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Home My WebLink AboutBLDE-22-006597 Commonwealth of Official Use Only Massachusetts Permit No. BLDE 22 006597 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:5/17/2022 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) 48 GRANDVIEW DR Owner or Tenant POLLEY ELAINE C TR Telephone No. Owner's Address THE ELAINE C POLLEY FAMILY TRUST,48 GRANDVIEW DR,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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 22 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 13 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: 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 1t '4 uI i/V2- W/14 Pcr E-2n - in8peC4-7-af h-e dom. J-e e lcridCw RECEIVED "' MAY 16 2022 m 'nwQa aodaclsudatte Official Use Only ` r.M;,; Permit No. eZZ— J. coS�7 v r ~"" ht+ING DEPARTMENT admen!ol3ire Serviced ;;L',` a Occupancy and Fee Checked d `-►..' — =•a • `•1 a'_..• PREVENTION REGULATIONS [Rev. 1/07] (leave blank) i, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 0 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 �1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S-(.- 2(y'L Z. J 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. SLocation(Street&Number) `12( or . 4'tr taw Pc.wde v + Owner's Address Owner or Tenant C(t re- '�G( 4Tf� � Cite,No. F, _brt2 Z'�Z22 s •�\.,ct'vr�+v '1 -N�c to�� Yam...' i4 i 02la(o4 -✓1 Is this permit in conjunction with a building permit? Yes Z No ❑ (Check Appropriate Box) u I Purpose of Building fZes i c/t�4 t a t Utility Authorization No. Existing Service Zoe) Amps f jC)/ i;4 p Volts Overhead❑ Undgrd No.of Meters I New Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity o i Location and Nature of Proposed Electrical Wo [ 21 !I � E(� "lP3C� R4st Li.b1��roL+M A�'�CJ\k,C A. .3,m Pa...,.-A of kac-sc..•.wr4- a4Ack 14.+,Nckt ..c.i F4oe•4- Re.s4-ce. ba.4-Lropvi, c-Qw.cAe.l • kel to Completion of the following table m be waived by die Inspector of Wires. �! No.of Recessed Luminaires 'Z No.of Ceil:Snsp.(Paddle)Fans No.of- Total ._ Transformers KVA '-:t No.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners /5 FIRE ALARMS 1No.of Zones No.of Switches /3 No.of Gas Burners No.of Detection and ;� — Initiating Devices '' No.of Ranges No.of Air Cond. TToonsl No.of Alerting Devices No.of Waste Disposers Heat Pump I Number ITons I KW No.oTSeli Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipa Connection ❑ Other No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' 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: t%SOO (When required by municipal policy.) Work to Start:5 It (Lott 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 E BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME:V-v-af NCO O N4nCy4C.\nA Z.`tc%-rxe\cam .^ Licensee: c,r-t�tt-A co d " v��`�j cne�ru. Signature — LIC.NO.: (If applicable,enter"exempt"in the license Amber line.) Address: Li1 t,.lOw)l :;moocti •D�� ykKw`& Iv‘ But.Tel.No.;_S� -� -Zy3 *Per M.G.L.c. 147,s.57-61,security work requires Departinelit of P`bli Safety"S"License: Alt Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage no nnally 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:$