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Home My WebLink AboutBLDE-23-003680 L o• Commonwealth of Official Use Only Massachusetts 'T Permit No. BLDE-23-003680 \�-� 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:1/6/2023 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) 44 ARTHUR LN Owner or Tenant MIKE O'LAUGHLIN Telephone No. Owner's Address 44 ARTHUR LN,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement meter socket&riser. 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- No.of Emergency Lighting grad. 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 Imtiatine 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/Alertine 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.) I 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 ❑ 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) ❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 Ilarat g Dcetr co cJ/ £ts132 11420 r' _. Commonwealth o f Ma.63achwset Official Use Only ,-- =....,: ' i==/ Permit No. `� c7 ,,�2 /LC2 =all= = epa.rtmc rt of/.}ire sere ices � J�/ {— Occupancy and Fee Checked ....- �•- BOARD OF FIRE PREVENTION REGULATIONS ZReeve I/O `l, - (leave blank) APPLICATION FOR- PERMIT TO PERFORM Ali work to be performed in accordance with ELECTRICAL WORK the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / /*-2. City or Town of: YAIRJVIIOUTH To the Inspector of Wires: By this application the gndersigned fives notice of his or her intention to perform the electrical work described below. Location (Street & Number)• .4-4. /lil t:44)i2 ,1-R Cr. /t1deAll.c)u r k Po R i Owner or Tenant - /ki r� 0 VCW.4i1.-3 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No _� (Check Appropriate Box) _. Purpose of Building c1pt", ,42 Utility Authorization No. Existing Service .,,op Amps /219 I,x4) Volts Overhead C Undgrd ❑ No. of Meters i New Service Amps / Volts Overhead E Undgrd ❑ No. of Meters Number of Feeders and Ampacity �� -� P c6 ,4I Sac WG 7� Location and Nature of Proposed Electrical Work: ../�C�J /x/Y sExt,°tc� �,�eo p . 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 I{VA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires SwimmingPool Above In- No. of Emergency Lighting - arnd. ❑ ornd. ❑ Battery Units No. of Receptacle Outlets p 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 AlertingDevices - Tons No. of Waste Disposers Heat Pump I Number Tons H KW No. of Self Contained J Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection Other No. of Dryers Heating Appliances , Security Systems:* No. of Water No. of Devices or Equivalent Heaters KW No. of No. of Data Wiring: Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: ser Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: / 00,`26) (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 un the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. less undersigned certifies that such covera is in force, and has exhibited proof of same to the permit issuingoffice. The CHECK ONE: INSURANCE BOND I certify under the pains 0 OTHER 0 (Specify:) and penalties of perjury, that the information on this application is true and complete. FIRM NAME:ffe7ezr,e7" J r .9,rRE'lieo —e-r,e i ci A Al LIC. NO.: L.,- l( 1 P' ( Licensee:-"'7 .. ' /7or-,¢r,f J. CIA �ie�l,QC, Signature LIC. NO.: �1 q 4 (If applicable, enter "exempt" in the license number line.) Address: S; �Aw�o ,� � • Alt. Tel. No.:Bus. Tel. No.:�-,33.35Y J "`Per M.G.L. C. 147, s. 57-61 , security re --d�,'37 ty work quires Department of Public Safety "S" 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) 0 owner ❑ owner's agent -` Owner/Agent d Signature Telephone No. [ PERMIT FEE: $ i. 1