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Home My WebLink AboutBLDE-23-001511 '* st Official Use Only } Commonwealth of Massachusetts Permit No. BLDE-23-001511 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS P Y [Rev.1/071 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:9/21/2022 To the Inspector of Wires: City or Town of: YARMOUTH By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 31 MAINE AVE Telephone No. Owner or Tenant PAULA MELLOW 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: Replacement service riser. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans No.of formers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Emergency Lighting No.of Luminaires Swimming Pool Above ❑ �rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Ton Heat Pump I Number I Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertinu Devices Local ❑ Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or No. NoNo.of No.of Ballasts Data Wiring: Heaters Water KW Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: John B Raimo LIC.NO. 18352 Licensee: John B Raimo Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:71 NEARMEADOWS RD,WEST YARMOUTH MA 026735009 *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) ❑ owner 0 owner's agent. Owner/Agent 'PERMIT FEE: $50.00 Signature Telephone No. „ ii)-e-a-d-ty s ` fi o i R_ECE VED :'” 22022C0 as aedadmmtie Official Use Only .,...n. SEP1 � -- P' ./ n Permit No. � l DING DEI ARTM '- I ' - _ - _ •REVENTION REGULATIONS [Re .Occupancy/07] and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK / All work to be performed in accordance with the Massachusetts Electrical Code( EC). 27 CMR 12.00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/d( 1 aci City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned givesnotice p of his or her intention to perform the electrical work described below. Location(Street&Number) IAA cut. r`"( Owner or Tenant �� _A w L Telephone No. Co C _7 r1 Y -04 L�o 1 Owner's Address S n i Is this permit in conjunction with a building permit? Yes 0 No El (Check Appropriate Box) V Purpose of Building 1)L.._SL� ' Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters ( i New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters rr( Number of Feeders and Ampacity y Location and Nature of Proposed Electrical Work: c t:A e irC(Q iii_ e v o, Completion of the followinvable mg be waived by the Inspector of Wires. tit No.of Recessed Luminaires No.of Cell-Soap.(Paddle)Fans t°a�formers KV i No.of Luminaire Outlets No.of Hot Tubs Generators KVA '� Above In- No.of mmergency Lighting No.of Luminaires Swimming Pool land. ❑ triad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners4. Initiatling Devices 1 V No.of Ranges No.o Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons _KW_. No.of Self-Contained P� Totals: ' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municip 0 Other Cyosnnection No.of Dryers Resting Appliances KW Security 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 Dvi r Equivalent OTHER: I Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of 1ec 'cal Work: (When required by municipal policy.) Work to Start: 2( ad- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE GE: 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 ips and penalties of gerjury, hat the information on this application is true and complete. FIRM NAME: r ca,t vtAs. Io CC. — LIC.NO.: La 3 ',) Licensee: SU(A.f , k.;_ 9,..-'(i' .--6-A _ Signature LIC.NO.: ( I L92- (Ifapplicable,enter' nips"in.t license n line.) Bus.TeL No.: S 21 7` ' Address: > /6 a �o 1 Li`i—i Alt.TeL No.: *Per M.G.L.c. 14 ,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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.