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Home My WebLink AboutBlde-20-002891 or Commonwealth of Official Use Only CE. Massachusetts Permit No. BLDE-20-002891 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 pertorni the electrical work described below. Location(Street&Number) 31 CAPT NICKERSON RD Owner or Tenant WALSH JOHN DANIEL Telephone No. Owner's Address P 0 BOX 426,SO DENNIS, MA 02660-0426 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Transfer switch. 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 1 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 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 4:8'. ,t c(I Iq t(9 OS). N ;V 0 l...omnwnwsalth.o1//laasachuaaltd Official Use Only 'a;ri., ' �Us/vartmant o Permit No. �r-CJ r- � 0 /.ira sarvicad �¢, c 11 Occupancy and Fee Checked LiC ';A r, BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) ` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK d All work to be performed in accordance with the Massachusetts Electrical Code(MEC :527 CMR 12.00 d (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: jiff f ,� City or Town of: YARMOUTH To the Inspector of Wires: () By this application the undersigned gives notic of his or her intention to perform the electrical work described below. c) Location(Street&Number) / „ILh W f uu f Owner or Tenant l ch„t C/�� ,S� Telephone No...co Si Owner's Address 5-(J4(/t(.� Is this permit in conjunction with a iding permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building 1) Utility Authorization No. c) Existing Service Amps / Volts Overhead❑ Undgrd n No.of Meters ' New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters /� Number of Feeders and Ampacity Y Location and Natur of Proposed Electrical Work: JkS.L_f( t/0 0444 1/14414ut r Swi !`illi '= Completion of the following table may be waived by the Inspector of Wires. otal .. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. 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/Alertin. Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ �� Connection 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 Wiring: 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: /c� (When required by municipal policy.) Work to Start: // 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 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$$erjury,that the information r this ap ' anon is true and complete.y(? 2 $fLLt FIRM NAME: O a cj ELL LIC.NO.: Licensee: a it,,,./ Signature LIC.NO.: $' (If applicable.enter;w,Lmpt"i thh II ease numb 'ne.) Bus.Tel.No.: Address: /� � f d Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. ( PERMIT FEE:$ D