HomeMy WebLinkAboutBLDE-22-0048452 Commonwealth of Official Use Only
€AI- Massachusetts
Permit No. BLDE-22-004842
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:3/2/2022
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) 4 COLLINGWOOD DR
Owner or Tenant OHARA JAMES F Telephone No.
Owner's Address OHARA MARIBETH F,4 COLLINGWOOD DR,YARMOUTH PORT, MA 02675-1509
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr ' to Box)
Purpose of Building Utility Authorization No. [j .,
Existing Service Amps Volts Overhead 0 Undgrd ❑ of 11 tet L
New Service Amps Volts Overhead 0 Undgrd ❑ d!]e
Number of Feeders and Ampacity �`c ',1 !` 7r.
Location and Nature of Proposed Electrical Work: Wire new Boiler s„j,___ is,,,"`4,, 1 i '1,
`ifs,:: 1
Completion of the following table may be a've kJ glitl e of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of aIICC:
Transformers
V(ZiNo.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 1 No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. To
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 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 Ballasts Data Wiring:
Heaters Signs 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 of perjury,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
` Commonwealth o f//laooachueetto Official Use Only o�
T '/, cc�� c7 Permit No. �._2 k i(cf-
�1� ; 2)epartment o/ ire�erviceo
e,E= Occupancy and Fee Checked
R E C �-� 4tARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] l
---_ ..-_. �:,,�s,+- --- leave blank)
MAR 0 AIIRL C i TION FOR PERMIT TO PERFORM ELECTRICAL WORK
A I work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
8 U I L D I N c'pLEEISE vItJ IN INK OR TYPE ALL INFORMATION) Date: 2.28.22
By.__._—. -
---- —
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)4 Collingwood Dr
Owner or Tenant Shamos Ohara Telephone No. 774.836.0776
Owner's Address Same
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box)
Purpose of Building Dwelling Utility Authorization No.
Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters
New Service Amps / Volts Overhead n Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Electrically connect new on demand boiler.
Completion of the following table may be waived by the Inspector of Wires.
No.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 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. Batter;*Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. Initiatingon Detectionand
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g 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❑ Connecti Municipaon l DI OtherNo.of DryersHeating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.H
Y g No.of Devices or Equivalent
OTHER:
Attach additional detail if,'sired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $800 (When required by mu ' pal policy.)
Work to Start:2.28.22 Inspections to be requested in accordance j EC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,tted
rmit sr t t I-r .rmance of electrical work may issue unless
the licensee provides proof of liability insurance including"co .i= do " overage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has eed p . 'of.a - to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER 1eci i :
I certify,under the pains and penalties of perjury,that the iatio I a is a•plication is true and complete.
FIRM NAME: Raimo Electric LLC I LIC.NO.:A18352
Licensee: John B Raimo Signatur jIII- LIC.NO.: E51195
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:508.725.7259
Address: Box 762 Dennis,MA 02638 Alt.Tel.No.: raimoelectric@yahoo.com
*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 ❑owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.