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Home My WebLink AboutBLDE-19-003512 ,✓ • tea.�� Commonwealth of - .. Official Use Only Massachusetts iPermit No. BLDE-19-003512 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:12/10/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomt the electrical work described below. Location(Street&Number) 56 SQUIRREL RUN Owner or Tenant GALLAGHER JOHN W Telephone No. Owner's Address GALLAGHER BETSY L,56 SQUIRREL RUN,YARMOUTH PORT, MA 02675 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 0 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 owner supplied generator. 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 1 ICVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. 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 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 Watery 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 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 I l.ammetuveaal o/Massachusetts Off'011idal Use Only t= apartment �c77� [�77 Permit No. �� s 7 1Jspartment of Yire Jervices �g BOARD OF FIRE PREVENTION REGULATIONS Ov. 1/07ry and Fee Checked �� ;Rev. 1/07] . {leave blank) APPLICATION FOR�PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMA2T01‘9 Date: f� City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned gives no; e of his or her intention to perform the electrical work described below. • Location (Street&Number) , ,t ..-1 1 4.-•CIA/I Owner•orTenant ,k ¢- - y oc/ej ✓�, _ f Telephone No. Owner's Address 1 ' Is this permit in coign' ' with a bundin permit? Yes El N9 • Purpose of Building ..., ❑ (Cheek Appropriate Box) -i_---.-_— UH[ity_AathorizstionNo, Existing Service lnp Amps \e'�.v /A Volts Overhead E Und d � � gr ❑ No.of Meters / New Service _ Amps / Volts Overhead 0 Und • grd 0 No.of Meters I a !._�z amber of Feeders and Ampacity • 't cation and Nature of Proposed EI !�! Electrical Work: ti _ r S e C _• YYY e 91 C cC1. ;I tris!o,(( t t��i t/�,1 �- " • . t- c tui N lc i l� �', O Completion ofthe o owuritable maybe waived by the Inspector of Wires. tilo.of Recessed Luminaires Na of Cert Snsp.(Paddle)Fans No.of Total t�""' w !z o.of Luminaire Outlets Transformers KVA LU tm iJ Na of Hot Tubs Generators KVA -� o,of Luminaires Above In- No.of l,me en h M1� .____y Swimming Pool ttrnd. 0 grnd. 0 Battery Uma cY tug No.of Receptacle Outlets , No.of On Burrners 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 ITons IKW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers • Space/Area Heating KW Local 0 Municip Connectioaln 0 Otter No.of Dryers Heating Appliances KW Security Systems:' No.of Water W Na of Devices or Equivalent Heaters KNo.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent • Wog Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of lege0 'cal Wor"1� /SV C— Work to Start1 (WheII required by municipal policy.) INSURANCE C VEI Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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:) FIRM NAME:the /i•ins and pen• ' s aim' 'guy,that the inform.% on • is appliro',n ' true and complete. — c ' CGa ,a /1019„. LIC.NO.: 2i 6 1 Licensee: Si ature (if applicable,enter"temp / LTC.NO.: 9 .' in the e e number 1 ) , Address: �] p r n /C/PW.)) I if ,; Bus.Tel.No.• t7, tiny j 'Per M.G.L.c. 47,s.57-61,security work requires Department of Public SafetyAlt Tel.No.: �1 � • OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.insurance o. � required bylaw. Bymysignature coverage normally qm below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent Owner/Agent wner/Agent Signature Telephone No. I PERMIT FEE: S 1