The URL can be used to link to this page

Home My WebLink AboutBLDE-22-007344 ;tom,, \29I Commonwealth of Official Use Only ". ;,� `. Massachusetts Permit No. BLDE-22-007344 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:6/22/2022 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) 50 BRAY FARM RD SOUTH Owner or Tenant Rich Mazzocchi Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (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: Remodel basement Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 15 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 15 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/Alertinn 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 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 ierformance 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 ❑ 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: Frederico De Souza Signature LIC.NO.: 58247 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:41 Windshore Drive, Hyannis MA 02601 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: $75.00 le (( 0 . iv g'. 11 -7/' F RECEIVED 7 2O & A_ [—JUN 212022 . ' DING DEPARTMENT eafth of aeeachtteafis Official Use Only �//� cccJJJ It. -o' c `1' C S + al o .�`inr service Permit No. �7i2'" / BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECT RICAL WORK —'�' All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 Si' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: vn Date: (n-Z 1-7�1 Z e-- By this application the undersigned gives otM his O UTH intention to To the Inspector of Wi>es: y Location(Street&Number perform the electrical work described below. ` Owner or Tenant S°` t` Mary a ro a zc.) CCInr Owner's Address Telephone No. [} 122_d6 00 2 Is this permit In conjunction with a building permit? Yes LE No J Purpose of Building (?CS t 0L .Lek t ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts • Ne_ --- Overhead❑ Undgrd El No.of Meters --F$ Amps / Volts Overhead of Number of Feeders and Ampacity 0 Undgrd 0 No.of Meters Li � Location and Nature of Proposed Electrical Work: Gw.e (ocv,.1 bat 1 ..of c``1 �� Thelionotlse ollowin_ tablem b• o.of Recessed Luminaires l s No.of Cell:Sas `o,o p.(Paddle)Fans KVA ota �t No.of Luminaire Outlets Transformers �'� _ No.of Hot Tubs �' No.of Luminaires Generators KVA Z Swimming Pool d, ❑ n- 'o.o Units g mg ''" No.of Receptacle Outlets .rid. rid. ❑ Butte Units Z G No.of Oil Burners FIRE ALARMS No.of Zones • ->- No.of Switches (5 No.of Gas Burners 'o.o r etec on an Initiatin+ Devices No.of Air Cond. ota i Tons No.of Alerting Devices No.of Waste Disposers 'eat ump „`um er ons `o.o e out Totals: ...._...._._....... ` : ne No. • of Dishwashers Detection/Alerts s Devices Space/Area Heating KW 'un No.of Dryers Heating Appliances Leeu a Connection 0 Other `o.o "a er KW ty ystems: Heaters KW o.o .o o No.of Devices or E i uivalent Sins Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E I uivalent No.of Motors Total HP a ecommun ca•ons " r rig: OTHER: No.of Devices or E s uivalent Estimated Value of Electrical Work: (� t Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) G--(S ZU ZZ 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 cov, rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER I certify,under the pains and penalties o er u that the in❑formaation on this application is true and complete. FIRM NAME: if�ry, GV`t COC.0 WO vt�re,. Cl �,� t Licensee: e e Y e t c.,., ,� e n CoCc d�ve.k v LIC.NO.: g Z 4 _(3 (Ifapplicable,enter"exemp t"in t e be rise number line.) Signature Address: i t ti a( LIC.NO.: CG.c,-.y. 'r- (vay.v.i s• M tJ?!�C>t Bus.Tel.No. aB` y3 y *Per M.G.L.c. 147 s 57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: Lic.No. OWNER'S INSURANCE WAIVER: 1 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 a:ent. Owner/Agent Signature Telephone No. PERMIT FEE:$