HomeMy WebLinkAboutBLDE-23-19662 10/12/23,5:42 AM about:blank
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Commonwealth of Massachusetts , , .
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* Town of Yarmouth $ oz,
ELECTRICAL PERMIT „,.... . , 7' 4-
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Job Address: 0 UNION ST Unit:
Owner Name: TOWN OF YARMOUTH CONSERVATION DEPT
Owner's Address: 1146 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19662
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Electrical service from pole 24/86 MASS DOT Camera (Route 6 @ Station
Avenue. . o 7etec q 3 C
No.of Receptacle Outlets: No.of Switches: l�v Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: 0
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 2,500 Work to Start: October 12, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JARED COVIELLO License Number: 21344
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: NORTH READING, MA, 018642520 NORTH READING MA
018642520 Fee Paid: $80.00
Email: chantelm@cei77.com Business Telep e: 781-391-4050 X Z2-C
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical w e
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.
INSURANCE:
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RECE, IVhu
SEP 112023
nwealth of Massachusetts Official Use Only v
_,Y- -- .G DEPAR _ Permit No.: �Z1 —`L'( Co(o
"�� c — ' ••rtment of Fire Services Occupancy and Fee Checked:
_ .? BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
\z*= APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: Yarmouth Date: 9/1/9073
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number):Fxit 75 at Station Ave Unit No.:
Owner or Tenant: MASS DOT ITS Email:
Owner's Address:10 Park Plaza, Room 741, Boston MA 02116 Phone No.: I-g51-341%-Lilo%
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No[1 Permit No.:
Purpose of Building: Utility Authorization No.: 7846435
Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
New Service: 30 Amps 120 /240-Volts Overhead® Underground❑ No. of Meters: 1
Description of Proposed Electrical Installation: Electrical service on pole #24-86 for MASS DOT camera
pole at Rte. 6 medium at Station Ave
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:
• No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
r+ No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
HNo.Heat Pumps: Total KW: Total Tons: Fire Alarm System El No.of Devices:
4) Swimming Pool:In-Grnd.❑ Above-Grnd.0 Hot-Tub El No.of Self-Contained Detection/Alerting Devices:
UNo.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
(i No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
sz No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
i No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating:
\ OTHER:
sf Attach additional detail if desired,or as required by the Inspector of Wires.
s
1 Estimated Value of Electrical Work: $2500 00 (When required by municipal policy)
u Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Coviello Electric & General Contracting Co., Inc. A-1 0 or C-1 ❑ LIC.No.: A1-1542
Master/Systems Licensee:Jared Coviello LIC.No.: 21344A
Journeyman Licensee: Jared Cnviello LIC.No.: 12447B
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address:
Email: Telephone No.:
I certify,under t ins d7tie rjury,that the information on this application is true and complete.
Licensee: Print Name: Jared Coviello Cell.No.:781-391-4050 ext. 240
INSU COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provide proof of liability 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[iK BOND❑ OTHER❑ Specify:
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 0
Owner/Agent: Tel.No.:
Signature: Email.:
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