HomeMy WebLinkAboutBLDE-21-003552 Commonwealth of
0Official Use Only
'� E`.'! Massachusetts
Permit No. BLDE-21-003552
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:12/26/2020
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrica ork described below.
Location(Street&Number) 57 WHITES PATH * S€{ 4-h3 cT7 J 6
Owner or Tenant SHERMAN ROYCE F TR(EST OF) Telephone No.
Owner's Address ROYCE F SHERMAN TRUST OF 1995, 9 EAGLE HILL DR, PLYMOUTH, MA 02360-1917
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A l , '.'., iate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0
New Service Amps Volts Overhead 0 Undgrd 0 411". : •
Number of Feeders and Ampacity Q b 4?..•. —
Location and Nature of Proposed Electrical Work: Video system&upgrade security.
O i?
Completion of the following table may be wa'l-i b .. i ctor of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of al
Transformers 4,. A
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above 0 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/Alertine 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 Siens 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: HELDER A LEMOS
Licensee: Helder A Lemos Signature LIC.NO.: 1448
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:306 WILBUR AVE, SWANSEA MA 027772631 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: $115.00
(ronunonweald.of Mad6aciumslt4 Official Use Only
_ficc�� Permit No. (-11-7-(-11-7---1 - 2-
-- J -
�r ' - 2cc77spartment o�..tirs.S'ervicas
I( 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: 12/21/20
City or Town of: South 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) 57 Whites Path South Yarmouth MA
Owner or Tenant MacFarlane Energy Telephone No.1(617)610-9700
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd D 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: Install video surveillance system and upgrade burglar alarm
system.
Completion of the following table may be waived by the Inspector of Wires.
al
No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans No.roof KTVA
p Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lig ,
grnd. grnd. Battery Units .
i
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I.o 'este
No.of Detection a d X '--�
No.of Switches No.of Gas Burners Initiating D is D '-..,° ,,,,
Tons
No.of Ranges No.of Air Cond. Total No.of Alertin' ley ces
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-C. e (:),,,.. �Z� ip Totals: Detection/Alerts +4 vi'Eag;`
No.of Dishwashers Space/Area Heating KW Local 0 ConnectionMunipail a'li* `eie.� _. r I
No.of Dryers Heating Appliances KW Security stems:* �.
'7' No.of Devices or Equivalent
No.of WaterKW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP
TelecommunicationsNofDevices
or Wiring:
No.of Devices Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work%3 CO() (When required by municipal policy.)
Work to Start: 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 ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Lemos Inc. (D.B.A Alarm Computer Technology) _ ' LIC.NO.: 1448C
Licensee: Helder Lemos Signature i LIC.NO.:
(If applicable,enter "exempt"in the license number line.) f Bus.Tel.No.: 508-678-6800
Address: 306 Wilbur Ave,Swansea MA 02777 -,- / Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SSCO-000860
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/Agent
Signature Telephone No. I PERMIT FEE: $ I I S" 6 0