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
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RECEIVED
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go, Permit No.
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+— 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,