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Home My WebLink AboutBLDE-23-003842 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003842 �—' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:1/16/2023 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) 74 OCEAN AVE Owner or Tenant ANTHONY DiCARLO Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Permit to close out expired permits:E20-3624,E20-3681,E20-4184,&E21-4407. 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 �f Total Transfor / A No.of Luminaire Outlets No.of Hot Tubs Gener orp.i j), Q A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Eme Righting!f" grnd. grnd. Battery Units / No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS o.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine 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 0 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 Sivns No,of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total IIP 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: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD,HYANNIS MA 026012043 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 Commonwealth of Massachusetts Official Use Only i ` =- � Permit No. F3-a --- 5 6 A-1 e------t-- =- Department of Fire Services R E Occupancy and Fee Checked .............- X14'.12V� PC1ARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) JAN liitMLI ATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al' work to be performed in accordance with the Massachusetts Electrical Code (MLC), 527 CMR 12.00 BUILDING e"- +, i TIN INK OR TYPE ALL INFORMATION) Date:/\ 11 2_O 1,5 Ely: oNw n of: >'fl ermv 1, d To the Inspector 6f Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) '7 y U c F A ki A\16 Owner or Tenant A NT'f/o N V 1)4... CA C-ID Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No 2 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps ! Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps i Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ei /t L tCn f t x , 57_N & Pe,I'M � 7-51 j Cal-�<� Cre j I�P. /�, r& ,A ) ( DC-�+ c, 5 /�N1� N 14 Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. T Trans formers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ l o. of Emergency Lighting grnd. ,rnd. 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. Tonsl 1.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 ❑ Other No. of Dryers Heating Appliances KWSecurity Systems:* Connection No. of Devices or Equivalent No. of Water K`,�, 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: 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, andjias exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE lE BOND 0 OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury; that the information on this application is true and complete. FIRM NAME ''S;D( Ff((�(j CAR �- CoA)T Aa 5 NO.:A 1 7 1 9 7 Licensee:A► "Hu I ' L7o h e rT K_ Signatu e,. rid. I 4 ' ' '-z= NO.: (If applicable, enter "exempt'. in the license number line. Address: .5 7 / ,' T� C Dr Al. R �/>�( d t1 AI,4 0267,3 Bus. Tel. No.:Alt. Tel. No.:6_J$ -7 Z fc> -OOJ ? *Security System Contractor License required forthis work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am awate 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 0 owner's a ent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 5