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Home My WebLink AboutBLDE-22-000193 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000193 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:7/13/2021 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) 50 REFLECTION WAY Owner or Tenant Bill Bryan Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Install lights in living room&bedrooms. 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- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 Siens 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 ofperjury,that the information on this application is true and complete. FIRM NAME: JOHN B RAIMO Licensee: John B Raimo Signature LIC.NO.: 18352 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 NEARMEADOWS RD,WEST YARMOUTH MA 026735009 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:$50.00 RECEIVED LU1/4)0>) :' JUL 12 2021Co, ,nweatthof Maddachudaifd Official Use Only 'E`""'[�DING�DEPARTM tns, e/`� s' Permit No. Z—®L93 - 'r�µi b ira arvusd t -;.-° Ocupancy1/07) and Fee Checked —..q `' ' BOARD O - PREVENTION REGULATIONS {Revc. (leave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),5 7 CMR 12.00 ca (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 16. City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned Ives notice his o her intention to perform the electrical work described below. Location(Street&Number) f Owner or Tenant ` �.p t Owner's Address (C l 1�" �ti1 , Telephone No. SA'A Co(a -.69 to 1 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) A Purpose of Building Utility Authorization No. ?� Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Lo tion and Nature of Proposed Electrical Work: u L V C-1.)L Sus{aA( a . l ti -S �e� Completion of the following fable my be waived vt by the Inspector of Wires. 11r,. No.of Recessed Luminaires No.of Cell:Sosp.(Paddle)Fans No.of Total .„ Transformers KVA CA No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above r-i❑ In- No.of Emergency Lighting grad. grad. ❑ 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 1.7 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump ber ons J KW No.of Self-Contained Tom:I ltu ' I Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection I-, Other No.of Dryers Heating Appliances KW Security Systems:1 No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: 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 lectr'cal Work: l,�j(3 (When required by municipal policy.) Work to Start: 2 (a. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 ❑ BOND 0 OTHER ❑ (S ci I certify,under tlfiAains and penalties o erjury that the I ma n of th pl' ation is true and complete. FIRM NAME: , i( L,L.c, �aLLSd't�C C LIC.NO.: Licensee: _ �ti,.,` Signa e (If applicable,enter enrpt"in th li ense numb ine.) ` IA Bus.Tel.No: LIC.NO.:-y�=- Address: GY ` �i *Per M.G.L.c. 14 ,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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:$ 6-6