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Home My WebLink AboutBLDE-23-005150 Commonwealth of Official Use Only ' Massachusetts Permit No. BLDE-23-005150 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:3/20/2023 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) 68 PARK AVE Owner or Tenant AGOSTINELLI DAVID J Telephone No. Owner's Address AGOSTINELLI RITA A, 12 ELM ST, NATICK, MA 01760 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. t r �11�d ((� ? Existing Service Amps Volts Overhead 0 Undgrd 0 ,No.o/i t'ers'\ (J New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity ' 1ti Location and Nature of Proposed Electrical Work: Replacement furnace. 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 KV ► 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 1 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sites 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: Nicholas McEloy Signature LIC.NO.: 22642 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 Captain Carleton Road, Cotuit Ma 02635 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 Contnwnweath o`///aesac/laseus Official Use Only ccyy cc77 Permit No. t—z3'S I g.- " 2eparlment o`. ire�ervkee „ 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(MEC),5, 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE AIL INFORMATIOf�) Date: 3 (t j.4,a City or Town of: AIL 1.01A*41 To the Inspecto of W re By this application the undersigned gives notice of his o her intention to pa orm the electrical work described below. Location(Street&Number) 4 g n .e. Owner or Tenant pf(VI b ro s `n-e[(C Telephone No.pr 65 'aS.,,, Owner's Address is this permit in conjursf1on with�aA bunging permit? Yes ❑ No El (Check Appropriate ) Purpose of Building KC"5%l /'l4tGL L Utility Authorization No. N7fF' Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters _ New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kiel .P-ed �X(SA-i j-( 1 r frIc -� Completion of the jollowingtable may be waived by the inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Suss .(Paddle)Fans No.of Total P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.or Emergency Lighting grad. 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 Detection and Initiating Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices ro Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detectio./Alestipp Devices Munkip� No.of Dishwashers Space/Area Heating KW Local❑ nn�m�� n 0 Other No.of Dryers Heating Appliances KW Na Security l�kvlcSs 4 Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: co Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value o Elec cal Work: 6 00' (When required by municipal policy.) Work to Start: 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 0 (Specify:) I certify,ander the pains and penalties of perjury,that the information on this application Is true and cotnpk FIRM NAME: Cane Cod Electrical LIC.NO.: 22A42-A Licensee:Nick McElroy Signature__ ___., :___ LIC.NO.:870 Al(Business) (If applicable,enter"exempt"in the license number line.) Bus.Tel.No: 508-566-4489 Address: 381 Old Falmouth Rd Ste 32 Marston Milts,MA 02648 Alt.Tel.No.: "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 0 owner's agent. Owner/Agent Telephone No. l PERMIT FEE:$ 50 ' Signature Email:Offlce®capecodelect rlc lan.com