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Home My WebLink AboutBLDE-23-004990 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004990 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:3/10/2023 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) 64 PARK AVE Owner or Tenant PUBLICOVER FRANCIS G TRS Telephon Owner's Address PUBLICOVER REALTY TRUST, 158 PANTRY RD, SUDBURY, MA 01776 Is this permit in conjunction with a building permit? Yes ❑ No 0 heck Appropriate ox) Purpose of Building Utility Authorization o. 12238293 Existing Service 100 Amps Volts Overhead 0 Undgrd No.of Mete New Service 200 Amps Volts Overhead 0 Undgrd 0 PFe. IOleters 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 Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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 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 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: Michael R Antosca Licensee: Michael R Antosca Signature LIC.NO.: 10650 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 BEAVER BROOK RD, PLYMOUTH MA 023608211 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 " ( ,5 Co./no...A NN hiu Official Use Only /� -- omaromaea %cc/7�'lam[a�c Permit No. -4R ! v :r�•c 2eparfmanl el.}ire Serviced ?-. Occupancy and Fee Checked ��' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07)O (leave blank) J 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—7'23 City or Town of: pc'yv(p U f P's To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ('p y Pc r/f !4 V e l(/p S 7f' yd// er)c)f Owner or Tenant an cl ra Pr,b I kin tier Telephone No.(030-23s:936.5 Owner's Address <O y pork Are vl 0 Is this permit in conjunction with a building permit? Yes ❑ No pas (Check Appropriate Box) - Purpose of Building Res i de.H I-,'4 I Utility Authorization No. k a Z.3 2 2 93 C Existing Service /00 Amps 240 //ZO Volts Overhead a Undgrd❑ No.of Meters I 0) New Service ,2(')Q Amps 2t►0//20 Volts Overhead[3 Undgrd❑ No.of Meters j .__ Number of Feeders and Ampacity /-31,r/re 2 00 am 2I/0//.Z e) ZLocation and Nature of Proposed Electrical Work: Up Q rode 0 vC.r I-.a or/ Ste vi r w 'i-n 2200am)o c,,//h new Pane/ inJ(3oxUrlertf' Completion of the folknvinVable may be waived by the Inuector of Wires. Total No.of Recessed Luminaires No.of CeilSa (Paddle)Fans No.of KVA eP• Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above in- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grad. ❑ Battery Units ' No.of Receptacle Outlets No.of Olt Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No.InDeteitlatingon and In Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained i Totals Detection/Alertink Devices Micip No.of Dishwasher Space/Area Heating KW Local❑Conunnection ❑Other o.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent 0 z o.of Water No.of No.ofKW Data Wiring: u2. X, Heaters Signs Ballasts No.of Devices or Equivalent �'1 N ' o.H dram a Bathtubs No.of Motors Total HP Telecommunications Whival y sssagNo.of Devices or Equivalent THER: W I CDa'--" Attach additional detail if desired,or as required by the Inspector of Wires. OtY V Q ?F,timated Value of Electrical Work: (When required by municipal policy. w ore to Start:3-7 Inspections to be requested in accordance with MEC Rule I0,and upon completion. m_SURANCE COVERAGE: Unless waived by the owner.no permit for the performance of electrical work may issue unless 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 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: LIC.NO.: Licensee:M:ei.ae.1 R Rni-oSe_at SignatureAJ44 e2 „Qat LIC.NO.: IO(050B (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.'Sb 78 98 Address: (aj�ver Brook 2d Plymoctt., ell4 0�.16G Alt.Tel.No..IOP,70•L$ 7 *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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE:S Signature Telephone No.