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Home My WebLink AboutBLDE-23-005262 O. Commonwealth of Official Use Only 'L.....-"A Massachusetts Permit No. BLDE-23-005262 ,-_ 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:3/24/2023 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) 94 BROADWAY Owner or Tenant PETRONE ADELE LIFE ESTATE Telephone No. Owner's Address 40 MAIN ST#407, STONEHAM, MA 02180 ) Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap• opKS ox)r, Purpose of Building Utility Authorization No. \>ti if Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of MArr New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Mete Number of Feeders and Ampacity /d r:f Location and Nature of Proposed Electrical Work: Service upgrade. v 1//�� Completion of the following table may be waived by the Ins t ,dj Tres. : a'h No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tot _,. 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. Batten/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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Euuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Euuivalent 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: KENNETH G CATALDO Licensee: Kenneth G Cataldo Signature LIC.NO.: 15105 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 OLYMPIA AVE,WOBURN MA 018016307 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 ECE1V •_ D v ---- � Official Use Only v 'naa „! � Permit No. �3 '92 `.� ;o R 2 4 2023 i'spar nt o jJ serviced 104 i. t; t -0 Occupancy and Fee Checked •,`-,A, ,INGBOA O I'E PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Y PPLICATION 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: ,? -, f ' 1c:) City or Town of: 7 c7A'gl e-/717 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) 9 4/ /�i-4,904 6L/=s 1 ,J4'M "' 71' Owner or Tenant A Q1/ / T Rewe- Telephone No. Owner's Address sx//7 r V Is this permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building 8( . Utility Authorization No. Existing Service /h c Amps / Volts Overhead[} Undgrd❑ No.of Meters f New Service ..7e7,; Amps [.«/ ,Z26 Volts Overhead El Undgrd ❑ No.of Meters / ZNumber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Cm y to G/ u/e/C'A' /'/ '4j{ t. G/y/771 1GiGP//,T/ L h ' il%;j- ,I"/_'/tv' ,G #. GI/1/7 itl,7/"'47 �7, ?/' 2 .r v) Completion of thefollowin&table may be waived by the Inspector of Wires, No.of 'Total tsi No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA a Above In- No.of Emergency Lighting it. No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units "4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and t Initiating Devices 1 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 P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of DryersHeating Appliances KW Security Systems?r No.of Devices or Equivalent No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDevices or Equivalent Y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: -‘2,,,....., % (When required by municipal policy.) Work to Start:J..?,?1 ,I.,„2" 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 Ea. 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: f i Lift/ /r c1,1�7 C/f 7Qli/'e' LIC.NO.: /1'/Or./¢ Licensee: -7 Signature796<,‘,5je - LIC.NO.:,26IY4 f (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:76`/-y.?g-S`T� Address: ,2-rX O. 4;/Y7L'i�7 nob-Tr /7/ Ai C'f e 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.