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Home My WebLink AboutBLDE-23-005510 ,, Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005510 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:4/4/2023 City or Town of: YARMOUTH To the Inspector of Wirro: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 84 CAPT WEILER RD Owner or Tenant SHAW SUZANNE C Telephone No. Owner's Address C/O SUZANNE S BRADY,84 CAPTAIN WEILER RD,SOUTH YARMOUTH,MA 02664-2868 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade U/G service. Completion al the following table may be waived by the Inspector al-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. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detine Dtecevictiones and Inrtia No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No,of Waste Disposers Heat Pump Number , Tuns KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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 Na. PERMIT FEE:$150.00 310/73 een nvir 8rc(i ci 0423 , • // Official Use Only �oCommonwealth, o� a��acett� } = 1, c� Permit No. 2�-' S' \c �'1` WON 2e artment o/3ire Service) -_-— z, Occupancy and Fee Checked tex -� —1' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) Y 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: 3/30/2023 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) 84 Captain Weiler Road Owner or Tenant Suzanne Brady Telephone No. 508-367-1899 Owner's Address same Is this permit in conjunction with a building permit? Yes I No 0 (Check Appropriate Box) Purpose of Building $ ,5,-e_. lAfr41.jCW CdI lr1 Utility Authorization No. 12476197 Existing Service 100 Amps 120 /2 4 0 Volts J Overhead n Undgrd Ti No. of Meters 1 New Service 200 Amps / Volts Overhead Ti Undgrd K No. of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: installation of 200amp underground service w/ trenching & mini split installation Completion of the following table may be waived by the Inspector of Wires. Total No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans Tf 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 Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Dis osers Heat Pump Number To s KW No. of Self-Contained p Totals: a Detection/Alerting Devices No. of Dishwashers Space/Area HeatingKW Local ❑ Municipal ❑ Other P i Connection No. of Dryers Heating Appliances KW Security Systems:* Y 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 Electrical Work: 10 K, (When required by municipal policy.) Work to Start: 4/12/2023 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 liabili insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cov rage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the infor t n on th' -a 1. (don is a and come. FIRM NAME: RCA Electrical Contractors Inc. . �A Licensee: Randall C. Agnew Signature' � w` 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.