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Home My WebLink AboutBLDE-19-006976 w Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-19-006976 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•6/11/2019 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) 20 PILGRIM RD Owner or Tenant CATALONI RAYMOND J TR Telephone No. Owner's Address CATALONI FAMILY TRUST,20 PILGRIM RD,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 ❑ 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 water heater. 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 o Initiating Devices 'n 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* h No.of Devices or Equivalent Z. No.of Water 1 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: 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 &AI- )/o/19 _ - lrowm montveaLth of MaMac/:a6ett3 • Offic ial Use Only " c'� Permit No. Co�t - f`7(o _-�i-' ..Apartment o f.Firs Services . 'VW Occupancy and Fee Checked ;.-- --.. BOARD OF FIRE PREVENTION REGULATIONS {Rev. 1/07] ---- (leave 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: p City or Town of: YARMOUTH To the I ec Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ...2e) /1.2G Al!r1 2 Owner or Tenant � Cam' /" /1o�TIV S____ n'qyfrlD^vim dii Y h L A.) A elephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No g (Check Appropriate Box) Purpose of Building ,si ) .— ri're- Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: it...)/Ker. t o Aare-r‘..- t4 C-Nr-�1L_ Completion of the follcrwing 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 Swiramia Pool Above In- ❑ No.of 1 mergency Lighting • g grind. arnd. 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 Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal " ILocal Q Connectionct ❑ � No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of Devices or Equivalent No.of No.of HeatersData 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: 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: 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 BOND ❑ OTHER 0 (Specify:) Pe fY:) I certify, under the aims and penalties of erjury,that the information on this application is true and complete. FIRM NAME: ,e 7z J. cei A4FI� A tit r? C b i LIC.NO.: 19f�/ Licensee: J�p�r--7Z� J. �`H R re.t I to Signature LIC.NO.: z'/9��/ (If applicable,ag er"exempt"in the license number line.) ' Address: / U. %30!C /o ijG Bus.Tel.No.:_ s L: _393? S.)/if ie plc cJ5 4 M Jo Alt.Tel.No.: .�d� 2�0-os-37 j "Per M.G.L. c. 147, s.57-61,security work 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 normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE: $