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Home My WebLink AboutE-20-2893 co Commonwealth of Official Use Only = 4\ Massachusetts Permit No. BLDE-20-002893 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:11/18/2019 City or Town of: YARMOUTH To the Inspector.of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 52 EARLY RED BERRY LN Owner or Tenant WALSH BEVERLY A(LIFE EST) Telephone No. Owner's Address 8 BURNLEY RD, NORWOOD, MA 02062 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 panel. 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 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 Water KW No.of No.of Data Wiring: Heaters Siens 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 ri l , t f ! 01f:. , W Commonwealth o//t'laddachuealte Official Use Only ,71 ,- 7 c� c� Permit No. (L— Z°3 ;t. �L epartment el ire Serviced S - 11 Occupancy and Fee Checked r,' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) v�. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 3 All work to be performed in accordance with the Massachusetts Electrical Code(ME ,527 MR 12.00 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I( I? City or Town of: YARMOUTH To the Inspec or of ires: ..>" By this application the undersigned gives notice?Ibis or her intent' to erform elect 'cal work described below. CD Location(Street&Number) 5)- 1(Ii/ p � QOP LP' Owner or Tenant cjd4^^ W cJ k_ Telephone No. ,SQ $S' 6O 7 (.-.' Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) •-----' Purpose of Building Utility Authorization No. fl) Existing Service Amps / Volts Overhead ElUndgrd❑ No.of Meters /. New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (7,Q p(s.(.� e c„,, . j rD,_ 1 .., %, Completion of the following table may be waived by the Inspector of Wires. +,i, 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 Swimmingpool 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 AlertingDevices 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 ❑ Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications VVirin No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lec 'cal Work: f (When required by municipal policy.) Work to Start: a ( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C E: 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 parrs and penalt�ie�of p/e'rj�ury,that the informal; t this applic ti n is true and complete. FIRM NAME: A'1't, l---tP1 Q-ICc (,C.. LIC.NO.: Licensee: ACA- 15" /� Signature LIC.NO.: S2(5:5 (If applicable,enter" mpt`to }tense e.) \ Bus.Tel.No.: SD k 71.S'7�� Address: 4[I<S Cs�T (q 1 Alt.Tel.No.: *Per M.G.L.c. 1 7,s.57-61,security work requires Deent 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ SO'