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Home My WebLink AboutBLDE-22-000138 or Commonwealth of Official Use Only c , Massachusetts Permit No. BLDE-22-000138 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:7/9/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical w k described below. �s Location(Street&Number) 13 GAY RD6- P `--r'r1'r► O e-0 J� Owner or Tenant P Telephone No. Owner's Address , 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: Wire family room&2 exterior receptacles. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 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 11 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Security Connection 0 Other: No.of Dryers Heating Appliances KWtems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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. �� d � ' CHECK ONE:INSURANCE BOND 0 OTHER ❑ (Specify:) -�gf- 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 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 (bco...6 11 0--(t4 Nieues C c PM-lac 4) qbeFj /0x. 3 tivr 7/16-t "-) J-,,41-1- 5/3/z, e RECEIVED "R I,� ________.........L._ J.K 0 8 2021 BUILDING DEP $ ENT Commo,uuea/th_/ saa� ({e Official Use Only B <_ ,' c7 t 1/4 Permit No. (Z2'b t 3 S 2eparfanenl el.}ire Serviced I I ', . Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),127 CMR 12.00 6 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1— b--Z 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. vJ Location(Street&Number) I J 60t y ki) Owner or Tenant e f/ La, 7 0(A` ett x Telephone No. (0(715-7.25/$' V 1 Owner's Address C Is this permit in conjunction tAith a uildiig permit? Yes No ❑ (Check Appropriate Box) Purpose of Building cat �4 Utility Authorization No. c"--'` - Existing Service Amps / Volta Overhead❑ Undgrd❑ No.of Meters ' New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ' Number of Feeders and Ampadty I Location��l Nature of Proposed Electrical Work: bud-Q_ �Gt/V1.IIty roc."'t, W�`� 2 act--(ot?t' S/ ICompletion of thefollowing.table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 No.of Cell.-Susp.(Paddle)Fans No.of Total Lb, Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA .' No.of Luminaires Swimmingpool Above In- No.of Emergency Lighting ., grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets /1 No.of Oil Burners FIRE ALARMS No.of Zones KNo.of Switches 3 No.of Gas Burners -No.of Detection and Initiating Devices 114 No.of Ranges No.of Air Cond. Tons 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 0 Municipalonnection 0 Other C No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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: /V Q(� (When required by municipal policy.) Work to Start:7—t-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 cova a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) 7 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. c L-? 3 r FIRM NAME: ,,/ ^ LIC.NO.: Licensee:/(A t e, tJ'� C+t"lanr ock Signature �A LIC.NO.:'�27�g-a (If applicable.enUmphe lc� num ins. `!'� 1 Address: DD of` lo f.. t.M1 OZ7 Bus.Tel.No.: *Per M.G.L.c. 47,s.57-61,securityworkAlt.Tel.No.: requires Department o 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:$ 7s- 1