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Home My WebLink AboutBLDE-22-003024 Commonwealth a////addachersettd Official Use Only ► WOW? c� Permit No. 2 /d tI 2)_ epartment o/.7 ire Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] (leave blank) Q ��_ ,- ; ' '' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK i o v � All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 W-€ 1.1 ) i 9/2j P ASE PRINT IN INK OR TYP ALL INFORMATION) Date: i � City or Town of: //"" (��T t`i' Mk To the Inspector of Wires. :i 13y! his application the undersigned gives notice of his or her intention to perform the electrical work described below. i,: ' 2 iolttation(Street&Number) Q7 CAP L oTI'/ goP 1 !7 oll LJ ir-� u-._ . °AJwfner or Tenant ION A Do scyv Lu Itf teelizA Telephone No. mmi -- • - ner's Address Is this permit in conjunction with a building permit? Yes n No P (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd E No.of Meters New Service Amps / Volts Overhead F, Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: IN 6 h o ter',7 Coo C 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 ❑ yQ In- .n/No.of Emergency Lighting grnAboved. 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. Tons No.of Alerting Devices Heat Pump Number Tons KWNo.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of nevices or Equivalent Heaters KWN°•of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: U /23/, 921 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 ❑ OTHER ❑ (Specify) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: LIC. NO.: ��5( c�"N'f! p4 5tt[!/�- Signature___ -- —`----- 2.10 (Ifapplicable, t "exempt"in the license n bet lime.) LIC.NO.: Address: �T3 Bus.Tel.No.: y *Per M.G.L. c 147,s 57 61,security work requires Department of Public Safety"S"License: Alt Licl No. Z 1 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 E]owner's a•ent. Owner/Agent Signature _ Telephone No. p PERMIT FEE: $ op, U\ l,C) Commonwealth of Official Use Only fl; Massachusetts Permit No. BLDE-22-003024 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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•11/24/2021 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) 60 CAPT LOTHROP RD Owner or Tenant Wanderson Pereira Telephone No. Owner's Address 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 New Service gNo.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: In-ground pool 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 I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 I certify,under the pains and penalties o.fperjury,that the information on this applications true and complete. FIRM NAME: Licensee: Cristiano DaSilva Signature Tel. NO.: 55363 (If applicable,enter"exempt"in the license number line.) Address: 81 Webster Street,Rockland MA 02370 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 ref ' ed by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Allikb\ Signature Telephone No. 4 Ala Oat ` PERM FEE:$50.00 it 1 Arco 'nt l i tzf etV