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HomeMy WebLinkAboutBLDE-23-006023 �6 �:1 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-006023 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/N INK OR TYPE ALL INFORMATION) Date:5/2/2023 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) 36 GREYHAMPTON RD Owner or Tenant PARRILLO MICHAEL F Telephone No. Owner's Address 36 GREYHAMPTON RD,WEST YARMOUTH, MA 02673 / Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) v {]� Purpose of Building Utility Authorization No. 12771944 c/Q/VOA3 17 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters 1 New Service 200 Amps Volts Overhead ❑ Undgrd ❑ 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- ❑ 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/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 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: REGO ELECTRIC INC. Licensee: Duane Rego Signature LIC.NO.: 22902 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: P.O. Box 685, Dighton MA 02715 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 cL _510/laG : Offrcial Use Only CO/itI1ONWealid 0/Maddackdeff4 r e2`3 -(o0-z_3' a c7 �� Permit No. '----.---it: .epartetent o�..tiro�erviced ` . Occupancy and Fee Checked N 7 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 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:4/21/23 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)36 Greyhampton Road Yarmouth, MA 02673 Owner or Tenant Michael Parrillo Telephone No. (774)810-6399 Owner's Address 36 Greyhampton RoadYarmouth, MA 02673 Is this permit in conjunction with a building permit? Yes n No INI (Check Appropriate Box) Residental UtilityAuthorization No.12771944 Purpose of Building P Existing Service Amps / Volts Overhead n Undgrd C No.of Meters New Service 200 Am,:•, / Volts O‘crbead yti Undgrd T No.of Meters 1 Number of Feeders and Ampacity U Location and Nature of Proposed Electrical Work: 200 amp service upgrade Completion of the following table may he waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans No.of Total P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 24kw KVA Above In- No.of Emergency Lighting No.of Luminaires 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 °.-) No.of Ranges No.of Air Cond. Total No.of Alerting Devices Heat Pump I Number I iTons IKW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices CO No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other Connection HeatingAppliances KW Security Systems:* �1 No.of Dryers PP No.of Devices or Equivalent N.- No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring No.H y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3500.00 (When required by municipal policy.) Work to Start:4/21/23 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME:Rego Electric(dregoelectric@gmail.com) LIC.NO.:22902-A Licensee: Duane Rego Signaturepdovi LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:508-837-9464 Address: Po Box 685 Dighton MA 02715 Alt.Tel.No.: *Per M.G.L. c. 147,s.57-61,security work requires 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,1 hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No.