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Home My WebLink AboutBLDE-21-003775 , Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-003775 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:1/7/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 95 HEMEON DR Owner or Tenant John Pereira Telephone No. Owner's Address 95 HEMEON DR, WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Ckeak APpregria. } ��,r��'`D Purpose of Building Utility Authorization Nfli. /"_- 'z AX1' Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ 110.4ititleters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&install underground. 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- CINo.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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Joseph L Moniz Licensee: Joseph L Moniz Signature LIC.NO.: 14635 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 FRANKLIN ST,SOMERVILLE MA 021453236 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 "�f2-PVC ) CoND l ' t129 C VR. 41 2 CeS ttlu - \\t tls Commonwealth el Official Use Only ,• q f e7 Permit No. e —3 ( /�J S 2)epartmeni o/.)ira�trvlcss Occupancy and Fee Checked .. ,` BOARD OF FIRE PREVENTION REGULATIONS [Rev. (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: / ,2/ City or Town of: ,0(LiY1a1 i 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) el5- �v h 4 4' i-, / no tP)H Owner or Tenant _° j p Ar p'eia p. Telephone No. Owner's Address /9 1 /- i(ik/aett7 l it Lveyd LW/no 1.4 Is this permit in conjunction with a building permit? Yes ❑ No 2 (Check NI Purpose of Building /-1DO L Utility Authorization N. -�� - Existing Service /O0 Amps 420 /02,D Volts Overhead �� Undgrd❑ mo:of lt etera— / zNew Service 2rx) Amps 120 1_yL Volts Overhead El Undgrd El No.of Meters / zi Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work: -i/� �/i'/►l� c/�c-xiL,6/ S� c;�� s�7m i„a I�It�.� ) 7a)AW f- -t-ti // Feeder i LMC0 j7O iMdr' al[1,m Rue ir3 melee sadter Completion of the followingtable wry be waived by the inspector of Wires. No.or Total . No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA c--'. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin pool Above In- Pio.of Emergency Lighting g 4rnd. ❑ end. ❑ 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 s- No.of Ranges No.of Air Cond. TotaTonal No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW 'No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Systems:* Munnectionidp n 0 Other, C No.of Dryers Heating Appliances KW &corky oDevices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Teing W No.of Devices or Equent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 00 6.-Q (When required by municipal policy.) Work to Start: / -!p-2/ 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 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: (Y)0/1 t Z /c%C 720/G LIC.NO.: Act 4(o Sb Licensee: , /1 f)'1 pf)/7. Signature a024 1 LIC.NO.: C3zz��/ (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 6 17-&Z ' `7 Y 3 r Address: 33 /V/kr)JC/tnt ,ST, 56/Y1G41,1/ Alt.Tel.No.: t l7-S i2 -rn *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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$