HomeMy WebLinkAboutBLDE-23-000735 Commonwealth of official use only
Massachusetts Permit No. BLDE-23-000735
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:8/12/2022
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) 300 BUCK ISLAND RD UNIT 7C.?
Owner or Tenant CORKY CRONIN 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 .s,,No.of my( 8
New Service Amps Volts Overhead 0 Undgrd 0 .of xi
Number of Feeders and Ampacity Electrical Work: '4'' .
Location and Nature of Proposed Miscellaneous work per attached. (UNIT 7-G)
p f? ✓J�. ,/ ay''
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
Initiating Devices
No.of RangesNo.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
Connection 0 Other:
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 ❑ (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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $50.00
- ,„ ,?wealth o`Maddachudetid Official Use Only
1 ill I C E I V E cc77 Permit No. E3.
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_ __-__w_-. .partment o/.}ire Serviced
, ='411 B Occupancy and Fee Checked
QUU CI.AIRBR IR PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
D ATIONi t R PERMIT TO PERFORM ELECTRICAL WORK
P cy _ _All work to-beperfe ed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8.11.22
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.
(1° Location(Street&Number) 300 Buck Island RD, Unit 7G
rFOwner or Tenant Corky Cronin Telephone No. 774.487.8724
i
Owner's Address Same
'S Is this permit in conjunction with a building permit? Yes ❑ No
r (Check Appropriate Box)
Purpose of Building Dwelling Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrd g ri No. of Meters
c�r /New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
PNumber of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace receptacles and switches in the 1st and 2nd floor.
8 Install 2 kitchen receptacle outlets. Install 2-basement fixtures and 1 basement stairway fixture.Install 30a Clothes dryer circuit in the basement.
Completion of the following table may be waived by the Inspector of Wires.
n No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
C' Transformers KVA
...F 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. Tons 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❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:
No.of Water No.of Devices or Equivalent
No.of No.of
Heaters KW Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W'iring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $3900 (When required by municipal policy.)
Work to Start:8.9.22 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 ❑ OTHER ❑ (Specify:)
1 certify,under the pains and penalties of perjury,that the informatio is true and complete.
FIRM NAME: Raimo Electric LLC1nçaiiation
LIC.NO.:a18352
,Licensee: John B Raimo Signature LIC.NO.: 51195
(If applicable, enter "exempt"in the license number line.) f e 5.7259
Address: Box 762 Dennis,MA 02638 Bus.Tel.No.:
*Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.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 I
Signature Telephone No. 1 PERMIT FEE: $