The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004829 Commonwealth of official Use Only Massachusetts Permit No. BLDE-23 004829 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:3/2/2023 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 FRANCES HELEN RD Owner or Tenant GEORGE THOMAS N TRS Telephone No. Owner's Address GEORGE ALICE M TRS, 17 THATCHER SHORE RD,YARMOUTH PORT, MA 02675 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: install 3-hard wired 10 smoke detectors in the bedrooms and 1-10 year CO/Photo smoke in the hallway. Install arch fault breaker for the effected circuit(508-725-7259) 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: Y g 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.: 51195 (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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 ( -� (c=1(.23 Egl.; klQLe- Official Use Only 17.71 -i — (�omanoncvea�of Maddachudet� Permt�No.= l -23-- 009F2 _ cc�� c7�,_ 2 epartment o/Mire�ervices Occupancy and Fee Checked t ,44, — 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: 3.1.23 0 "o City or Town of: Yarmouth To the Inspector of Wires: w 13I this application the undersigned gives notice of his or her intention to perform the electrical work described below. L i , ' N I. cation(Street&Number) 4 Francis Helen Rd Ea ner or Tenant Chris George Telephone No. 508.310.3021 w 1 ' ner's Address 0 Q z I this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) w o rpose of Building Dwelling Utility Authorization No. Ce) I m g isting Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 3-hard wired 10 Smoke detectors in the bedrooms and 1-10 year CO/Photo smoke in the hallway. Install arch fault breaker for the effected circuit. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) f Total 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. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones oNo.of Switches No.of Gas Burners No. Initiatingon nDete and 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 p Totals: Detection/Alerting Devices .g. Municipal No.of Dishwashers Space/Area Heating KW Local❑ Cyonnection ❑ Other No.of Dryers Heating Appliances KW Securityf Devices orA No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel Nons Wiring: .of Devicecommunicatis orEquivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $1000 (When required by municipal policy.) J Work to Start: 3.2.23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. s' 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 ❑ (Speci4:) l./ I certify,under the pains and penalties of perjury,that the infocinatiofl o th• i 'on is true and complete. /1 FIRM NAME: Raimo Electric LLC ii LIC.NO.:a18352 t Licensee: John B Raimo Signature `° LIC.NO.:e51195 (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:508.725.7259 v Address: Box 762 Dennis,MA 02638 Alt.Tel.No.: n / *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 Signature Telephone No. PERMIT FEE: $