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Home My WebLink AboutBlde-20-001262 - Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-001262 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:9/6/2019 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) 14 PHEASANT COVE CIR Owner or Tenant MCCARTHY MICHAEL G Telephone No. Owner's Address MCCARTHY MARY ANN,264 WINDSOR WAY, DOYLESTOWN, PA 18901 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 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: Replacement boiler. 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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 eeZ31._ ( / 1)\‘r 0. co I! -,- -q olec/77//aasnnaclzffs ,. • Official Use Only �7 I _ �1 1J= aParfi ent of.}ire Jaroreso Permit No. ( -- ` �"' �-� �� tf = , BOARD OF FIRE PREVENTION REGULATIONS Occupancyl/07] and Fee Checkedn ) _ icot / % "' Rev. 1/07] ) (leave blank • I uJ tom. APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK ci r z All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 CMR 12.D0 Lt! ' il cw '4F SE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 57 S I 1 g City or Town of: YARMOUTH �: To the I ector of Wires: §ftnis application the itindersigned gives notice of his or her intention to perform tie electrical work described below. Location(Street&Number) /4t 1,61 t 4K, CoGOwner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a uilding permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead D. Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Und d gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: R /Tcil C,4140l/ ipaj dot ter-- Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cer1-Susp.(Paddle)Fans No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmia Pool Above In- No.of Emergency Lighting • g grnd. rind. LJ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Tan No.of Alerting Devices No.of Waste Disposers J Heat Pump I Number 'Tons I KW No,of Self-Contained Totals: f Detection/Alerting Devices j No.of Dishwashers Space/Area HeatingKW Municipal L0� Connection other No.of Dryers Heating Appliances KW Security Systems:* j No.of Water No.of Devices or Equivalent No.of No.of Heaters ' Data Wiring: Signs Ballasts No.of Devices or Equivalent 0 No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent 9 OTHER: (,..9 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of 1 'cal Work: S(J (When required by municipal policy.) Work to Start: S Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O 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:) D I certtfy, under the pains�J`d penalties o'er-jury that the information is applic ' ' true d complete, t�� FIRM NAME: // onG c_. LIC.NO.: J� Licensee: f<- Signature LIC.NO.: (If applicable,enter empt"'n ease er line.) ,A Bus.TeL No.: , Address: PGLvL Lc /F-- Alt.TeL No.. j *Per M.G.L. c. 147,s.57-61,security wor requires 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 norm required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner 0 owner's agent.Owner/Agent 1 Signature Telephone No. I PERMIT FEE: $ 5