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HomeMy WebLinkAboutBLDE-23-003300 ..-._ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003300 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:12/13/2022 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) 53 PLEASANT ST Owner or Tenant JOHN MOREHEAD Telephone No. Owner's Address 53 PLEASANT ST, SOUTH YARMOUTH, MA 02664-4542 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 11392932 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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- ElNo.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 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 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 Siens 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: Robert J Carreiro Licensee: Robert J Carreiro Signature LIC.NO.: 19861 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2 RITA AVE, S YARMOUTH MA 026641976 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 Me- /a%9 / .....-1‘ 37S� RECEIVED + • GEC 1 - �-� C0177.RO111111 4 o////a achuesal>`3 Official Use Only ,s== =y ry� go, Permit No. Bul COI rlc aE`=- ,,==== : icee S'�.eparimeni s +— Occupancy and Fee Checked BY BOARD OF FIRE PREVENTION REGULATIONS rRev. 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: / _//37„ipz City or Town of: YARMOUTH To the Inrpect r of/Wires: By this application the vmdersigned gives notice of his or her intention to perform the electrical work described below. • Location (Street&Number) .5 3 /(e,q S,A ie. 1- stiff Owner or Tenant oyv �a FF)l-/c,LI Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes E No (Check Appropriate Box) Purpose of Building —S-;pE�At� Utility Authorization No. 11,39x 3 9 A.. Existing Service /pp Amps /20 /240 Volts Overhead 2 Undgrd gr ❑ No.of Meters New Service „Zpp Amps /20 /2¢O Volts Overhead Undgrd g ❑ No.of Meters ___(:__ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: '�r � /�t'�iC�'.✓/S .I�� �r.4 S�i�'o'cGe� )1.NS`v�RL.� /VCl.�� o 19/N/4 SC.2Ul<C A.tJ D dJEuJ 4-0 / cu;i 1gq ti;E- Completion of the following table may be waived by the Inspector of Wirer. No. of Recessed Luminaires Na,of Cei1-Snsp.(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 - • arnd. arnd. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones 1 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 No.of Waste Disposers Heat Pump I Number I Tons H KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent i 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: 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 M BOND 0 OTHER 0 (Specify:) I certify, under the pains and.en. ties of per'ury,that the information on this application is true and complete. FIRM NAME: / .4 "rzr"--%(, Af /2E/fin C�Enr�E/L/ " --) LIC.NO.: //r�� Licensee: 4,qc 2 T „ , ---� J. (PA Rh'isieo Signature // �.a�—/7� LIC.NO.: }_/9 �/ (If applicable, enter"exempt"in the license number line.) Bus.Tel.No..3G.P�- Address f'C).&)( I6 7G So�/.a c�to,.r u-t a '3 '- c.¢- z3Y j *Per M.G.L. c. 147,s.57-61,security work requires Department of Public SafetyAlt Tel.No. 5 '�%-1 c� -p �,� — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE: $ 5D,