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Home My WebLink AboutBLDE-19-000988 Commonwealth of Official Use Only ttEe`'ti Massachusetts Permit No. BLDE-19-000988 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.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:8/20/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice at his or her intention to pertorm the electrical work described below. Location(Street&Number) 54 RITA AVE Owner or Tenant BELL SUNNY M Telephone No. Owner's Address DOTSON PATRICIA A,54 RITA AVE,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remove stove wiring. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddte)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Ab ❑ In- ❑ No.of Emergency Lighting grnove d. grnd. 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 ,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 ❑ Municipal ❑ 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 Siens Ballasts I No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail fdesired,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 ofperjury,that the information on this application is true and complete. FIRM NAME: Robert J Carreiro Licensee: Robert J Carreiro Signature LIC.NO.: 19861 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2 RITA AVE,S YARMOUTH MA 026641976 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 y l-.a 14 email. nateanh of tn/amael adeffd Official Use Only ut, cc-� cc77 pp Permit No. 2eparfinenf of as Jwins Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . 1/07] • (leave blank) APPLICATION FORPERMIT� TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1100 (PLEASE PRINT IN INK OR TYPE ALLINFORM,4TIONJ Date: 7 Zo �� City or Town of: YARMOUTH To the Impfor Wires: _ . By this application the lmdei signed gives notice of his or her intention to perform the electrical work described below. c i _ ,_ [location(Street&Number i illi no :'-'' OwnerbrTenant Pnine/C/,4 �o-co& 4. svxluy if 9.1.1 Telephone No. -'1 N 'c wner's Address tI,I o ill s this permit in conjunction with a building permit? Yes a No 0 (Check Appropriate Box) U o Jo : urpose of Building �E-fl r r, �,,y� Utility Authorization No. xisti Service Ams ) lI1 i� P Volts Overhead D Undgrd g�❑ No.of Meters rye 5 ew Service Amps / Volts Overhead❑ Undgrd 0 No,of Meters �i s -----_,,_��tvinber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,�i46,9e J.1./i_ser,, /G eon,/AJG r ce Completion of the follcnvin&tabIe mDr be waived by the Inspector of Warr. No.of Recessed Luminaires No.of CeB Snsp.(Paddle)Fans No.of Total Transformers KVA - No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above 0 in- No,of k.mergenry Lighting grnd grnd 0 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. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers • Space/Area HeatingKW' Municip Loth 0 Connectioaln 0 Other No.of Dryers Heating Appliances KW Security Systems:* - No.of WaterNa of Devices or Equivalent Heaters No.°t No.of KN' Data Wiring Signs Ballasts No.of Devices or E trivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - Na of Devices or Equivalent OTHER: - Attach additional detail(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,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE jS BOND 0 OTHER 0 (Specify:) f certify,under the pains and pen s of erjury,that the information on this application is true and complete. FIRM NAME: ♦meld. ('mc eple , .4/2-072/C 1,0—At) LW.NO.:________ Licensee: i o 4.i . ,,,r • .. Signature e. LW.NO.: L/qG�- (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.• Address: /4 0-roti >e /o76 S-Y/Htcro-r M2 :- j Per M.G.L.c. 147,s.57-61,securitywor7c Alt Tel.No.: raP- „-o S3,r requires Dep rnt of Public Safety"S"License: Lie.No. �- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nrm "C Owner/Agent required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent • 1 Signature Telephone No. I PERMIT FEE: $