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Home My WebLink AboutBlde-20-002391 o' Commonwealth of Official Use Only l'-x—.Ir • Massachusetts Permit No. BADE 20 002391 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked rRev.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:10/28/2019 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) 28 MERRYMOUNT RD Owner or Tenant COCO JAMES C JR TRS Telephone.Nn._ Owner's Address COCO DIANE M TRS, 28 MERRYMOUNT RD,WEST YARMOUTH, MA 0 J. tJ" t Is this permit in conjunction with a building permit? Yes 0 No ■ (P _ ' ox Purpose of Building Utility Authori ation No.i, 4i Existing Service 100 Amps Volts Overhead 0 Undg : 0 i: No.of Met. s /' New Service Amps Volts Overhead 0 Undgrd .1.o 'eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace riser&meter socket. 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- GINo.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 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: Richard M Caliri Licensee: Richard M Caliri Signature LIC.NO.: 26133 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 93, HUMAROCK MA 020470093 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 10(,&C d (t 4(( 4 (tcr ) 14 l.ommontveakk oI Madeachtlaalld /` i SUS_ 2 r7 r cc�� cc77 Permit No, CV /L'�E J\ / .., \ .74�3, 2spartmanl oi.}ire Services 1 i` 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( C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I%.3 j! 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) l." � /yam ,,_yky11 j0(/,"' (2J Owner or Tenant `-'r'"'5 r'� 0 Telephone No.7C/-33/-3'75D— Owner's Address sti-ro/ Is this permit in conjunction with a building permit? Yes ❑ No g (Check Appropriate Box) Purpose of Building /t'rl/V/ Utility Authorization No. a 3(p5)tI Existing Service /0() Amps /J-O/ OVolts Overhead g/ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: IC t-141Ct- /7/6-71;,_SX e e e(Se-?? . Completion of the followingtable my be waived by the Inspector of Wires. No Total 1.1. Tran KVA No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans f Transformers KVA C; No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin pool Above In- No.of Emergency Lighting g grn d ❑ 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 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 Sys 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: 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 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: LIC.NO.: Licensee: k I fry.. e/�I k/ Signature ��tr� ,(l ,t i,.$ LIC.NO.:GIG t 33 , (If applicable.enter"Gig pt"in�tge lirf�s tuber fine. Bus.TeL No.: i�7a 'bS Address: '15 M t/1'►Jt 4 /I - 6 9 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)Owner 0 owner's agent. Owner/Agee n Signature ayyJ�d C. Cam? �^Telephoae No.7,7 33(3 75, PERMIT FEE:$ . 712L33 i 2 75 2