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EP-65216 TOWN OF DARTMOUTH - BUILDING DEPARTMENT RECEIPT 6 5 2.i...1 6 _ , =. - PHONE:108-910-1820 FAX: 508-910-1838 ...., , y /I ii) : / .\--, IT :. Name: .4 tAl Al t ,i',<)„,, /,{:_li Property Owner: ..../(i ! t„.: i; I . , . ,),-,• , Ar.:„./i r / t " I 1 , , ( / a ua i Job Location' I ) i .,...4. , ,I 1 ir , --, Map: Lot: 5 , •1 L . ' • , — Description General Ledger#'s Ref. # Amount _ Building & Building Misc. 01000-44105 ' DARTMOUTH OF ) To.tri , i/ Electrical 01000-44106 ' - wt.1 COLTT°R1 il es .. i r'E 1 • `If ' ,• ) Plumbi .8{aas 01000-44107 DEC,1 a '1. 1 Trench Safety 01000-44129 -I\-----; , Other Depattment Revenue 01000-42420 SAct;:ii45 White-Collector's Office Yellow Copy-Customer's Receipt Pink Copy-Building Department Received By I • Lyz.-ut,cir / - THIS IS NOT A PERMIT/LICENSE FOR BUILDING, ELECTRICAL, PLUMBING OR GAS Commonwealth oo iaddac#uoettb Official Use Only ■' r cy� c7 Permit No. 05d_qo "r_ 2epartment al ire Serviceo � �l I-I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]Y (leave blank) 75,--' APPLICATION FOR PERMIT TO PERFORM ELECTRIC12.00 ORK All work to be performed in accordance with the Massachusetts Electrical Code ),527 CM (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4/3.an7Z,, City or Town of: �,yyr/(I�*r,0�7he To the I spector of Wires: By this application the undersigned gives notice of his or her intention to perform th electrical work''described below. Location(Street&Number) ,73' ?t,,.e_ 1 SL, 1 it;) i Owner or Tenant -kS S.c.__ .S jvT0.5 Telerone No. Owner's Address Is this permit in conjunction with a building permit? Yes No I (Check Appropriate a) */ Purpose of Building Utility Author ation N . /��� Existing Service/4e Amps JAB / 1 j Volts Overhead ndgrd I I No.of Meters New Service Amps / Volts Overhead Undgrd n o.of Me s Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /Weal) 4� y� ys .A.A., . 17, 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 L1 No.of Luminaires SwimmingPool 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 Initiating Devices No.of Ranges No.of Air Cond. Tonsl 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water aHeaters 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: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work 7 7 (When required by municipal policy.) ' Work to Start:/a,,v. ,2/.Z 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 covera is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE E BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this ap lication is true and...complete. FIRM NAME: j v,4 Ad ?1 /M e ?G c 9 ,oeJ f ._7(1QIC.NO.: Licensee: 13 90 1 Signature 3 9e/9 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: Address: 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 w,I en-by w 've this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature p one No. V61-, RMIT FEE: S Plat 7 / Lot d., • = - 1 /^J * ® * ® m C- H Z • ,1. -.;:.,,ffi0:.7.:.,::76 :,e:aZ I•' O Y h„ ii 0 O - II�ryUP'� i p n �--� e \0-,.f;r•.. „iz ..., „---. , __. \ , .._,..„ . .‘,., .. ..,... c R. x (IQ ivb N ® ® ik V O O O n o CD -L Fr FiT CD C1 E.. 0.. V �1y a 3 ' 2 N .c... r, rn o C.) z H 2 • a ® b S. 0 .:1. z NO I cc CD • 1 y t k , , ,....., „„ 90,2, .0,0 ._ ,.., „....._ \,,, ,., iv00 00 ti so OD Bristol County Registry of Deeds Southern District Page 10 of 11 1. BANK OF NY MELLON CORP TR Grantees: No downloadable image for this record. Book: 10232 Page: 305 Date: 12/12/2011 Type: QC Amount: $127,050 Town: DART Document#: 26278 # Pages: 3 Street Address: 75 PINE ISLAND RD Description: Grantors: 1. BANK OF NEW YORK MELLON CORP TR Grantees: 1. SANTOS,JESSE No downloadable image for this record. Book: 10232 Page: 308 Date: 12/12/2011 Type: QC Amount: Town: DART Document#: 26279 # Pages: 2 Street Address: 75 PINE ISLAND.RD Description: Grantors: 1. SANTOS,JESSE Grantees: 1. SANTOS,JESSE C 2. SANTOS,MICHELLE No downloadable image for this record. [1] http://www.newbedforddeeds.com/mason/main/searchlstreetsearch2.htm1?street=PINE+I... 12/14/2011 Division of Professional Licensure: License Search Page 1 of 1 w The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure ONLINE SERVICES Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency LICENSEE Namei,JUAN C. PIMENTEL . REFERENCES& NEW BEDFORD,MA RELATED INFO NEW SEARCH Disclaimer Regarding Website License Searches Licensing Board: ELECTRICIANS Enforcement Process Glossary License Type: JOURNEYMAN ELECTRICIAN Glossaryof License Status TYPE CLASS:B Codes License Number: 13901 Status: CURRENT More. Expiration Date: 7/31/2013 Issue Date: 6/10/2010 Exam Date: 6/10/2010 School: GREATER NEW BEDFORD This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Wednesday, December 14,2011 at 9:18:46 AM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/pubLic/pubLicenseQ.asp?board_code=EL&type class=B&... 12/14/2011