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Home My WebLink AboutBLDE-22-004797 (/� Commonwealth of Official Use Only fLiki Massachusetts Permit No. BLDE-22-004797 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:2/28/2022 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 SEAVIEW AVE Owner or Tenant Gary Roy Telephone No. Owner's Address 176 SEAVIEW AVE,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 ❑ 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: Bathroom renovation Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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 ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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: Luciano B Miranda Licensee: Luciano B Miranda Signature LIC.NO.: 53429 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 11 LEXINGTON ST, BELMONT MA 024785010 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: $50.00 ?(*-7;)---k6 (coot?t-67) `/`$ 1 ') RECEIVED 'w, C 00// �//� // Official Use Only, ,naiealth o f amachaiettd ). - w ii /. FEB 2 H �� c7 Permit No. � ` t 67 t _ ie,,rtment o/}ire Serviced =t i_�i�j L D I N G u t PA R(ME NT Occupancy and Fee Checked : -`�,' _BOAR' 4. - - .= PREVENTION REGULATIONS [Rev. 1/071 (leave blank) E APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK o All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 L) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 02/08/2021 O City or Town of: South Yarmouth To the Inspector of Wires: -o By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ® Location(Street&Number) 176 Seaview ave Owner or Tenant (p R6 t/ Telephone No. •Owner's Address / Is this permit in conjunction with a building permit? Yes X❑ No ❑ (Check Appropriate Box) rb Purpose of Building Residential Utility Authorization No. U Existing Service Amps / Volts Overhead X❑ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters _ . Number of Feeders and Ampacity qk Location and Nature of Proposed Electrical Work: Bathroom renovation :-rj Completion of the following table may be waived by the Inspector of Wires. vit No.of Recessed Luminaires 1 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting 2 grnd. grnd. Battery Units .� No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and 4 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal 1-, Other p Connection No.of Dryers Heating Appliances KW SecuriNo of DeviSyecs:* es 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: 2000 (When required by municipal policy.) Work to Start: 01/08/2021 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 ❑X BOND ❑ OTHER Q (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: First Choice Electric LIC.NO.:_ - Licensee: Luciano Miranda Signature o' (A' LIC.NO.: 53429 (If applicable,enter "exempt"in the license number line.) Milford Ma 01757 Bus.Tel.No.• 6174547132 Address: 33 Mill Pond Circle 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 El owner's agent. I Owner/Agent Telephone No. I PERMIT FEE: $ Signature Elliott, Ken From: Luciano Mirancja <mf=andaboston@icloud.com> Sent: Wednesday, March 23, 2022 4:37 PM To: Elliott, Ken Cc: lutimiranda@yahoo.com.br Subject: Cancelation for Permite Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe.Call the sender to verify if unsure.Otherwise delete this email. Hello I would like to cancel the permit over 176 Seaview Ave,South Yarmouth,Ma Thank you ! I G („ti V(/, 1