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Home My WebLink AboutBLDE-22-000711 C4) .:v- Commonwealth of Official Use Only 1 . 't ‘ Massachusetts Permit No. BLDE-22-000711 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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) 31 BAYBERRY RD t Q 17-5' 322er Owner or Tenant Dimitry Orlovsky T ephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 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: 2 Bedrooms, bathroom, kitchen& laundry Completion of the.following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 26 No.of Ceil:Susp.(Paddle)Fans 1 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 28 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 11 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers 1 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LUIZ DASILVA Licensee: LUIZ DASILVA Signature LIC.NO.: 54245 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:29 REED AVE, EVERETT MA 02149 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 ek, 2‘1,--P PerAysp 6(); ecs4v)a ,.. ic-_ ( (N A 9 (13hi (9: c v) AA,k, v 8 �—\ Commonwealth o//l/ato=Lotte Official Use Only IT'' c� Permit No.�22 :Ir! ' LJsPartmsnf oi 5irs Ssrvicse (I=o Occupancy and Fee Checked 11757 d x �,; �� BOARD OF FIRE PREVENTION REGULATIONS Rev. 1107] 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 -AI (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: y/i Nr.IYy10U-k h 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) `i t h ,y ke f•r y h(\ iy Asir rma J't.In IV11\ lb Owner or Tenant Q r 1_,z,J b c' t ' , fri1"k r/ Telephone No. �C Owner's Address 'J,Lem cir.,., 7 ,n/A , Li ti 1 \ iA h't M tZIT) _fit UM:t 6 . !1aj e Is this permit in conjunction with a building permit? Yes o El (Check Appropriate Box) A Purpose of Building Al zstkt;�� Utility Authorization No. ` )L -2.A•- 006 '�/1 — Existing Service Amps / Volts Overhead — Undgrd n No.of Meters O� New Service Amps / Volts Overhead Undgrd _ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:? ect f Or�m L� 1 1 )A I h f 2yy7 / 4 !t(h'/yi ..` 1Atit4bKy Vn Completion of the following table may be waived by the Inspector of Wires. :, No.of Ceil:Sas (Paddle)Fans No.or Total Z? No.of Recessed Luminaires 6 P• ? Transformers KVA i No.of Luminaire Outlets No.of Hot.Tubs Generators KVA a Above In- iso.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grn-d. ❑ Battery Units 1 No.of Receptacle Outlets 1, g No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 1 No.of Gas Burners No. Initiatinnggon Dete and In Devices IQ No.of Ranges 1 No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: rDetection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other _ p Connection No.of Dryers . Heating Appliances KWecurity Systems:* No.of Devices or Equivalent '5 o i Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalentns No. Hydromassage Bathtubs No.of Motors Total HP del No.of Devices communicaoor Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1, 5. rut; (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: L l) I t A s i I VA C LIC.NO.: Licensee: 0,i Rtjty t\J ae,c7, Signature ~ i LIC.NO.: 512145 (If applicable,enter exempt 'in the lice a number lin .) Bus.Tel.No.K;4}l'Acj&-5,T' Address: CePd Ave (-�/r'�'✓ r /1 07 1/ Alt.TeL No.: *Per M.G.L.c. 147,s. 57-61,security work requires epartment 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 PERMIT FEE: $ Signature Telephone No.