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Home My WebLink AboutBLDE-21-007497 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007497 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:6/24/2021 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) 176 UNION ST Owner or Tenant WILLIAMS JOHN C Telephone No. Owner's Address WILLIAMS THERESA J, 176 UNION ST,YARMOUTH PORT, MA 02675-1942 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repairs&code violations. 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 0 In- 0 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 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: AUGUSTO VINATEA Licensee: AUGUSTO VINATEA Signature LIC.NO.: 22227 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2 LINWOOD ST, HOLBROOK MA 023432029 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 __. (_onCsivioawea //Ja tsacusetf3 Official Use Only [-- I r-- -; • ii t! 9 c� Permit No. e-�7 LCq7 _ RI'= -. aUepartinent o gi e SgrujcC` ' BOARD OF FIRE PREVENTION REGULATIONS Occupa7cy and Fee Checked ,-. [Rev.1/07] n ) ; . i . save bla•�k4° ,PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK. y All work to be performed in accordance with the Massachusetts Electrical Code ) 527 12.00 ` a (P E PRINT IN INK OR TYPE ALL INFORMATION) Date: OI /6 20 zCi or Town oi€P---____: -'T City To the Inspector o}'Wires: iiy ' application the undersigned gives notice of his or her intention to perform the electrical work descn below. Location(Street&Number) I Co Q.f\ 1 a(\ S. YQrmor1rr Owner or Tenant Telephone No. C J 4 J{9SK Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. F=isting Service Amps RC7/-g40 Volts Overhead ndgrd❑ No.of Meters I New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity — Location and Na re of Proposed Electrical Work: of • IJ alN (J h 0el Completion of the followin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Snsp.(Paddle)Fans NoTotal .Transformers KVAformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- 1 o.of J!mergency Lighting grad. ❑ and. :,❑ 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 AlertingDevices 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 El Corn o El Other Cysotems:*nnection No.of Dryers Heating Appliances KW S��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: 3 XGdc-C,E/(When required by municipal policy.) Work to Start: t�Q`.J1/4.j 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pa'r and penalties ofperju ,at the info , 'on on this ' #'Hendon is true and complete FIRM NAME: • \ / 2 LIC.NO.: C--Th Licensee: — Signature .)Jem P LIC.NO.: A (If applicable,enter mpt" lk: license number line.) .i_ , Bus.TeL No.: Address: C• . .= D0. , „. Alt.Tel No.: 5 O LK&6 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public ety"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/Agent1 Signature Telephone No. 1 PERMIT FEE:$ OP-