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HomeMy WebLinkAboutBLDE-23-004831 � y Commonwealth of Official Use Only L., Massachusetts Permit No. BLDE-23-004831 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) 6 FRANCES HELEN RD Owner or Tenant REGALBUTI ARMAND TR PERS REP Telephone No. Owner's Address C/O GEORGE THOMAS&ALICE TRS, 17 THATCHER SHORE RD,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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.(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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Siuns 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: P. O. BOX 762 Licensee: JOHN B RAIMO Signature LIC.NO.: 51195 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 NEARMEADOWS RD, DENNIS MA 02638-0000 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:$50.00 W ( - C - (seE tf\p(07-6%. Commonwealth oI//laodachuaetti Official Use Only *v '= l c� Pe �e Z - 06 l� �) a(Jepartinen.t o/.}c�ire�erviceo €Vil BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PALL SE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3.1.23 ®� W City or Town of: Yarmouth To the Inspector of Wires: LJ.I N By$hn application the undersigned gives notice of his or her intention to perform the electrical work described below. c�.,i Liiial on(Street&Number)6 Francis Helen Rd a w �O O ne or Tenant Chris George Telephone No. 508.310.3021 � f Q OWn 's Address .•. M 'Si i permit in conjunction with a building permit? Yes ❑ No Ti (Check Appropriate Box) Plmp�.e of Building Dwelling Utility Authorization No. g Service Amps / Volts Overhead n Undgrd ❑ No.of 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: 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)Fans No. of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 1-1 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. TonsTota No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained l J 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 HeatersK�'�' Data Wiring: Signs Ballasts 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: $1000 (When required by municipal policy.) 44 Work to Start: 3.2.23 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 t J the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The a undersigned certifies that such coverage is in force, and has exhibite oof of same to the ermit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ ( eci :) 3) I certify,under the pains and penalties of perjury,that the info atio on t ' is ion is true and complete. R"3 FIRM NAME: Raimo Electric LLC LIC. NO.:a18352 Licensee: John B Raimo Signature t .8 �� LIC.NO.:e51195 (If applicable, enter "exempt"in the license number line.) Address: Box 762 Dennis,MA 02638 Bus. Tel.No.:508.725.7259 (_.� *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt Lio 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. I PERMIT FEE: $ I