HomeMy WebLinkAboutBlde-21-006601 Commonwealth of Official Use Only
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Massachusetts Permit No. BLDE-21-006601
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:5/14/2021
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) 184 SOUTH SEA AVE UNIT 31
Owner or Tenant KANE MICHAEL W TRS Telephone No.
Owner's Address 5 SCHOOL ST, MEDWAY, MA 02053
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 ❑ Undgrd 0 No.of Meters
New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Permit to inspect final for expired permit(BLDE-17-006132)
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 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 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 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: Robert F Davis
Licensee: Robert F Davis Signature LIC.NO.: 32671 e'
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:24 COOPER DR, FRANKLIN MA 020381069 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
4t. S-171'
�` Commonwaa of Maeeachudalte Official Use Only
1°'�,'� '"^^ n Permit No. ��,
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;i(-J� 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(M ),527 MR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,j 3�-I/
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) /89' SOM.'/i 54.9 A vI U ey/i 3/
Owner or Tenant y,L" /t.//C le}G. uj 7795 Telephone No.72y 2/0 y 0 ySCS—
Owner's Address S- S t,WOOL s 7- /*7,gV &'4/ p d 0.5-3
Is this permit in conjunction with a building permit? Yes ❑ No''® (Check Appropriate Box)
Purpose of Building . /Q/Z S /71D E Utility Authorization No.
Existing Service t o D Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampadty
Location and Nature of Proposed Electrical Work:
,>,
vl
Completion of thefollowinktable may be waived by the In vector of Wires.
t.I. No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of Total
` Transformers KVA
'=:t No.of Luminaire Outlets No.of Hot Tubs Generators KVA
r‘
st No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grnd. _and. ❑ Battery Units
No.of Receptacle Outlets .0 No.of Oil Burners
FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
t r No.of Ranges No.of Air Cond. Total
Tons No,of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons (KW No.of Self-Contained
Totals: ......_...._... ( ]
Detection/Alerting Devices
No.of Dishwashers / Space/Area Heating KW Local Municipal
❑ Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of WaterNo of
No.of
Heaters KW Data Wiring:
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: � A' (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 operjury,that the Information on this application is true and complete.
FIRM NAME: 40bipr / too S LIC.NO.:
Licensee: q 0 b SAT ic.. 0,i9V/S Signature 04, 0/ LIC.NO.:1,Z 6 7 /
(If applicable,enter"exempt"in the lice a umber line.) b'/ Bus.Tel.No.: G 7 - /Address: „7,/ Coop �R DR F r A/K. /1y /`74 0.2 o3� ' Y 3 -a 6
Alt.
*Per M.G.L.c. 147,s.5 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 la By yy si ature below,I hereby waive this requirement. I am the(check one), owner ❑owner's agent.
Owner/Agen
Signature Telephone No,'2 2 Y V0'0�5 eI PERMIT FEE:$ 50, 461
o� t•,
Commonwealth of Official Use Only
•
Massachusetts Permit No. BLDE-17-006132
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 NEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/24/2017
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) 184 SOUTH SEA AVE UNIT 31
Owner or Tenant KANE MICHAEL W TRS Telephone No.
Owner's Address 5 SCHOOL ST, MEDWAY, MA 02053
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: Install 2 kitchen circuits and 1 dishwasher circuit
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 ?bo[r _ OVe # Iq ❑ No.of Emergency Lighting
grad .•grR4 • Battery Units
No.of Receptacle Outlets 2 .No.of Oil Burners • • 'FIRE ALARMS No.of Zones
No.of Switches No.of GajBurners .• ' I. . , _ • No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond, • • TbtAl No.of Alerting Devices
i• Tons
No.of Waste Disposers IHeat Pump Number Tons KW No.of Self-Contained
. 1Totals: Detection/Alerting Devices
No.of Dishwashers 1 'Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers 'Heating Appliances KW Security Systems:*
No.ot•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 • Telecommuhr: ations Wiring:
No.of Devices or Equivalent
OTHER: •
Attach additional derail ii 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. —„nplction.
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may ics. unless the licensee
provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undo-signed 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 EC.NO.: 18352
(If applicable,enter"exempt"in the license number line.) Bra•-Tel.No.:
Address:71 NEARMEADOWS RD,WEST YARMOUTH MA 026735009 All.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 no--_.ally required by law.But
signature below,I hereby waive this requirement.1 am the(check one) 0 owner ❑ . ner's agent.
Owner/Agent
Signature Telephone No. PERM:7-"FED': $75.00
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