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Home My WebLink AboutBLDE-22-006554 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006554 ,,• 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:5/16/2022 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) 36 BANISTER LN Owner or Tenant Amy Friend Telephone No. Owner's Address 36 BANNISTER LN, SOUTH YARMOUTH, MA 02664 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 ,,r Location and Nature of Proposed Electrical Work: Replace three(3)thermostats. `1. ' Completion of the following table may be waived by the Insp or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers *VA 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 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 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 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: THIELSCH ENGINEERING INC Licensee: RALPH A CARROCCIO Signature LIC.NO.: 16657 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1341 ELMWOOD AVE, CRANSTON RI 02910 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 ACommonweann o/1asaacludettl Official Use Only __,. ii Permit No. �Z _ = JJepartment o/Jire Service3 _ Occupancy and Fee Checked � BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: 04/11/22 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) 36 Banister Lane Owner or Tenant Amy Friend Telephone No. 508-868-7083 Owner's Address Is this permit in conjunction with a building permit? Yes n No X (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing.Servin Volts �_..,_ e _,..,Q Amps % vvetffeaif Li l ririgru U 1V0.OI Meters New Service Amps / Volts Overhead I I Undgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacing 3 existing thermostats Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle Tf Total)Fans Tr 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 of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices No.of RangesNo. Air Cond. Total of No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.o Self-Contained _ Totals: Detection/Alerting Devices No.of Dishwashers Space/Area heatingKW Local L. Municipal ❑ Other p Connection No.of Dryers Heating Appliances KW Security Systems:* 3No.of Devices or E f uivalent N Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent lTeLszemmun eatiors Wiring: ---1 No.Hydromassage Bathtubs 1No.of Motors Total HP I No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $405.00 (When required by municipal policy.) Work to Start:4/22/22 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑■ BOND D OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the informatio i plication is true and complete. FIRM NAME: Thielsch Engineering LIC.NO.: 16657A Licensee: Ralph Carroccio Signatur LIC.NO.: (If applicable,enter "exempt"in the license number line.) - 1=-.} . 401-784-3700 Address: 1341 Elmwood Avenue,Cranston,RI 02910 Alt.Tel.No.: *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 E owner's agent. Owner/Agent PERMIT FEE: $50.00 Signature Telephone No.