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Home My WebLink AboutBLDE-19-000548 4 or Commonwealth of Official Use Only 1611 Massachusetts Permit No. BLDE-19-000548 �' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.11071 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:7/27/2018 City or Town of: YARMOUTH Ta the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertarm the electrical-work described below. Location(Street&Number) 92 SOUTH SEA AVE Owner or Tenant SUAREZ FRAY A Telephone No. Owner's Address SUAREZ ISABEL,92 SOUTH SEA AVE,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters 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 grid, grid. 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. 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 0 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 Data Wiring: Heaters Stens 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: 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 Cl 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: John B Raimo Licensee: John B Raimo Signature LIC.NO.: 18352 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 NEARMEADOWS RD,WEST YARMOUTH MA 026735009 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 signature below,I hereby waive this requirement.I am the(check one) El owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 (9,A- "/319b 1'a e(9/<e , _ . - Cantata' al Maesac lis .. ' Official Use Only (� ;v 1JrParlmsaf pi gin..Jrrroicrs . Permit No. Ts� t 8 .ash flOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/o7] • (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code air),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7427/i l 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) Sa t Owner'or Tenant sits , ',t„ScAYe_ _ Telephone No. OYc7I- /C ar Owner's Address 41r�7`^f Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building 1),(._C_t_,(_A_A---) Utility Authorization No. Existing Service!Co Amps I,}ct /d. Volts Overhead t^l Undgrd❑ No.of Meters New Service 9p, Amps (do /9.-co Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ut y�9 tract P �Q)(* {-c) Jo d et lc l St*r vw� Completion of the followingsable may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of Cei1 Sasp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimmipool Above 0 In- No.of Emergency Lighting - ng grnd. grnd. I Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.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 I Number'Tons I KW No.of Self Contained Totals: Detection/Alerting Devices No.of Dishwasher Space/Area Heating KW Local Municipal Connection Otho No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Data Wim Devices or Equivalent No.ofKW 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 lec al Wo (When required by municipal policy.) Work to Start: 3.7 3' Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VERAGE: 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 certfy,under the p ns and penalties ofperjuty,that information on this application is true and complete G FIRM NAME: / (G i wf.) (in,C. (_C LIC.NO.: IO.'�a Licensee: J- Signature LW.NO.: _Sj/y - (Ifapplicable,en ee�'exey+pCx the{{{y F7umber lir�a�i_ {. Bus.Tel No. Ab'7 S 702!') Address. iiAA''//w• 1.10r . /jQ(AAAA G(/�/t CJ4.3� Alt.Tel.No.: rot 074-/ c/ j "Per M.G.L.c. 147,s.57-61,s work requ res 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 Signature Telephone No. I PERMIT FEE: $