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Home My WebLink AboutBLDE-21-003120 Commonwealth of Official Use Only A. ,) Massachusetts Permit No. BLDE-21-003120 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:12/2/2020 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) 22 FROTHINGHAM WAY Owner or Tenant BASS RIVER YACHT CLUB INC Telephone No. Owner's Address PO BOX 182, SOUTH YARMOUTH, MA 02664-0182 e Is this permit in conjunction with a building permit? Yes 0 No 0 (Che• • . • I . . • ' 1 x) Purpose of Building Utility Authorization No. & ilk Existing Service Amps Volts Overhead 0 Undgrd 0 New Service 200 Amps Volts Overhead 0 Undgrd 0 6. ersr it Ith Number of Feeders and Ampacity wiz? Location and Nature of Proposed Electrical Work: Upgrade distribution panel, install receptacle for water heater, f dot: • Completion of the following table maxiw ed.e • tor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of • al Transformers / A No.of Luminaire Outlets No.of Hot Tubs Generators 7?...... KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones 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 1 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 Data Wiring: Heaters Signs Ballasts 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 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: $80.00 PArve=L Li_IC - NJ ;1•CLt.-s Tr, t-✓4 'L /4Ey}7' ,L.1 Ce7 i2/14e) / 1"12A O APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 / of Y=__ ,3� qq�o` (OFFICE USE ONLY) ' io TOWN OF YARMOUTH By MATTACMEESE **Min ° i Fee: $ '' Cd— - PERMIT NO. ZO (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: //3o/z do To the Inspector of Wires: By this application the undersigned gives notice of his or her intention t perform the electrical work described below. Location(Street&Number) peoZ `ePo7;///NGXA/4 Wa/y Owner or Tenant ,6 iiSs �ivc-rz. y:e..,11 r !J.I( ' Telephone No. Owner's Address // Is this permit in conjunction with a building permit? J Yes ANo (Check Appropriate Box) Purpose of Building C'o, -,sec, .t L Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd 71 No. of Meters New Service Amps / Volts Overhead Undgrd CI No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed electrical Work: tit6ia Ra4DA- .4,0R1,40 pA7tic(- 777 24o/1-m/°fAA.k!-_ . Completion of the following table may be waived by the Inspector of Wires No. of Total No. of Recessed Fixtures No. of Ceil.-Susp.(Paddle)Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA Above In- No. of Emergency Lighting No. of Lighting Fixtures Swimming Pool grnd. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No.of Detection and No. of Switches No. of Gas Burners Initiating Devices Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat PumpNumber Tons KW No. of Self-Contained No. of Waste Disposers Total : T Detection/Alerting Devices Municipal ' No. of Dishwashers Space/Area Heating KW Local Connection 0 Other Secutity Systenis: No. of Dryers Heating Appliances KW No.of Devices or Equipvalent No.of Water No. of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No.of Devices or Equivalent Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may be issued 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 a BOND J OTHER[J (Specify:) (Expiration Date) 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. I certify, under the a' s and penalt' s of perjury,that the information on this application is true and complete. FIRM NAME: o t72r's. C_'A RRei go LIC.NO. G /QC' d,/ Licensee: o r'R'-.f. A ARE/eva Signature LIC. NO. zs/?g-6 (If applicable, enter"exempt" in the license number line.) Bus. Tel.No.: .,S"oP--3'5M -3 33? Address- too./Sox id,?L _Co. i1( c 74 item ey 'M- Alt. Tel. No.: .s'�.,zg"O — 's- 7 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 J owner's agent. Owner/Agent Signature Telephone No. [Rev.04/00]