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Home My WebLink AboutBLDE-22-004391 , ) ,y Commonwealth of Official Use Only ' �� Massachusetts Permit No. BLDE-22-004391 �- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:2/8/2022 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) 7 SNOW BROOK RD Owner or Tenant STAPLES THOMAS C Telephone No. Owner's Address STAPLES PRISCILLA,48 PENNIMAN CIR, STOUGHTON, MA 02072 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: Remodel basement. 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 0 In- 0 No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices TNo.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 Ballasts Data Wiring: Heaters Signs 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 A Melino Licensee: Robert A Melino Signature LIC.NO.: 16123 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 KEELING RD,WAKEFIELD MA 018802012 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 Zoco-- zito(72, rg-- 4cAL 3/-47- '1 , RECEIVED FEB 04 20fi o noveaa oi Madsacluootto Official UscTly Permit No. e.29_ 4-t3q i 7:4711DINGDE PART rimed 01..7ini-_cerviced , _ . ,,.,, _ ,_ ,,,_ .,_ 0,,,,,it:7-FIS .,•-• _,!-].!Fc-e fl c.Itt,t1 -;-.-- "; , ,):...6. -- .si.., •-,. . . `,..-.-, "'," * `- "' ' '''; 11."v• ""'I (leave blank) kY APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 cj (PLEASE PRIIVT IN INK OR TYPE ALL INFORMATION) Date: al 3 I2.2_ ,,....,. City or Town of Xs w,kt Q.v./In m the,r71spertor of Wfrec' by this appitt;attott Inc uriderstgitt;t1 gives ootwe of his of het littutouta to pcilotlit titc cicctticti v.oik ttcsLtibed bc.tcw. Location(Street&Number) 1 /4-06-) a r ac14., acl cu Owner or Tenant -ro eN 4. P ei 5'Cst/ha STei P LA-J Telephone No. 339 —ci g-7—otro Owner's Address C.icl-frx C Is this permit in conjunction with a building permit? Yes Ea No El (Check Appropriate Box) 12 tt.r1,,,,mr:0 at,:iidtng P4.51 p<4../1-td it*i i,..1:0T..,:; Existing Service ,,,,,z7 Amps I pz, I 9_44.0 Volts Overhead Er Undgrd 0 No.of Meters I 1 New Service Amps / Volts Overhead El Undgrd 0 No.of Meters — Number of Feeders and Ampacity ' Location end Neture of Proposed Fleefrfeel Work! R Ac4-etc,„1- (lc ii,0116.. cl 04..c,.., c..,trris tri -t- 4,4(-if y a...cc.,"ut...t y (1 4."1"c I vv-Tu•-• Completion of the followinvable mg be waived by the Invector of Wires. No.or Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets 4 No.of Hot Tubs Generators KVA Above 1--, In- 1--, No.01 Emergency Lighting ',NkTea.QrT,I.A.m.7.0.4:7- - -.4', - x:;:-.7,if, ; - 1:,,,rpi - 'F,W't' = •:-''."i No.of Receptacle Outlets q No.of Oil Burners FIRE ALARMS [No.of Zones 'No.of Detection and No.of Switches X No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. No.of Alerting Devices Tons Heat Pump I Number t Tons I KW No.of Self-Contained ,No.of Weste%Toler! TottOT: . , ,:,,DeturtioW 4A,FIrt,g,ritreiceA__ ,, ' Mituki _ No.of Dishwashers Space/Area Heating KW Local f 1" Connecttpaion Othern " No.of Dryers Heating Appliances KW Securfty Systems No.of Devices or Equivalent No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 'Telecommunications Whing: NO Flydroyttemsltre Pittittutp! Nr. of Motors Total RP 'OTHER: ftoCel GI r'C C4-1..4../ X V C-0,7 1 1 AT-c)./ iAttach additional detail i f desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1 IS 66, (When required by municipal policy.) Work to Start: 21 3 / 2 2_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVEkAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Er BOND 0 OTHER 0 (Specify:) I certify,under the rains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: R mil re-(g.Lcf)c Ca-t P LIC.NO.: At6I9. 3 Licensee: iC17 )-4,1,1 I il,0 Signature got-Libt'"- LIC.NO.: jr:nt,r1n-oble, ente; "e-( p;7 it (kr iire7ne m,m,>,. 1.,le; 4'2-s re°.:- N.'7,.:71$1...7.,14_97.1<ur Address: 12..0o. .cloc,,, --r 4 t% 1,1 ov4ie,L.A_14-44 c..A 4 44, 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)0 owner ID owner's agent. Owner/Agent ,- 0 o Signature Telephone No. PERMIT FEE: $7,