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Home My WebLink AboutBLDE-22-003130 or Commonwealth of Official Use Only E` 1 Massachusetts Permit No. BLDE-22-003130 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:12/1/2021 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) 32&34 LAKE RD EAST Owner or Tenant LOPARTO ROBERT K Telephone No. Owner's Address 14 ECHO RD,WEST YARMOUTH, MA 02673 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 ❑ 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: Replace meter&riser• ' 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. To No.of Alerting Devices 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 ❑ 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 Signs No.of Devices or Eauivalent 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Darnell Cauley Licensee: Darnell Cauley Signature LIC.NO.: 11662 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:54 CAPTAIN BESSE RD, S YARMOUTH MA 026642805 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 54.60 r—'-----i`> af�7 LU - N _ & bran w.swa a c 11 Maas... Official Use Only f " Z1 ;I. - Permit No. ��2— t 3 O L1.y n2 •k • _ 2 4 Occupancy L' c .?'V' BOARD OF ARE PREVENTION REGULATIONSand Fee Checked Lk y [Rev. 1/07) ( t) 1--- — s APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK i MI 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: i 1 - 9 f- 9. 1 1 City or Town of: \/. v �pJ} . To the Inspector of Wires: 1 By this application the undersigned gives notice 1of his or tentioo_to perform the electrical work described below. Location(Street&Number)_ �L1 Lc 1 e- E G Y 1 Owner or Tenant \»t.) Lc 22:io Telephone No. �J 7 `J'`„-C� Owner's Address Is this permit in conjunction with a building permit? Yes 0 No P (Check Appropriate Box) Purpose of Building 11-0-Ylk, Utility Authorization No. Existing Service 1 Ou Amps 1: / c 4)Volts Overhead[71d Undgrd 0 No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Re�ic,e e it\e..-Ira cv i 5ez Completion of the filowingtable may be waived by the bosomy of Wires. Total No.of Recessed Luminaires No.of CeL.-Sasp.(Paddle)Fans Na of Transformers KVA .:3 No.of Luminaire Outlets No.of Hot Tabs Generators KVA Na of Luminaires Sselinthing p Above ❑ In- ❑ na of Emergency Lighting lend arid. Battery Units No.of Receptacle Outlets Na of OR Burners FIRE ALARMS Na of Zones ection and No.of Switches No.of Gas Burners No of ling Devices otal - No.of Ranges No.of Air Cond. T Tons No.of Alerting Devices Heat No.of Waste Disposers PumpT Number]Teat KW 'D, a Self-Contained evices No.of Dishwashers SpacelArea Heating KW Local 0 M� 0 Outer Na of Dryers Heating Appliances ' fDevices or Equivalent No.of Water , No.of No.of Data Wes. Heaters K Signs Regatta No.of Devices or Eq :tt - No.Hydromassage Bathtubs No.of Motors Total HP T Na of Devices or OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Starr 1)- ,.7-d 1 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 0 OTHER 0 (Specify:) f cerdfy,under*kalifs and of perjury,that the hrforstadon on this application is true and conrplae. FIRM NAME: �w\Q�/ �/ LIC.NO.: Licensee: 1 '" uV / Signature ,,a t. �ci-<. LIC.NO.: ( I( - 6(If applicable.enter..exanpt"in the I maxber ' ) Bus.TeL No.: Address: 3Li l C f 1- 'S 1`c'1 'T tI A U�t�iflc�` O) 11 VIAA. .44 ! Alt.TeL No.: -])4--35-S -4-S'i(c Per M.G.L.c. 147,s.57-61,security work requires Depart t 6f 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$