The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004860 c Commonwealth of official Use only A . Massachusetts Permit No. BLDE-23-004860 a..ap 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:3/4/2023 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) 14 BREWSTER RD Owner or Tenant ROSE ERIC E TRS Telephone No. Owner's Address ROSE BARBARA J, 56 OAKLAND ST, NATICK, MA 01760 /.�� Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) , {�, `� Purpose of Building Utility Authorization No. 12046045 I r 1 (� Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters l New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace service&rewire fire damaged room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 No.of Cei1: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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 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 ❑ 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: Michael E Praino Licensee: Michael E Praino Signature LIC.NO.: 27321 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 UNION ST,W BRIDGEWATER MA 023791822 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 r--tUfe43(e/-z i ki 0[11)3 RECE-IVE ® f '' MAR 0 3 2023 Official Use Only • Permit No. .- 47_ �'' i' 1 DING DEPART MEr, Occupancy and Fee Checked „.., ;-:."- ,'.T PREVENTION-REGULATIONS l (leave blank) - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acconlance with the Massachusetts Electrical Code I : 527 ChM 12.00 (PLCPRtNT1NINKOR TYPE ALL INFQR ATIOA9 Date: 3 •ZaZ City or Town of: �il/P fi(/Nir/A To the r of Wires: By this application the undersigned gives no of his or her in on to perform the electrical work described below. Location(Street&Number) / 'A f7'0 / 0 Owner or Tenant Ck,Zj s' _ ROJ-r= "•- /!ke,'l-• • Telephone No. Owner's Address /f/ 454 re,-)/C (2 0• Is this permit in with a leg permit? Yes Er-No 0 (Check Appropriate Box) Purpose of Building t 3 4 ric/ i9L Utiaty Authorisation No./.2 O ' 2/5 Existing Service /0 ' Amps /?6-i ?¶4Vohs Overhead❑ Undgrd 0 No.of Meters / New Service /GO 'Amps /7G I?yG Volts Overhead 0 Undgrd 0 No.of Meters / Number of Feeders and Aniparity Location and Nature of Proposed Electrical Work: /Z'�/-�//!9 cf. .sr/�//i C-e' 7` Z-e/41'.ri %/ '. I(cJVCA 1 9/Yi i ePad ,�b j-(7? e. /<2 6- rGlj'°11/er7 , !/jV c' l / Comoktion ofthe folloudnxtabk may be wamed by the Imisector of Wires Total No.of Recessed Luminaires te, No.of Ceti.-Soap.(P'a e)Fans No,of Transformers KVA No.of Lamm' Outlets No.of Hot Tabs Generators KVA -No.of Luminaires Swhmniug Pool Abovegrn I-, ❑ Bate eY I�g ry Units No.of Receptacle Outlets 0 No.of Oil Burners FIRE ALARMS No.of Zones I eibetedioa and ' No.of Switches 3 No.of Gas Burners No.In itiating Devic' es • No.of Ranges No.of Air Coat Tons No.of Alerting Devices No.of Waste Heat Pump Num'bier Tons KW No.of Self-Contained Totals: ,Detection/Alerting Devices - No.of Dishwashers Space/Area Heating KW Local 0 c=n 0 Other • No.of Dryers Heating Appliances st wordy KW No. Sy of * Devices or Equivalent No.of Water KW No.of No.of Data Wwinv Renters Signs Ballasts No.of Devices or Equivalent .No.HydromassageBathtubs No.of Motors Total RP Telecommunications Na.of Devices or Equivalent OTHER: �/ Attach udditiond detail ifdesired,or as required by the Inspector of Wires. Estimated Value o 'cal Work: 7.c G (When required by municipal policy.) Work to Start: 2 7 Inspections to be requested in accordance with AMC Rule 10,and upon completion. INSURANCE GE: 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 co is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) - I fy,ander the pains anflpenalliemeperjary,that the informatian on this application Is true and complete. FIRM NAME: /97/c /i`,I • iee-i/fr LTC.NO.: . Licensee: LIC.NO.: . 27 . (if��t�� *wipe inthe te81e li eJp Bus.Tel.No.- 50 `/-41/�Y Address: _r -_U./WDN S1 - �c 1-�4E 4,'-c f.-4'72i l O/2�7, AB.Tel.No.:a(i -- s 1-1--OF 4/1' *Per M.G.L.c.147,s.57-61,4..cw ity wor k retmires , ., - ofPubhc Saf ty'V 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/Agent0 owner s agent. Signature Telephone No. - I P.Ml{ T FJ2t:S 1