HomeMy WebLinkAboutBLDE-20-001064 R Commonwealth of Official Use Only
Lit Massachusetts Permit No. BLDE-20-001064
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:8/26/2019
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perto e electrical wor described below.
Location(Street&Number) 42 BRADFORD RD A ftTFL
Owner or Tenant Telephone No.
Owner's Address G:'-.-•-- --
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: Rewire kitchen&bathroom
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 4 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 12 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 8 No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges 1 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 1 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 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: 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:
Licensee: Leandro Amanco Signature LIC.NO.: 56103
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: Mansfield Ma 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: $250.00
C- ° 27l[ 9 r• (4/Lectitutg- 4.6
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CommorsrusaCtfs of Ma.4.sac ffs • Official Use Only
Lii�2'■ + it c� �� LC le
p = .apartment o f. ire.Services
Permit No.
1 - BOARD OF FIRE PREVENTION REGULATIONS Ov. 1/07]an and Fee Checked
,
Lila c•/ ZRe /07J (leave blank)
0 CB �! APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL
usi 'et 3 i All work to be performed in accordance with the Massachusetts Electrical Code WORK
ORK
(MEC),527 CMR 12.00
lY L--- :A 'SE PRINT IN INK OR TYPE ALL INFORMATION) Date:
�.-- ------ City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street&Number) lid, )f 2 r t i D . W iA n U-rt4
Owner or Tenant Q 4ru 6,T-1-L ES Telephone No.
Owner's Address ,.!''' 6/ Fox t Me,w(ai Jbgr_ N4 ,_Oa# 6
Is this permit in conjunction with a building permit? Yes E No
. 0 (Check Appropriate Box)
Purpose of Building k($t`Devr t o C Utility Authorization No.
Existing Service /0'0 Amps 1210 1 dqo Volts Overhead V Undgrd❑ No.of Meters I
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: kt`l ft J Alva el—T(+ 01K 1 C(,fit Y6-,
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires Na of Ce�1.-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 l mergency Lighting
Enid.. mod. Battery Units
No.of Receptacle Outlets Ia, No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches O No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total
f Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump 1 Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers 4 Space/Area HeatingKWMunicipal
Local Connection 0 Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
No.of
No.of
Heaters ' Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No. Hydromass age Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
�`OV V Attach additional detail f desired or as required by the Inspector of Wires.
Estimated Value of Electrical Work VV (When required by municipal policy.)
Work to Start: siriold ( Inspections to be requested
INSURANCE COVERAGE: Unless waived by the owner o permiin accordance
for the erforman a of electric upon,and l wocork
may
ytiss
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The e
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE NJ, BOND 0 OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Lc4N1)Qo AmAt JClO
LIC.NO.: 6-
Licensee: Signature
41'AI(If applicable,enter "exempt"in the license number line.) LIC.NO.:
. Address: Bus.Tel.No.: V-S
J 'Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety _ Alt.TeL No.:
— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.No.
Q insurance coverage n— o—�-
required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner ❑owner's a ent.
Owner/Agent
�! Signature
. Telephone No. PERMIT FEE: $ 2_5b
Signed,
Ryan Battles
61 Fox Run Rd.
Harwich Port, MA 02646
(704) 258-7756
8/22/2019
Yarmouth Building Department
1146 MA-28
South Yarmouth, MA 02664
Dear Yarmouth Building Department:
This letter is to inform you that I need to replace the electrician that originally pulled the permit for
Rd., West Yarmouth, MA 02673.The original electrician did not finish the job, has not
urned phone calls, and refuses to complete the work. As such, I have hired a new electrician to
complete the job.
Signed,
Ryan Battles