HomeMy WebLinkAboutBLDE-23-002453 Commonwealth of Official Use Only
E Massachusetts Permit No. BLDE-23-002453
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:11/3/2022
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) 31 ASPINET RD
Owner or Tenant DOOLAN GRAHAM J Telephone No.
Owner's Address DEMPSEY MARY, 31 ASPINET ROAD, SOUTH YARMOUTH, MA 02664
Is this permit in conjunction with a building permit? Yes 0 No 0 (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 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install owner supplied generator
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 1 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 No.of Detection and
Initiatine 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
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.)
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 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $50.00
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( L CGc-- s ualvic ✓pp, iw rG t ss C" (9 Zz)
0 RECEIVED
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NOV 0 3 kh I 47aesa€h .lie Official Use Only .
[� �j�� 2sf6�
I tip,';t'_ / n Permit No.02-3�
'-'�^ `• !NG DEPAR Jitr Jirvicas
I ° - Occupancy and Fee Checked
,'' VENTION REGULATIONS [Rev.I/07]
,v (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code( ^C�),5 7 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1l 3 a D—
City or Town of: YARMOUTH To the Inspector oJ�Wires:
$y this application the undersigned_gives notice f his other intention to perform the electrical work described below.
Location(Street&Number)/ {\ 17V ,:, `��
' Owner or Tenant to.c-4._,�u.....- -..c.-.' ,t2N.S-••—�� Telephone No.
-I Owner's Address ,
-k
• 4/ Is this permit in conjunction with a build{ps permit? Yes E No ❑ (Check Appropriate Box)
x Purpose of Building- Th`'^.Q..J."I":-- Utility Authorization No.
Existing Service Ampa / Volts Overhead❑ Undgrd❑ No.of Meters _
New Service Amps / Volts Overhead❑ Und rd
g ❑ No.of Meters
Number of Feeder and Ampac►ty
Locatjon and Nature of Proposed Electrical Work: -1�Sh ql� l.,�� S
aa. /�F��V � "Pp I`�`�
`� Completion of the following fable may be waived by the In for of Wires.
Ut No.of Recessed Luminaires No.of CeB:Sosp.(Paddle)Fans No.of 1
Transformers KVA
Z: No.of Luminaire Outlets No.of Hot Tubs Generators KVA
�t No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grad. grnd. ❑ Battery Units
No.of Re
ceptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and
i t r Initiating Devices
No.of Ranges No.of Air Cood. 'total
Tons No,of Alerting Devices
No.of Waste Disposers R K_ent Pomp Number Pons __ W 'No.of Self-Contained
Totals:!Number
" Detection/Alerthm Devices
,a.
No.of Dishwashers Space/Area Heating KW Local 0 Municipal
on 0
No.of Dryers Heating Appliances KW Security Systems fie{
Systems:*
No.of Water No.of No.of Devices or Equivalent
Heater KW' Na.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:
,� Attach additional detail if desired.or ao required by the Inspector of Wires.
Estimated Value of Electrical Work: o �—iC(y,
(When required by municipal policy.)
Work to Star: 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 0 BOND❑ OTHER❑ (Specify:)
I certify,under the s and penalties ofpenJnry,that the informatlo this appl' 'on is true and com lete.
FIRM NAME: r�,�wie U_ -� p
n LIC.NO.:6'f\ Ca
Licensee: r 1 J\L- • ` spoon _
(If applicable,entn In the lice�fe munber ll LIC.NO.
Address: px )�a— n �' ldi- U Bus.Tel.Na.• 7a$�
•Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License, Alt.LiTe.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)❑owner 0 owner's agent.
Owner/Agent
Signature Telephone No. 1 PERMIT FEE:$