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HomeMy WebLinkAboutBLDE-20-006287 or,- Commonwealth of Official Use Only E ►� Massachusetts Permit No. BLDE-20-006287 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL '_'► ' All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.01 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/17/2020 City or Town of: YARMOUTH To the Inspector of Wires: fU * /1,,,..IN, this application the undersigned gives notice of his or her intention to perform the electrical work described below. ,oi-, Location(Street&Number) 23 VILLAGE BROOK RD R <- y / Owner or Tenant LIMA AURELIO Telephone No. o© Owner's Address 23 VILLAGE BROOK RD,SOUTH YARMOUTH, MA 02664 `n'VCS a Is this permit in conjunction with a building permit? Yes 0 No 0 (Check App r . • ..S GHAT Purpose of Building Utility Authorization No. Existing Service 100 Amps 120/24( Volts Overhead 0 Undgrd 0 f i • r. J� New Service 100 Amps Volts Overhead 0 Undgrd 0 No.oe •x'ZB, Number of Feeders and AmpacityLocation and Nature of Proposed Electrical Work: Full 100 amp service change � za- -I/? Completion of the followingtable ma .6e w ved bythe •,.. ' res. Y � No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of To - O 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 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 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: LLOYD R SMITH Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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:$150.00 Commonwealth of Official Use Only ifii*°. Massachusetts Permit No. BLDE-20-006181 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:6/11/2020 Mr211PAN_ Na..— City or Town of: YARMOUTH To the Inspector of Wires: E i a E By this application the undersigned gives notice of his or her intention to pertomm the electrical work described below. '' t t 1 Location(Street&Number) 23 VILLAGE BROOK RDi 1 JUN Owner or Tenant LIMA AURELIO Telephone No. 2 2n20 Owner's Address 23 VILLAGE BROOK RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check App °pr�iat blx l`v`C jE,=r_ Purpose of Building Utility Authorization No. Existing Service 100 Amps 120 Volts Overhead 0 Undgrd 0 No. a --"1. New Service Amps Volts Overhead 0 Undgrd 0 ete Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of roof mounted photovoltaic solar systems Is Completion of the followingtable maybe wai J@ s c26r Mires. 4 � .. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ,/ Transformers No.of Luminaire Outlets No.of Hot Tubs Generators Pf No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighti g 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 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: 07/16/2020 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:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LLOYD R SMITH Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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: $150.00