The URL can be used to link to this page

Home My WebLink AboutBLDE-22-003356 \\\A. Commonwealth of Official Use Only (Ii I1 Massachusetts Permit No. BLDE-22-003356 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:12/13/2021 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) 15 QUAIL RD Owner or Tenant VACCARO FRANK G JR TRS Telephone No. Owner's Address VACCARO JEANNE M TRS,7 BRYANT AVE, SHREWSBURY, MA 01454 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: Wiring for sunporch addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets 2 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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: Jarret Lotto Licensee: Jarret Lotto Signature LIC.NO.: 10289 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 MARION ST, RANDOLPH MA 023682436 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 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:$75.00 47cth - - I1 lq( , Commonwealth of Massachusetts Official Use Only 535( i1' �-1 Permit ermit No. LZ2•— o ��— Department of Fire Services Ci rF� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [R.ev.9/05] N - (leave blank) > NAp LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK crJ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 w ,--1 }o U (E. PRINT DI INK OR P ALL INFOI4TIO11) Date: Qt. 4- w o o ty or Town of: 7 ii�rnCA_{- To the Inspector ofWires: -� IX By Oil cation the undersigned gives notice of his or her intention to perform the electrical work described below. Location treet&Nu berI 5 ' Owner or Tenant �pf � QR t Telephone No:' _(b�?_ -rip, — Owners Address T i n, 4?0C.i•i7 Li Is this permit in conjunction with a building permit? Yes No • ❑ (Check Appropriate Box) • Purpose of Building v 1.3 k".:(>,�c�• , f - -i n n Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 1';z' ❑ No.of Meters New Service (Z Volts Overhead❑ Undgrd 1'z' ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �e V'tJ'�Si�� .,�1 h Come letion of the ollowin_ table m. be waived by the Ins ector o Wires. ` No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fa o.tal CK) per ransformers I{VA No.of Luminaire Outlets No.of Hot Tubs •�'+ Generators KVA n No.of Luminaires �-- Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Batte Units sk No.of Receptacle Outlets Co No.of Oil Burners FIRE ALARMS No.of Zones --c:4J - No.of Switches -3No.of Gas g ta Lei. No.of Detection and Initiating DevicesTot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices "---V7 ' • • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: --� Detection/Alertingbevices to St No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ Other No.of Dryers Heating Appliances , Security Systems:* 00 No.of Water No.of Devices or Equivalent ICE . .No.of — No.of Heaters Signs Ballasts Data Wiring: No.of Devices or Equivalent _.}0 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent V� OI'IiER: --P Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work 00 D .r. (When required by municipal policy.) Work to Start: {{..,, —(-tk 12• & I 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 thepermit issuingoffice. ' CHECK ONE: INSURANCE el BOND ❑ OTHER ❑ (Spec' 'line �1 � rill1 I certify,under the ins and penalties o ) 'k.'� p fperjury, that the inf ation on this application is true and complete. _FIRM NAME•. t Licensee: LIC.NO.: 02 Signature LIC.NO.:(If applicable, ent r "exempt"in the li ense number line. Address: 1-4AR jQ� �-Tj f2ft L f M.�.. Q Bus el. No.:�(� �d No.: *Security System Contractor License required for this work;if applicable,enter the license number here: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/Agent Signature Telephone No. I PERMIT FEE: $ I