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Home My WebLink AboutBLDE-21-007340 Commonwealth of Official Use Only E. t • Massachusetts Permit No. BLDE-21-007340 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:6/17/2021 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) 18 SKIPPER LN Owner or Tenant Marcos Ferreira Telephone No. Owner's Address 18 SKIPPER LN,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Approp nee : ) „ Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 044:41e n ail New Service Amps Volts Overhead 0 Undgrd 0 4f g FOAM.' Number of Feeders and Ampacity O 'r�' Location and Nature of Proposed Electrical Work: Remodel kitchen&2 bathrooms. New HVAC. A:O Completion of the following table may be waived by , , Wires. 44tilli No.of Recessed Luminaires 20 No.of Ceil:Susp.(Paddle)Fans No.of V, .10 Transformers No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. 1 Total 3 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 1 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 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: Licensee: Marcos Ferreira Signature LIC.NO.: 56463 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 Breman Street, Boston MA 02128 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: $75.00 °We-eb' q( 7.7 eps f r_1af t i. l Commonwealth o f Maedachudetti Official Use Only ;t, c� �7 Permit No. t-'2-(„73-['J :, F sparfmsnl o`}iro Serviced 1.1;77 .� -1 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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:/)J-//,.._„e, 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) /2 -3 -, 'p`,` I.e.(17 e• Owner or Tenant Telephone No. t -33 3-/&,2 9 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity E Location and Nature of Proposed Electrical Work: f -hi ., ././.(...-- AJ,,,,,-,..„6. )0(4t., oZ /,r-LL i3c+A , eel." i c VC ) V) Completion of thefollowingtable may be waived by the Inspector of Wires. Cl* No.of Recessed Luminaires No.of Cell:Sos (Paddle) No.of Total .„ 020 p. Fans Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 6 Swimming Pool Above ❑ In- No.of Emergency Lighting trnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones - No.of Switches C 0 No.of Gas Burners No.of Detection and Initiating Devices It r No.of Ranges No.of Air Cond. ( Total 3 Tons No.of Alerting Devices No.of Waste Disposers / HeatPuump I Number)Tons .I KW No.of Self-Contained r ,Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KWLocal❑ Municipal Connection ❑ Othev No.of Dryers Heating Appliances KW Security Systems:* * No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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: S-DO a (When required by municipal policy.) Work to Start: €26/2 -,,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 co yte 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 thf pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: (/t?Ctvecs S /4r•4,•v«ve... LIC.NO.: 5'e 16'9. -13 Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) `l Bus.Tel.No. • Address: J cL / i"ft-, lh .,--/- )3„.-1(.-,t, h,G 0/2/ 0 g 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 Signature Telephone No. I PERMIT FEE:$