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Home My WebLink AboutBLDE-23-001817 VCommonwealth of Official Use Only 1 . 16) Massachusetts Permit No. BLDE-23-001817 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:10/5/2022 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) 153 CAPT BACON RD Owner or Tenant TAYLOR JONATHAN T TRS Telephone No. Owner's Address TAYLOR HELEN E TRS, 153 CAPT BACON RD, 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 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of RangesNo.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat PumpNumber Tons KW No.of Self-Contained 1 p Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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: Licensee: Ruy Batista Coelho Signature LIC.NO.: 56863 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 Namcy St, Hyannis Ma 02601 Alt.Tel.No.: 5085555555 *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 Ni,e_ fol4,(721, [6t (2 ,0 t 0(f z-z ul t .s' , Comnson.weatth of Maddachudeild Official Use Only .., , . . *( eParttmeni o rreServiced�� Permit No, l 0(7 ; I `-' ' 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 Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /,O— — Z 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) /.5'g e 0.�7 /1,7 Co S'ov 71-, y r,-roci/4 Owner or Tenant G1Z e P eit-,44A-le, clam,1 Telephone No. �o R -2 9'y 1c ,r, Owner's Address /6-3j Gnffp,H eta C o' /'e7 Is this permit in con junctio with a b ding permit? Yes 0 No 13 (Check Appropriate Box) i Purpose of Building ��5 rQ'C��t f ra L Utility Authorization No. 9 Existing Service (00 Amps /'0l 2 Ze Volts Overhead Eg Undgrd Und g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty `‘ Location and Nature of Proposed Electrical Work: .S' ��t r�+ e� /fir G�o a p �-, e� Se�� r tC / Completion of the followinktable may be waived by the',vector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.or A Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA -47 No.of Luminaires Swimmin pool Above In- No.of Emergency Lighting 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 c Initiating Devices i t 1 No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump N K umber„ Tons W No.of Self-Contained Totals: "' ""- " Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Icei❑ Connection ❑ Cidler No.of Dryers Heating Appliances KW Security Systems:1 C.) � ^ No.of Water No. No.of Devices or Equivalent.. NI 1 Heaters KW of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent Ni 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: eye (When required by municipal policy.) N Work to Start: /0— b7-22_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived bythe 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 exhibitedproof of same to the 1"nt 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: LIC.NO.: Licensee: f />' P1.,ILO Signature LIC.NO.: T C3-e (If applicable,end"e�xi mpt"in the license number line.) Bus.Tel.No.: Address: /S A/c).'Cy S 4 Gt..-c e //yo-c, 't' S Alt,TeL No.:-50,45 Z eio Z c Cl *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)0 owner 0 owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$