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Home My WebLink AboutBlde-19-002284 Commonwealth of Official Use Only .4./..,,,Hr ' Permit No. BLDE-19-002284 E Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked LRev.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:10/17/2018 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) 33 MORNING DR i V((}(M 'r 8 Cr Owner or Tenant BEAL EVELYN M (LIFE EST) Telephone No. Owner's Address 33 MORNING DR, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization N i Existing Service Amps Volts Overhead 0 Undgrd • O o.of Meters New Service Amps Volts Overhead 0 Undgrr• eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Additional circuits in in-law apartment. ,\ Completion of the following tab)1i i b 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 0 In- CINo.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 ❑ 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 ❑ 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:$50.00 Kne-E- - (etWealkfl 41"° t i ��JJ r� Commonwealth of l/Iadeachuaetto Official l Use Only ('� '� ryc�� c77 [[77 Permit No. 0? �8 ".tom .L.'sf�artment of.J:re Seri/iced V.'irt,,,, 1 • � Occupancy and Fee Checked p 0BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) V APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ),52 CMR 12.00 — (PLEASE PRINT'IN INK OR TYPE ALL INFO • TION) Date: /0 /7/' City or Town of: a To the Inspector of Wires: By this application the undersigned Ives notice of his o her inteto perform the electrical work described below. C3 Location(Street&Nu ) 3 ma kt IA,0w1 C.' J1 Owner or Tenant ,e=`k,/ iti ( t.'l kS Telephone No.$o}j �,1 `)`)e. Owner's Address 5b1-4,(A-_. i, Is this permit in conjunction with a building permit? Yes C No -__, (Check Appropriate Box) , Purpose of Building c , Utility Authorization No. Existing Service Amps / Volts Overhead C Undgrd c No.of Meters New Service Amps / Volts Overhead C Undgrd r No.of Meters d Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �-t(c.A.z.AA\ Li e (('t.o—.hS t -4 e s k1/4„). eke 4 ilk a ma c. \ k C1.4E'.S s 1. tApf Zi,i, Lc > SA-C. ( aaP) 1.4 't Completion of the followingtable may be waived by the Inspector of Wit es. C D otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Trf 'I Transformers KVAVA 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 Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained t-/) No.of Waste Disposers Totals: Detection/Alerting Devices Co niei do No.of Dishwashers Space/Area Heating KW Local❑ I ❑ Other Connection No.of Dryers Heating Appliances KW Security ecu i f Devices Or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Data No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications De a Wiring: Equivalent 1-- OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 1Estimated Value of Electrical Work:: a I X._ (When required by municipal policy.) r J Work to Start: /o/(2/t Inspections to be requested in accordance with Iv1EC Rule 10,and upon completion. INSURANCE C '4 RAGE: 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 0 OTHER ❑ (Specify: I cer7051,under the pains and penalties of perjury,that the informati, an th , pdic is true and complete. FIRM NAME: I . 7 _ Aar_doLIC.NO.:�-1 3 '2, Licensee: dj,u , Signature i> ir LIC.NO.: 1'=57 (ys. Of applicab ,enter 'exempt"in the license number Ii �1 Bus.Tel.No.: 1 C&-7`7 7�5C - 7 Address: 13c 6, �C�T� `�" Alt.TeL No.: Ci J7 ( -a y *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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 ❑owner's agent. Owner/Agent r1 Signature Telephone No. PERMIT FEE:$ lj0