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Home My WebLink AboutBLDE-22-000721 0Commonwealth of Official Use Only ifE l , Massachusetts Permit No. BLDE-22-000721 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:8/9/2021 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) 443 STATION AVE Owner or Tenant MARTIN JOHN F JR TR Telephone No. Owner's Address WAREHOUSE NOMINEE TRUST,47 FARM LN,SOUTH DENNIS, MA 02660 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: Unidentified work to be done. 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 Above In- No.of Emer enc '' No.of Luminaires Swimming Pool ❑ ❑ g y = = /m grnd. grnd. Battery Uni ji No.of Receptacle Outlets No.of Oil Burners FIRE AL:,�.1 . o. •• 4.•• • •1 No.of Switches No.of Gas Burners No.of Detec n 21, Initiatine Device A No.of Ranges No.of Air Cond. Total No.of Alerting Devi s /� el4o Tons O 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 n is pion ❑ •i eCO 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: MICHAEL A CARAMANICA Licensee: Michael A Caramanica Signature LIC.NO.: 52932 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 130 FURNACE COLONY DR, PEMBROKE MA 023593017 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: $80.00 RECEIVED EAUG 0 Q21 Commonweal.of t'//amachtutette official Use o BUILDING : ��iZZ j 7 Z '"k-'f`=7 c� {� Permit No Br .,_;�.;+. ENT epartmsni of.. irs Services ' =aARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �S '+ [Rev. 1/07] (leave blank) 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK v 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: ?-3-7 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned,gjvvs notice of his or her intention to perform the electrical work described below. V Location(Street&Number) 41 3 d-t cv 4.veD Owner or Tenant a o a. ad Telephone No. (O i/'7-- 95-7-20-9 r5I Owner's Address U Is this permit in conjunc ion with a building permit? Yes �/No E 0 (Check Appropriate Box) Purpose of Building ( O tijM er<t4 Utility Authorization No. Existing �� Amps /CO / ��Volts Overhead � Service ❑ Undgrd No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: r Completion of the followingjable m be waived by the Ins ctor of Wires. U.U. No.of Recessed Luminaires No.of Cell:Sas No.of Total p.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above o In- 'No.of Emergency Lighting trod. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and lr Initiating Devices No.of Ranges No.of Air Cond. Tonsi 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❑ Municipa Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.ofNo.of Devices or Equivalent Heaters ' Data Wiring: No.of 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: Inspections to be requested in accordance with MEC Rule 10,and upon completion. (J INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless (n the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The Q." undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. r) CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: t e.. Cc rCks4? .`t <U Signature (If applicable,enter"exempt"mpt"in/he license nu bei lin ) LIC.N0.:2�9 ^� Address: ' ('Pel o Stn rP,�b!—obs; 1171,-- 0 25$ 9 Bus.TelTel..No.:_ *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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 • owner ■ owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ .