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Home My WebLink AboutBLDE-22-001495 ,� Commonwealth of Official Use Only ifir/ht Massachusetts Permit No. BLDE-22-001495 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:9/15/2021 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) 14 LILY POND DR Owner or Tenant CUGINI DAVID J TRS Telephone No. Owner's Address CUGINI RITA D TRS, 14 LILY POND 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: Miscl.work per attached. 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 O /3 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.t er Uni ' ��' grnd. grnd. Battery me . No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALA' b'' o� f •<(I t No.of Switches 1 No.of Gas Burners No.of Detection a '1 %�./ Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices O 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',44 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 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: MANUEL A ANDINO Licensee: Manuel A Andino Signature LIC.NO.: 52474 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 YANKEE DR, BREWSTER MA 026311876 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. I PERMIT FEE: $50.00 I �.T olaa.ac Official Use on ,.EQ 15 202 Permit No. L3Z�, `ted M +;A�1M,E ' v Occupancy and Fee Checked ,A ,-"''io : _- -E PREVENTION REGULATIONS [Rev. 1/07) , y __ (leave blank) f APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 -6 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: — f - 21 City or Town of: '' ' o v ('�* 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) (y L I j f o H I - D.-t v4 Owner or Tenant 5c ke.11 GI., Fo ref Telephone No.(Zo?)21)- W07 Owner's Address • Is this permit in conjunction with a building permit? Yes 0 No Er- (Check Appropriate Box) 1 Purpose of Building lees;de..., Utility Authorization No. • Existing Service /Do Amps tZo I t a Volts Overhead['T Undgrd❑ No.of Meters I g New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: ref/at t 6 Fc, phi i v.gra F,..;'6 44.k ex t-e' 4,' ge Place G4.-wf.e Ploy a..el I S'.vad. . 244ttar/i Z txf#t,w.'es,e• p/vg.f s-ris lo' -Pte -exsffu y vl Cir..✓if -APS/ /G c.c./ Litre t�r . Completion of the followingtable way be waived by the/n M,of Wires. ll. No.of Recessed Luminaires No.of CeiL-Snap.(Paddle)Fans No.o oil Transformers KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- Nof Emergency Lighting 4- No.of Luminaires 'Z Swimming Pool tend. ❑ trend. " Battery Units No.of Receptacle Outlets (o No.of Oil Burners FIRE ALARMS No.of Zones •- No.of Switches / No.of Gas Burners -No.of Detection and . initiatintt Devices €;' No.of Ranges No.of Air Cond. Ton No.of Devices Tons Alerting No.of Waste U sera Heat Pump Number Tons I KW-_.- No.of Self-Contained Totals: _ ______ _ -- Detection/Al�Devices No.of Dishwashers Space/Area Heating KW Local❑ Co ❑ Other . Connection No.of Dryers Heating Appliances KW Security 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 TelecommunicationsofDevicesor nW�E; Na of Devices Equivalent * OTHER: A.tsii-ca l/ i.fkf A.;i.,.%ts, 0 Ne e.tlt. -.- Stele of 1.0.1% %(pc, Pr.,c"fa%u. - 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: 8 f 2a z I 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:) I certify,under the pains andpenakies ofperjury,that the Information on this application is true and complete FIRM NAME: A"414;4.0 6(e c.f. i c , 6.‘c - LIC.NO.: Licensee:Afamt.e/ A.t,Qe Ko I fle44:44.L+Signature L4 LIC.NO.: s z.y 7Y 8 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.•(77 Y)7 ZZ-2-3tf Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of 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 Owner/Agentagent. Signature Telephone No. I PERMIT FEE:$ S 0 -- I