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Home My WebLink AboutBLDE-23-002574 Commonwealth of Official use only � iPA ' Massachusetts Permit No. BLDE-23-002574 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:11/9/2022 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) 169 CENTER ST Owner or Tenant CARBONARO STEPHEN F Telephone No. Owner's Address CARBONARO EVA M, 169 CENTER ST,YARMOUTH PORT, MA 02675 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: Rebar grounding 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 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 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: Licensee: Signature LIC.NO.: (If applicable,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: 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: $50.00 60 1iI6/� �/ yy� Cccammerueena ofccl eeseLetts ��Ofyficial Use Only • r'' t Apartment of.Jks�iraksd Permit No. U I 0 �--zterO'7D� a— Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] p�eblenk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in ecowdmce with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: November 8,2022 City or Town of: Yarmouth Port 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) 169 Center Street Owner or Tenant Stephen and Eva Carbonaro Telephone No.347-723-6014 Owner's Address 169 Center Street Yarmouth Port.MA 02675 Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Barn Utility Authorization No. Existing Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters J'tew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampa¢ky Location and Nature of Proposed Electrical Work: Email:capecarpenter2@aol.com Cantpklion of the follawinVabk may be waived by the inspector of Wires. otal U.) No.of Recessed Luminaires No.of Cell.-Snip.(Paddle)Fans No. f VA TTransformersosTransformersK KVA Gl No.of Luminaire Outlets No.of Hot Tubs Generators KVA d' No.of Lamhaires Swimming Poo'Above ❑ ❑ No.of Emergency Lighting end. grad. nd. Battery Units �' No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices I(' No.of Ranges No.of Air Cond. Tom No.of Alerting Devices sed No.of Waste Disposers HeatTotals: Number Toy._?�_._..No. Detection/Ale rsk�ad�ya D1evices No.of Dishwashers Space/Area Hating KW -_- Local❑Connection ❑(1 No.of Dryers Heating Appliances KW SecuritySystems:` No.of of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications i Wiring: ofDevices 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: 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 cert(fy,under the pains sad penalties of perjury,drat the informadon on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (Ifapplkabk,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 Q,Nui.,wat 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 3 n-JT 2 L3 (,�'7 I PERMIT FEE:S Signature Telephone No. ` �'t.,[