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Home My WebLink AboutBlde-20-002389 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-002389 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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) 45 RAINBOW RD Owner or Tenant MORIARTY KEVIN &P GALLUZZO Telephone No. Owner's Address 591 KENDALL CT, MARCO ISLAND, FL 34145-2482 S �� Is this permit in conjunction with a building permit? Yes 0 No 0 ( Bei Purpose of Building Utility Authorization No te; W_ Existing Service 100 Amps Volts Overhead 0 Undgrd 0 4 New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters 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 ❑ n- ❑ 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 ❑ 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 (/f 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 1-- -P.e6P Q ) i ('c(f( 1- Commonwealth of Massachusetts p�''ol a: //r�eial Use Only 5 e� '. "; Permit No. �i�--nJ'� a Department of Fire Services ` '1 Occupancy and Fee Checked _'; BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1 I/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code(ME ).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /0 //i F �/+,City or Town of: e �/Af iY)a 7' To the Ins eel` r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number) ?j4-/V (4) gn Owner or Tenant KO) i /\J MO K t i V Telephone No.(p 0 -`l 3is- -me- Owner's Address </441,, Is this permit in conjunction with a building permit? Yes n No ¶ (Check Appropriate Box) Purpose of Building /DO/17/ - Utility Authorization No. 0\365�0 Existing Service /00 Amps OD/ a40✓olts Overhead IV Undgrd n No.of Meters ' New Service Amps / Volts Overhead❑ Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (, St .V, . e , Completion of the following table may be waived by the Inspector of(tires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Tf Tot Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above ❑ In- ❑ No.of Emergency Lighting No.of Lighting Fixtures Swimming Pool grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones o No.of Switches No. of Gas Burners No. If n Detectionand 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: 1Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Connection Municipal ❑ Other No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications of Devices or Wuina: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of II'ires. 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:) (Expiration Date) 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. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /� LIC. NO.: Licensee: 1�f�Q'�n 1�. L'f�ll�Q( Signature �j� ` ��Z/A:fit^ LIC. NO.:c 4/33 (If applicable, enter "exempt"in the licenE numbe r line.) Bus.Tel. No.(21 7-733 462c Address: Ea i f}{i(Y)A-�,(J(' . -O47 Alt.Tel. No.: OWNER'S 1 U ANCE IV • am aware that the Licensee does not have the liability insu ante coverage normally required by aw. B my sig t low, I hereby waive this requirement. I am the(check one) wner ❑ owner's agent. Owner/Age p�� 00 Signature /4 Telephone No. (a t i J 144 7 PERMIT FEE: $ ,