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Home My WebLink AboutE-19-1647 / C. Commonwealth of Official Use Only c�® Massachusetts Permit No. BLDE-19-001647 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work lobe performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) - Date:9/19/2018 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) 142 CAPT SMALL RD Owner or Tenant LETENDRE PAUL A Telephone No. Owner's Address LETENDRE KAREN, 142 CAPT SMALL RD,SOUTH YARMOUTH, MA 02664 Is this permit In conjunction with a building permit? Yes 0 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: Install sub panel in garage&install 2-20 Amp, 1-30 Amp,&1-50 Amp circuits. 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 grnd. grnd. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiation 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 KN, No.of No.of Data Wiring: 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 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 ofperfury,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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 J np Cemmonm.aa off cc7Mamaac ff� GI Use Onlyly el n(Thaparim. oi.lire J twin! Permit No. `te7l Cl — l( , li 7 -�` Occupancy and Fee Checked = BOARD OF FIRE PREVENTION REGULATIONS ev. 1/071 • peave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 �jp/IP City or Town of: YARMOUTH To the I7737/1 ns/eector of Wirer By this application the pndersigned gives notice of his or her intention to performthe electrical work described below. • • Location(Street&Number) /171 err int:, Sole �l /n i • Owner or Tenant e ti Ct. a Telephone No. lr Owner's Address ( ,..._.1i..„. 6� Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building t � Utility Authorization No. Existing Service_ Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: LL _ Iti$O`tti SrnS rJr+.C�A t t Z.y I(rs vex(1 a- ao eAc ('ren-At‘V 4— is—3o Pi- CtV c-t d -1 I ,Cori (`\Ytti-Sf Completion of thefollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ca.- (Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Abovd- 0 Be 0 In- Nato.oftery UniEmergency Lighting Crud• Cruts No.of Receptacle Outlets No.of On 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 Heating KWLocal Q Munninci ecptiaoln 0 other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No of Na of Devices or Equivalent Heaters KV No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP I elecommunications Wiring: No.of Devices or Equivalent OTHER: ' �- Attach addtlional detail if desired or as recurred by the Inspector of Wires. Estimated Value of _le cal Work p�S'(IU (When required by municipal policy.) Work to Start: 9 I?' y Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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 0 BOND 0 OTHER 0 (Specify:) I certify, under the p5jits and penalties o perju ,that the information . . a..tic, •:.n ' true and complete. y FIRM NAME:�(� � L� i C LIC NO.: LO 3.� License: n A Signature LTC.NO.: „S- (Ifapplicable,enter"estyyt"in the licensg number I 1 Bus.Tel.No.. Address: no %JOk =] _ Icy 4 �y�7a J *Per M.G. c. 147,s.57-61,security work re ires Departmentarof Public Safety"S"License: Alt.Lic.No.TeL •-- =1 vLJ - 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. r Owner/Agent I Signature Telephone No. I PERMIT FEE: $