HomeMy WebLinkAboutBLDE-23-004322 0�— Commonwealth of Official Use Only
L Massachusetts Permit No. BLDE-23-004322
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
iRev.1/07l
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:2/6/2023
City or Town of: YARMOUTH To the Inspector ofWires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 166 SEAVIEW AVE UNIT 1
Owner or Tenant LATOURNEAU CRAIG A Telephone No.
Owner's Address LATOURNEAU COLLEEN R,545 LAMPBLACK RD,GREENFIELD,MA 01301
Is this permit in conjunction with a building permit? Yes❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. t�
Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service Amps Volts Overhead ❑ Undgrd ❑ Np.of Meters /,7,
Number of Feeders and Ampacity J l''
Location and Nature of Proposed Electrical Work: Replacement heater �'f r
,Pi
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 KV'A
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 1 No.of Detection and
_ Imtiatine Devices
No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons 1 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 Sieas 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 ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$50.00
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e__ = FEB 03 2023 Occupancy and Fee Checked
_= E BOARD OF Fl E PREVENTION REGULATIONS [Rev. 1/07
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BUILDING DEPARTMENT
AP ' - • _ A - = 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: 2.3.23
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) 166 Seaview Ave Unit 1
Owner or Tenant Craig Letourneau Telephone No. Plumber 508.843.2511
Owner's Address same
Is this permit in conjunction with a building permit? Yes No n (Check Appropriate Box)
Purpose of Building Dwelling Utility Authorization No.
Existing Service Amps / Volts Overhead n 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: Electrically connect new heating system
b ( .\- o AP ;\-e 1 N1/4._ ou V ao akc.)L am,
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans T Tot
Tr KVA
al
A
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
Si No. of Switches 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 ❑ Other
Connection_ __
Security Systems:
o No. of Dryers Heating AppliancesKW No. of Devices or Equivalent
,..) No. of Water Kam, No. of No. of Data Wiring:
Heaters Signs Ballasts No. of Devices or Equivalent
U No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring:
>,,,_, No. of Devices or Equivalent .
OTHER:
(g.
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $800 (When required by municipal policy.)
./ Work to Start: 2.3.23 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 exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND� ❑ ❑ OTHER ❑ (Specify:)
___./ I certify, under the pains and penalties of perjuty, that the information on this application is true and complete.
FIRM NAME: Raimo Electric LLC LIC. NO.: A18352
Licensee: John B Raimo Signature ' I, LIC. NO.: E51195
-,::) (If applicable, enter "exempt" in the license number line.) ti Bus. Tel. No.: 508.725.7259
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.
J 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: $