Loading...
HomeMy WebLinkAboutBLDE-22-004386 S� Commonwealth of Official Use Only ����'t,''�\ Massachusetts Permit No. BLDE-22-004386 �7 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:2/8/2022 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) 9 BURCH RD Owner or Tenant HALL ROBERT D TR Telephone No. Owner's Address HALL NOMINEE REALTY TRUST, 9 BURCH 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. 77 '3 3 Existing Service Amps Volts Overhead 0 Undgrd 0 No.bf Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Finish basement&upgrade service. Completion of the following table may be waived b,y the Inspector of Wires. No.of Recessed Luminaires 12 No.of Ceil:Susp.(Paddle)Fans 1 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 18 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Eauivalent HeatersWater KW No.of No.of Ballasts Data Wiring: 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: AUGUSTO VINATEA Licensee: AUGUSTO VINATEA Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 22227 Address:2 LINWOOD ST, HOLBROOK MA 023432029 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE: $75.00 I er-04-,kt 210(iv k —. .6-'s mac, (7 4 s7.74 . te:i 11 k / RECEIVED rFEB 07 2Q2_... c ruvealth o lMa ac _=�= i ILDING DEPARTNFBN y ..U_T �� ap?�nsanl of lira�arvcct Permit No. (_C.. 31�( s :.� ;r.' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked I 'ev. 1/07) eave blank —� ADQt! lr•ATl/1►t r:nr1 rr Allworkrobe :'t1�111 1 v rcRFvKnn tLtC RIC,4L WORK performed in accordance with the Massachusetts Electrical Code(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ) 527 12.00 City or Town of: RMOUTHot ©�`� YA ires: By this application the pndersigned gives ce of his or her inte ti to perform the electrical e nspector o tides described below. Location (Street&Number) ( Owner or Tenant C "� Owner's Address Telephone No. St Co Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building Fil (Check Appropriate Box) Utility Authorization No.Existing Service Amps / 2 (/Volts Overhead f Undgrd❑ No.of Meters NewService . 'p-(/ Amps i_,2 /;21(C. Volts Overhead Undgrd ❑ No.of Meters ----- Number of Feeders and Ampacity Location and re of Propos lectricai Work: r Com•letion o the ollawin-table in. be waived• the Ins•ector o Wires. No.of Recessed Luminaires ` No.of CeiL-Snsp.(Paddle)Fans No.of Total No. of Lumiaaire Outlets No. Transformers KVA ,of Hot Tubs No.of Luminaires Generators KVA Swimming Pool Above In- `o.o mergency an No.of Receptacle Outlets Srnd =rnnal d- Batte Units g No.of Oil Burners - �vf No.of Switches - No.of Zones V No.of Gas Burners o.of Detection and No.of Ranges Initiating Devices No of Air Cond. No.of Alerting Devices s6 No.of Waste Disposers Heat Pum Tons ,� Totals: umber Tons o.of elf-Contnine� No.of Dishwashers ME DetectioNAlertin Devices Space/Area Heating KW' Local❑ Municipal No.of Dryers HeatingAppliances � Connection_ ❑ Other No,of ater , Security Systems:* Heaters KW No. o No.of Devices or E.uivalent o,of Data Wiring: No.Hyd Heaters age Bathtubs St• s Ballasts No.of Devices or E.uivalent qt No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E.uivalent 11,4 Estimated Value of Electrical Work ( Attach additional detail ifdesirecz:or as required by the Inspector ofW'8 Work to Start; � (When required by municipal policy.) P Wires. INSURANCE Inspections o be requested in accordance with MEC Rule 10,and upon completion C'E COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may is the licensee provides proof of liabilityinsurance undersigned certifies that such coverage is inforce,and has exhibited prluding"completed roof of same to thee or its substantial office.equivalent. The unless CHECK ONE: INSURANCE ❑ BONDpermit issuing I certi under the ❑ OTHER ❑ (Specify:) ', ,•ins and penalties, per�ttry,th the information on this application is true and complete 0 FIRM NAME: A A "i' Licensee: 0 _ III LIC.NO.• < (If applicable,enter "exempt �� Signature 4 P t e license number line.) ) ���// LIC.NO.: 2`�Address-. �l t �` — �F— J "Per M.G.L. c. 4 ,s.57-61,security ti '� t� Bus.Tel.No.: OWNER'S INSURANCE WAIVER: requires Department of Public Safe Alt.Tel.No.: p�5 j 61 1 am aware that the Licensee does not havethe liability insurance coverac. No. ge required by law. By my signature below,I hereby waive this requirement I am the(check one ° — Owner/Agent la normally ISignature 0 caner 0 owner's a eat Telephone No. PERMIT FEE: S