The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005403 Commonwealth of Official Use Only or 1/1 Massachusetts Permit No. BLDE-22-005403 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:3/28/2022 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) 471 ROUTE 28 Owner or Tenant DUARTE TAD Telephone No. Owner's Address DUARTE DEBRA, 38 STONEY HILL DR,SOUTH YARMOUTH, MA 02664 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: Upgrade lightallinr Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 13 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 6 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 3 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. ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalegt No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivajent 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 perjuty,that the information on this application is true and complete. FIRM NAME: Licensee: Ryan Malicia Signature LIC.NO.: 23157 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 23 Doves Lane,Marstons Mills MA 02648 Alt.Tel.No.: 5087768897 *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: $75.00 1(21,0-e6k/ 3,tie(2t q`*‘-(-- q(127( R E C E �/ D fir`1�Ct l'( S CA..ret,vt C . _fr MAR 2 3 2022 - L' c�.tn — is—App _ BUILDING uE ; _. ruveas 7 r/l ac fia OtfCialUseOnl By: _ )::.:1 ti :!' Y c7 ra_ �•Pa' e�o�� S'irvicee Permit No. t � \; n BOARD OF FIRE Occupancy and Fee Checked PREVENTION REGULATIONS [Rev. 1/07 cleave blank) APPLICATION FOR PERMIT TO PERFORM ELECT All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC),52RICAL7 MR 00 WORK �YPLEASEPRINT IN INK OR TYPE ALL INFORMATION) 4 ;i City or Town of: Date: � /A3 � �" �; YARMOUTH To the Inspector of Wires: 1By this application the undersigned gives notic, of his or h intention to perform the electical work described below. ' Location(Street&Number) 7/ - Owner or Tenant T kz- / _ -C.-_ J ZTelephone No. 7 76f, 01 o 57(e q4 Owner's Address Z. a bAA l t.�e 410 a- v Is this permit In conjunction with a building permit? Yes IL No Purpose of Building- ii{S,f t"—2 0 (Check Appropriate Box) Utility Authorization No. zisting Service Amps / Volts Overhead -.1.' ❑ Undgrd 0 No.of Meters New Sery Amps / Volts Overhead❑ Undgrd'0 No.of Meters v Number of Feeders and Ampadty Z., tion and Nature of Proposed Electrical Work: T. y,/-;4// 1V /, r it,i a 0,9 Al ; yh ,� th Lb )tile.of Recessed Cons,leder o the ollowi : table m, be waived b the I . for o Wires. ei Luminaires 3 NaofC o.o No.of Luminaire Ou, (Paddle)Fans KVA Transformers its �� Na of Hot Tubs Generators KVA c A.4' Na of Luminaires . '�Swimming Pool i ie d. (� n- o.o 'mergency 7 ;lig �' No.of Receptacle Outlets ' nd. ❑ Butte Units g .,� No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'a l �^ t'rInidadn Devices No.of Ranges No.of Air Cond. °' Tons No.of Alerting Devices ' T'Immp .'um.r ons ' X.otals: _ 'o.o • on• a- Na of Waste Disposers Pio.of Dbhwashers Detection/Alertin Devices Space/Area Heating KW Local 'un No.of Dryers Heating Appliances u Connection ❑ Other • KW ty ys ma. o.o Heaters KW `o.o 'o.o Na of Devices or uivaleot S a Ballasts Data Wiring: Na of Devices or ' .nivalent No.Hydromassage Bathtubs No.of Motors Total HP e ,mmu. : ,ns f r. g OTHER: Na of Devices or utvalent Estimated Value of lectri 1 Work: �/we) Attach additional detail tf desired,or as requiredthe Ins (When required by municipal by patter of Wires. Work to Start: � aa��,�apal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the the,licensee provides proof of liability insurance including"completed operation" coverage performance or its al work may issuentunless undersigned certifies that such coverage is in force,and has exhibited proof of nsame to the substantialiquivalent The CHECK ONE: INSURANCE ® BONDipermit issuing office. I cote,under the pains and penalties o 0 OTHER ❑ (Specify:) ix fperlary,that the Information on this application is true and contptete. FIRM NAME: Alt t,';, / I/GG, ,G n LIC.NO.: 2 3(S 7/f Licensee: L tA /'7 LY t'� Signature ,!2.. (llapplkable. ter"...term"in I license number linea LIC.NO.: 5 5-45-Y- Jf Address: -. 3 ie) L -, .Aid is /4 t e2 4 i t� Bus.TeL No.: st5—� " {� *Per M.G.L.c. 147.s.57-61,securityworkment of Public Safety-S"License: Ale.Tel.No.: Z€y'y v �7 OWNER'S INSURANCE WAIVER: I am aware thatLicensee does of have the liability insurance coverage Lic.No. required by law. By my signature be w,' I hereby waive this requirement. I am the(check one IIS owner III owner's a_ent. Signature er/Agent/��_ normally �- _Z Telephone No. 56 77‘ "if PERMIT FEE:$