HomeMy WebLinkAboutBLDE-23-005252 -fir.:
Commonwealth of Official Use Only
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� ,,, Massachusetts Permit No. BLDE-23-005252
• 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:3/24/2023
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) 7 COLUMBUS AVE s-g `r tiA fame•
Owner or Tenant STEVE TEDESCO 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 No.of Meters
New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Miscellaneous work per attached.
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 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: $75.00
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Permit No. -t �2-3 —S2�/"
cc77 2epartment o/,}ire Serviced
*, ti Occupancy and Fee Checked
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BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
%\ C2 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
ko (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3.23.23
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) 7 Colombus Ave
l- Owner or Tenant Steve Tedesco Telephone No. 617.719.1016
Owner's Address Same
this ` m conjunction witha building permit? Yes 7 No Q Ishi
�.-.. �rit in
n (Check Appropriate Box)
w MPueptos41 of Building Dwelling Utility Authorization No.
> Existing Service Amps / Volts Overheadn
cis p I I Undgrd I No.of Meters
cr New Service Amps I Volts Overhead n Undgrd n No.of Meters
i W cv
. ( c-Numbs of Feeders and Ampacity
.fi r" I
1 W 6 mLooatipp and Nature of Proposed Electrical Work: Install 120v circuit for wall mount TV and Router receptacle outlet.
. ccInstal F--DMI for TV as well as coax for TV. Install 20a kitchen circuit and add kitchen outlet.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.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
v Initiating Devices
u No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
:,..i . No.of Dishwashers Space/Area Heating KW Local❑ Connec tion Municipal El Other
_
No.of Dryers Heating Appliances KW Security Systems:
*
No.of Devices or Equivalent
d No.of Water KW No.of No. of Data Wiring:
Heaters Signs Ballasts
g No.of Devices or Equivalent
0 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: $3500 (When required by municipal policy.)
Work to Start:3.20.23 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
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 exhibitedpj-oof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER El (Sliecify:)
cJI certify,under the pains and penalties of perjury,that the inform.atiar`n on 's plication is true and complete.
/0 FIRM NAME: Raimo Electric LLC / `, LIC.NO.:A18352
Licensee: John B Raimo
Signature `it to LIC. NO.: E51195
(If3 applicable, enter "exempt"in the license number line.) Bus.Tel. No.:508.725.7259
r
Address: Box 762 Dennis,MA 02638 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)El owner El owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.