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Home My WebLink AboutBLDE-21-005501 o• (9 °?1 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-005501 �"s� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:3/24/2021 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) 26 RUNE STONE RD Owner or Tenant Jorge Mendoza Telephone No. Owner's Address 26 RUNE STONE RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap, op 44 x Purpose of Building Utility Authorization No. el, Existing Service Amps Volts Overhead 0 Undgrd 0 i',',.o New Service Amps Volts Overhead 0 Undgrd 0 e s Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Basement,stove, hood, bathroom,office,family room, &dishw.she e V O Completion of the following table may be waiv • • ec , s.' fires. No.of Recessed Luminaires 17 No.of Ceil:Susp.(Paddle)Fans No.of t: Transformers No.of Luminaire Outlets No.of Hot Tubs Generators Nre No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 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 1 Space/Area Heating KW Local 0 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:) /' — 72q-04 9 I I certify,under the pains and penalties of perjury,that the information on this application is true and complete. /L71 I 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 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: $75.00 tu,ueett 0,1, 1 14 Comunonsmaih.el Massaciane,w Of Ciel Use Only e;x�c giro�.n _ Permit No. L2'% —C-C- 0 a ,twiue Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. m)7] (leave blank) <--- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK J All work to be performed in accowleaee with the Maw Electrical Code(MEC).527iCMR 12.00 (PLEASE PRINT IN INK OR TYPE ALLINFORMATIN) Date: 3`17'21 `- City or Town of: 5UL �/Urr4** To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. % Location(Street alt Number) `21.• Z(r ' 0 2. !'i 1, , Owner or Tenant 50 r'�e M Qn / •ZQ.. I tir A�L,rDE Telephone No. v) Owner's Address 1 Is this permit in co.junction with a building permit? Yes 12' No 0 (Check Appropriate Box) e I Purpose of Building 1�5 1/ ; }rt 1 Utility Authorization No. 4 Existing Service Oyu Amps 1 Z /9..510 Vola Overhead 0 Unaged 0 No.of Meters I 114201V14", Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty I Location and Nature of Proposed Electrical Work: / D, GJi r;43 lb ,el/- 61 -, Ho#DJ1r aan7 t o o(e, F0,-.1,1y (Gly 1 / 151/wc.6 J ,, Completion of thefollowingtab/e be waived by the! of Wires. ,,,ii No.of Total e1, No.of Recessed Luminaires 11 No.of CA.-Snip.(Pathe)Fans Tnosfbormen KVA c...‘, No.of Luminaire Outlet No.of Hot Tubs Generators KVA Above wing 4' No.of Luminaires Swimming Poetgiod. ❑ Iu trod. ❑ �gUnits L �' No.of Receptacle Outlets 15- No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. InitiationDevic s I 1 Na of Ranges I Na of Air Coad. TotalTons Na of Alerting Devices No.of Waste Disposers 'Heat Pump dumber–Tons XW_ 'No.of Se if-Contained Totals: Detection/ADerkes No.of Dishwashers l Space/Area Heating KW nicipal Local❑ MCenaectlon 0 Ober Healing Appliances KW Security :* No.of DryersNo.of$ or Equivalent No.of Water , No.of No.of Data : Heaters Signs Babb No.of Devices or M: No.Hydromassage Bathtubs No.of Motors Total HP Teleemasm ns N0.of De vicesvkYs or OTHER: Attach additional detail(fdesired or os required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 3//8/21 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 covp ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I car,ander the pains penekks ofpetyttry,that the information on his arppdkadon is true end complete. FIRM NAME: LIC.NO.: sor Licensee: 4i6146I (,f,.rqu,,U'►;cot Signatun�%%7/L'� LIC.NO.: Zt 3 (Ifapplieable,eiger"exempt'in the ltd nwnber,lhre) Bus.Tel.No.. Li - -ay'. Address: $r Ce/11-12 5J el rii K /11/ 0Z3511' Alt.Tel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below.I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$