EP-58089 ,�a TH.M TOWN OF DARTMOUTH
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; BUILDING RECEIPTS
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Name. ! ti Property I ..�
{ re I ,,,x•-t`" P Y n Date_
I 1 1 i r Owner. 9/ r f
Job Location: -t White Copy-Collector's Office
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Map: Copy-File
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�'— 1 TOy�N OF DARTMOU n -Building Department
,. Lot: COLLECTOR S OFFI Copy P
Phone: OCT 0 2 2009
Description General Ledger#'s 1 3 Amount
License &Permits - Building 01000-44105 .
License & Permits -Building Misc. 01000-44105
License &Permits -Electrical 01000-44106 p '; �' 1
License &Permits - Plumbing & Gas 01000-44107
License & Permits - Trench Safety 01000-44129
Other Department Revenue 01000-42420
THIS IS NOT A PERMIT OR LICENSE FOR BUILDING, PLUMBING OR-GAS
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Received By: —}
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Commoncueala o/t/laddacIurielfe Official Us yO ly
ai—*—`— t C�
-1— c� {� Permit No.
E ya '§ TheparEment o� ire Serviced
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',La 4 Occupancy and Fee Checked
 BOARD OF FIRE PREVENTION REGULATIONS Rev. t/07
'��.tc► j (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL ORK
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: (9 - a --
City or Town of: JA05 2 T ov ' To the Inspector of Wires: .
By this application the undersigned gives notice of his or her intention to perform the electrical work described b;low.
Location(Street&Number) 3 RA')j'a` D -'Z
Owner or Tenant I/�'/7 ,. Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes 1.4*-----No ❑ (Check Appropriate Box)
Purpose of Building ?/j Utility Authorization No.
Existing Service iff° Amps /mode.yr,Volts Overhead Undgrd' f
❑ 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: L. IV2 e `-�T /Ov i,o /2 re,tr _
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
nd e ❑ In- ID No.of Emergency Lighting
g 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. 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 ElMunicipal Connection ❑ Other
No.
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: - 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 El OTHER ❑ (Specify:)
I certj,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: V f E-Atc 11116 LIC.NO.:
Licensee.
• Kat-t ,,, Ut4S60,,-tt°gb.f Signature 9c. _ �/ - LIC.NO.: g )(ay,c-
(If applicable,enter"exempt"in the license number line.)„.--, Bus.Tel.No.:
Address: /,'-z A01 ik e 4-72 7— ' t'/`li 04- 00.7 i 7' 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,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $
Ordinance No. 2008-20
eitg of Nall hurt, f ( f
BE IT ORDAINED by the City Council of the City of Fall River as follows:
That the Appendix A-Fee Schedule of the Revised Ordinances of the City of Fall River, Massachusetts
(1999) be amended, as follows:
v,,\
By striking out Section§ 10-176 under Chapter 10 in its entirety and inserting in place thereof,the
following:
Chapter 10. Buildings and Building Regulations
§ 10-176. Electrical permit fees.
(1) Complete residential wiring, includes service, outlets, major appliances:
C .—,
a. With oil or gas burners and attached garage $100.00
b. With electric heat and attached garage... $119.00
r' i) (2) Temporary service and meter work._. $56.00
(3) Garage, separate from home $50.00
(4) Major appliances, per unit $37.00
1 (5) Outlet, receptacles, switches, fixtures, old house, per rehab unit._. $62.00�, (6) Increase or replace service ... $62.00
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(7) Swimming pools, septic systems ... $50.00
(8) Fire alarms, burglar alarms $37.00
\ (9) Oil burner, gas burner or electric heat $37.00
(10)Annual permitq.".1_, $312.00
(11)Camivals-concessions..:............... $62.00
"-\(. --_. (12)Commercial:
a. Estimated cost$1.00 to$3,000.00 $50.00
b. Estimated cost each additional$1,000.00 .. $5.00
(13)Re-inspection each $31.00
(14)Surcharge for commencing work without a permit DOUBLE
(15)Late application surcharge fee per day ................. $62.00
In City Council, May 13, 2008 A true copy. Attest:
Passed to be ordained, 7 yeas, 1 nay
Approved, May 20, 2008 fi' V
Robert Correia, Mayor City Clerk