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Home My WebLink AboutBLDE-22-000718 #B - Commonwealthof Official Use Only ''.tiTh Massachusetts Permit No. BLDE-22-000718 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:8/9/2021 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) 162B PLEASANT ST Owner or Tenant ACHESON DAVID C LIFE EST Telephone No. Owner's Address 800 25TH ST NW APT 706,WASHINGTON, DC 20037-2208 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. ed New Service Amps Volts Overhead 0 Undgrd 0 o Me r SIJ Number of Feeders and Ampacity O f Location and Nature of Proposed Electrical Work: Install generator2. ' O Completion of the following table may be wa. 117p2.°- .p c Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of �/ 411 Transformers ,— „,, No.of Luminaire Outlets No.of Hot Tubs Generators 1 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 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 0 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Shawn A Souza Licensee: Shawn A Souza Signature LIC.NO.: 39768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 LAKE DR, PLYMOUTH MA 023605648 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: $75.00 12 -- k co vp,.4i all 1[-2-( cVcb a73--- a� °.� C /tip t Official Use Only onuriwnwsa o/ aseac alfa It E --.7-:- D -�Z-4717 (e _ __ cc�� cc77 Permit No. ,..,-„_11,1_,„, 1Jararl�nsnl oi.. ire Services _ Occupancy and Fee Checked AUG 'J1/4,,-')1-$� BEARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) By BUILDING DSC , TION FOR PERMIT TO PERFORM ELECTRICAL WORK work to be performed in accordance with the Massachusetts Electrical Code( ,C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: - 1 City or Town of: Yc2K _ To the Inspector of Wires: By this application the undersigned ryes notice of his or her intention to perform the electrical work described below. Location(Street&Number) / �(3 P1 O c✓U% -f-/`CCF------- Owner or Tenant C — OwnerorTenant v<<.f. il4C, ,cc ) Telephone No. Owner's Address 5c jt C.-- Is this permit in conjunction with a building permit? Yes ❑ No Check Approp ' to Box) Purpose of Building _.,..mi< 1& 9t, .K.41 l7 Dkiii Utility Authorization No. Existing Service ADO O Amps i Pj Vo Volts Overhead ❑ Undgrd 172r- 72 No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity al /Oo l Inp 3 n Location and Nature of Proposed Electrical Work: � �c.��1,`r,,v 4 /I Kw 6-e"..,c2 0,.I0•j J 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 4 No.of Luminaire Outlets No.of Hot Tubs Generators J1 KVA No.of Luminaires swimmingPool Above ❑ In- 1.7 No.of Emergency Lighting grad. 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 Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices '1/4.0Municipal P No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other N 1, Systems:* No.of Dryers Heating Appliances KW Securityof Deices or Equivalent / No.of Water No.of No.of Data Wiring: cT Heaters ' Signs Ballasts No.of Devices or Equivalent N No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDevices or Whin fl No.of Devices Equivalent V) OTHER: 2Attach additional detail if desired,or as required by the Inspector of Wires. 3 Estimated Valu o El trical Work:4/0/060 (When required by municipal policy.) Work to Start: /wa.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 rii undersigned certifies that such cove 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 and penalties of perjury,that the information on this application is true and complete (� A FIRM NAME: 5L.,,,,,,ii 4. s.„,7,,... c v-c.A.. LIC.NO.�q 7C(J Q Licensee: ILrAt,.rt1 v?� Signature 4.,,,„,,_ , LIC.NO. 7• p (If applicable-Lenter"exempt"in ee license n r line.) Bus.Tel No.' miff i• 90 w Address: Si t o i C vC_ ,yM c( f l A ca-SCCA 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)❑owner ❑owner's agent. Owner/Agent I PERMIT FEE: $ 7',D) Signature Telephone No. ' l4.fA I ♦ .0 'Io%!i 1'•1 - .ii �`