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Home My WebLink AboutBLDE-21-007343 or Commonwealth of Official Use Only E ,I Massachusetts Permit No. BLDE-21-007343 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:6/17/2021 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 work described below. Location(Street&Number) 13 GAY RD Owner or Tenant Jeff Lamoureux 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&add disconnects for split A/C's 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devics 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 S eci I certify,under the pains andpenalties o (Specify:) f perjury,that the information on this application is true and complete. FIRM NAME: Michael A Caramanica Licensee: Michael A Caramanica Signature LIC(If applicable,enter"exempt"in the license number line.) Bus Tel. NO.: 52932 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: Alt.Tel. 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 ❑ owner's agent. Owner/Agent Signature Telephone No. ,r :PERMIT FEE: $50.00 I f iN4tr cg/ih'! OK _tv tDP ---- , 4 SCISi. ' Commonireatft oif Mamacluseelie Official Use 2nly i , V.1 , Permit No.e..,1—(-- 1-t-3 ., i 2eparimeni it/3 i r a Smoked Occupancy and Fee Checked BOARD)OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave wank) 1/41/4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK r All work to be performed in acconince with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL DIFORMATIO14) Date: (r 15-Z t City or Town of: "ovvit, yoi-rieivri To the Inspector of Wires: 2 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) I L.t" ....) Owner or Tenant stFF tfin\ (iv r Q .. ( Telephone No. (-(9(7-117-ay-r-c i-.,,, Owner's Address 1 Is this permit in conjunction wilth a bulldbg permit? Yes El No Er (Check Appropriate Box) Purim*of Sagan V-R ii&el kith 1 4 UtitjAlitim Eldon service /00 Amps 72.40 /2.80 was Overhead lia Unizatiftudgrd 0 NLN: 1 1 41- hl ofbeters New Service Za0 Amps RA) /210 Volts Overhead IY Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature et:Proposed Electrical Work: p 61J e, t-koii ,I 6,,,,,,e., 404 b,s cp.-I/m.0-s- r Ini./VI Sfilf5 "1,41 Completion of tkeloilmvinttabk may be waived by she hole-actor 4'Wires. No.of Total tit No.of Recessed Luminaires No.of Ceit-Sosp.(Paddle)Fans Transformers KVA 6), No.of Lundnaire Outlets No.of Hot Tabs Generators KVA Above r-1 In- 0 go.d Elnergatcy upon ..t No.of Luminaires Swimming Pool ernd. Li out Battery units No.of Receptacle Outlets No.0011 Burton FIRE ALARMS IN..of Zones -,.. No.of Detection and ..... z No.of Switches No.ef Gars Burners hddatinu Devices 11 Total No.of Ranges No.of Air Coed. Tons No.of Alerting Devices Heat Pun*I Number[Toms _j_KW ..No.of Self-Contained No.of Waste Dbposers Totab:I Z_ I "% rim Detectioa/Alectimpevices No.of Dishwashers Space/Area Heating KW Local 0 Mc=1,111ction 0 Other No.of Dryers Heating Appftasces KW SecliNiritYo.ofS=4 or Univalent No.of Water No.of No.of Data Wiring: Heaters • KW S Ballasts No.of Devices or M No.Hydromassage Bathtubs No.of Meters Total HP Telecom No.of Devices or OTHER: Attack additional detail rdesired or i I e required by the Inter of Wires. Estimated Value of Elect,i ipal Work: SYOD (When required by nomicipal policy.) Work to Start: 6-1 6-i 1 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 covgifge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE fer BOND 0 OTHER 0 (SPecifr) • I cen4fv,under the pains and penalties of pedal%that the infoniation on this application is true and complete. S/y 6, FIRM NAME: LIC.NO.: Licensee:../!:11‘ ki _tiLClt e` signature LIC.NO.(2211154+ ". (yapplicabk.enter"crepipt in the license number line.) Bus.Tel.No.:7g V1Z-Y-011 Address: (Pill-tr 5+ pemigakt. /19 ) 023S-4 Alt Td.No.. *Per M.G.L.c. 1 ,s.57-61,security work required Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normrdly required bylaw. By my signature below,I hereby waive this requirement. I am the(check one II owner II owner's _- t. Owner/Agent Signature Telephone No. PERMIT FEE:$