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Home My WebLink AboutBLDE-21-001034 op A Commonwealth ofIlk Official Use Only Massachusetts Permit No. BLDE-21-001034 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:8/31/2020 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) 38 CAPT WRIGHT RD 'T74--"Eis - 4.0°63 Owner or Tenant Elton Ferreira Telephone No. Owner's Address 38 CAPT WRIGHT RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap iii. iate Box) � Purpose of Building Utility Authorization No. ! Existing Service Amps Volts Overhead 0 Undgrd 0 o.o Y.(4 � New Service Amps Volts Overhead 0 Undgrd 0 o e - � Number of Feeders and Ampacity ,f � Location and Nature of Proposed Electrical Work: Bathroom&garage addition. 40Q Completion of the following table may be waive ,•• of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of , 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 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 No.of Devices or Equivalent HeatersWater 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: (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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 Commnwntvsa/h of///aeeachueslle Official Use Only ''--.isJ ' Permit No./ 2slvarfinsnE ol c� lL r l Q 3s ir Ssrvicse4 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 Codg(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 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) vieti'A/ c(-- to 0 6. ` ov r - Owner or Tenant C ,-mot re1'? Telephone No. 00 7083 Owner's Address 5 ••r/l e Is this permit in conjunction with a building permit? Yes 0 No El (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❑ Undgrd❑ No.of Meters x Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: II -I4 J v b l k 66149 A 3._e_. il Completion of the fo ingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total T. Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA ti No.of Luminaires Swimming pool Above ❑ In- ❑ No.of Emergency Lighting 1:rnd. , d. Battery Units zzi No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS jNo.of Zones T No.of Switches No.of Detection and No.of Gas Burners i 11 No.of Ran Total Initiating Devices ges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:',Number .-"- - - --- Detection/Alertin, Devices No.of Dishwashers Space/Area HeatingKWMunici al Local 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications WIn ng: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail ifdesired,or as required by the Inspector of Wires. Work toStart: (When required by municipal policy.) 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 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: LIC.NO.:�_ (If applicable,enter" p Signature LIC.NO.: ` exenr t"in/he license member line.) Address: Bus.Tel No.: Tel.No *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No..: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nonnar required by la signature below,I hereby waive this requirement. I am the(check one) / owner R • , --. Owner/Age Signature ►\� °`��6 Telephone No. PERMIT FEE: ,; ,I