALL C AGNEW Licensee: Randall C Agnew Signature LIC.NO.: 17492 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:381 OLD FALMOUTH RD,MARSTONS MILLS MA 026481555 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 ��,,` a'GL� It t 7 � (t01 stc-ua Q � ��teG.emirs ��'ne.>,0 Commonwealth o/ MalsachulettL Official Use Only )--* r c�j� Permit No ��I -3 -y - � 2 ' .. ="MP- 2epartmeat o f Jire -cervical �'*_____-s 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 ( EC/coa 527 CMR 12.00 (PLEASE PRINT IN INK OR TY E ALL I FORMATION) Date: 10 tl c) City or Town of: (t To the Inspector of Wires: By this application the undersigned gives notice of his or ,herl intention to perform th lectrical work describe below. Location (Street & Number) '5q ,r IL eu1`\1f Wely 8% 'kJ From MA o&k-.) Owner or Tenant '' 15 nCJ11Y1os Telephone No. 611 8.0 \33 Owner's Address Is this permit in conjunction with buil ing er it9 Yes ❑ No K (Check AppropriatefBox Purpose of Building 311\ 1 e. fa(1o) i tNici Utility Authorization No. "' Ib Existing Service 100 Mnps (OJ 4) Vol s Overhead 7 Undgrd ❑ No. of Meters 1 New Service 4)00 Amps \DX.) , Volts Overhead h Undgrd ❑ No. of Meters Number of Feeders and Ampacity t -- G CC.rlr'1 Location and Nature of Proposed Electrical Work: S e rli IC_e-_ C-661 e- Completion of the following table may he waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans T Tot 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 g Tons No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained p Totals: Detection/Alerting Devices No. of Dishwashers Space/Area HeatingKW Local ❑ Municipal ❑ Other P Connection No. of Dryers Heating Appliances KW Security Systems:* ry No. of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring: No. H y g No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of E cctr'cal Work: J (When required by municipal policy.) Work to Start: t0 1 b p 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 'I BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: RCA Electrical Contractors Inc. LIC. NO.: 17492A Licensee: Randall C. Agnew Signature 6h (7 LIC. NO.: (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 508-428-0449 Address: 153 Commercial Street Mashpee, MA 02649 Alt. Tel. No.: 508-648-6766 *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. Owner/Agent PERMIT FEE: $ Signature Telephone No.