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Home My WebLink AboutBlde-20-000546 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000546 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:7/30/2019 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) 2 CRUISER LN Owner or Tenant HARROP PAUL E Telephone No. Owner's Address 2 CRUISER LN,WEST YARMOUTH, MA 02673 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: Replace service riser, meter socket, &install ground rods. 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 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/Alertinn Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 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 8(i (r i e .i..... ,,, COffze so►uusalth of///assact'Cu.letis Official Use Only '•c ?.._ y 1-_ st1 Aparfinenni of 5iret Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy 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 C),5 7 ClvR 1100 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION -Date: 3 01 15 City or Town of: YARMOUTH To the Insp ctor of Wires_ By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) arcl`�c'ye I_1A..) _; ; Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No . ❑ (Check Appropriate Box) Purpose of Building4-i.-\._53..—ki-- Utility Authorization No. Existing Service ` Amps 1)C)/ t�`fo Volts Overhead Z. Undgrd❑ No.of Meters New Service \ Amps / Volts Overhead❑ Und d l;r ❑ No.of Meters ,,� Number of Feeders and Ampacity L lion and Nature of Proposed Electrical Work: r 1/40 ic. 1i . �P -� Ste✓ 6\ Sec. e r"! Completion of the followinvable may be waived by the Inspector of Tires. No.of Recessed Luminaires No.of Cet1-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- ;Lott.of Emergency I.�g*'ung ernd. ernd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones . ZNo.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Tons No.of Alerting Devices uNo.of Waste Disposers Heat p I Number I Tons I KW 'No.of Self-Contained als: DetectionlAlertine Devices 0 No.of Dishwashers SpacefArea HeatingKWMunicipal Local D Connection ❑ Other tr No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No. H dromassa a Bathtubs Telecommunications Wiring: y g No.of Motors Total HP No.of Devices or Equivalent ✓ OTHER: .J Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of eciri I Work: 17S ) (When required Work to Start: by municipal policy.) �? (� Inspections to be requested in accordance with MEC Rule 10,and upon completion. `, INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless rs 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 ❑ OTHER ❑ (Specify:) e ' f certify, under the airs and e n I�fy:) P .fPry,that the information on this ap 'cation is true and complete. FIRM NAME: t o rIC r C \ �" l ,A LIC.NO.:j3 ') Licensee: CAI,_ � ' Signature , C e, (If applicable,ent " empt in the license nu r lineal LIC.NO..�_ �/jcj t Address ?� � M�� Bus.Tel.No.- J `Per M.G.L. c. 147,s. 7-61,security work requires Department of Public SafetyAlt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLie.No. 5� insurance coverage n�— required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner 0 owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ �5 0