The URL can be used to link to this page

Home My WebLink AboutBlde-19-004520 -" Commonwealth of Official Use Only Permit No. BLDE-19-004520 "_ Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JjRev.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:2/6/2019 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) 8 HOWLAND CT Owner or Tenant RODRIGUES IEDA V P Telepjtart�e 1 Owner's Address 8 HOWLAND CT,WEST YARMOUTH, MA 02673 /� Is this permit in conjunction with a building permit? Yes 0 No 0 '�N) „J a Purpose of Building Utility Authorization Existing Service 100 Amps Volts Overhead 0 Undgrd eters New Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meter 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 Initiatin 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 0 Other: Connection 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 Wi i 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: SHAWN A SOUZA Licensee: Shawn A Souza Signature LIC.NO.: 39768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 LAKE DR, PLYMOUTH MA 023605648 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 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: $50.00 i\VA, eit <<ei — . Cons+noruusa of � ( Otti ial Use Only ��= 2epar!`meni o f.7irs�srvite$ Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy I/07cy_and Fee blank) �'�'" [Rev. 1/07J (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: (ram sz CMR 1 z.uo Cityor � �' '� �', � 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. A . Location(Street&Number) Nosy lwi, w Owner or Tenant • -6 cc Vi r.A).4)c- V rr t Uc S Telephone No. Owner's Address Is this permit in conjunction with a bu-ding permit? Yes p No (Check Appropriate Box) rpose of Building ( .a_+ti.RS y F� .S%U 1 � c t `y C - I/rUtility Authorization No. ,' 1 7 3 /C,� _ Ill' E ' Ling Service /CO Amps /o /;9`l0 Volts Overhead Ugrd nd ❑ No.of Meters �� , ry N w Service ADO Amps ��:i l;�-tI(, ` F /4Volts Overhead Undgrd❑ No. of Meters --dQ ;N tuber of Feeders and Ampacity /00 �. 1 Location and Nature of Proposed Electrical Work: — J f dLc OQ f} t0 (/t t� S r�'2 v1 a� _ i _ S Aa` ' ' Completion of the follcnving.table may be waived by the Inspector of Wires. 1 o.of Recessed Luminaires No,of CeiL-Snsp.(Paddle)Fans No.of Total .-- .,. .. ._ N``� Transformers KVA o. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimnua Pool Above In- No.ol:L.mergency Lighting — g ernd. grnd. Li 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 Toial -1 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I '� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Q Municipal Connection ❑ °ther No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent of No. No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Elec cal Wor !/ s�. 0 0 (When required by municipal policy.) Work to Start: �h / Inspections to be requested in accordance with MEC Rule 10,and upon com letion. INSURANCE COVE CE: Unless waived by owner,no permit for the performance of electricalF may issue unl the licensee provides proof of liability in a including"completed operation"coverage or its substantial equivalent. Thess undersigned certifies that such cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under th pains and penalties of perjury,that the information on this application is true and complete. s A.. Qz�; FIRM NAME• E/t''.Ct2.iClct LIC.NO.:g3`J 7‘ Licensee: ��a ,�, Z Signatur �j (If applicab a ter"exempt"in,�` license nu r line.) C LIC.NO.: Address: L t (.2 4J�i(3L' �vtyl0 m/� �� Bus.Tel.No.: . - 04 _ 69() j "Per M.G.L. c. 147,s.57-61,security work regfiires Department of Pubb�afe G Alt Tel.No.: Safety"S"License: Lic.No. �x OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent I Signature Telephone No. ` PERMIT FEE: $ S(�