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Home My WebLink AboutBLDE-22-002151 (2) Commonwealth of 0Official Use Only Massachusetts Permit No. BLDE-22-005250 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:3/21/2022 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) 58 GREAT WESTERN RD Owner or Tenant CONWAY ELIZABETH L TR Telephone o. Owner's Address C/O JULIAN JAMES, P 0 BOX 2027, DENNIS, MA 02638 C? Is this permit in conjunction with a building permit? Yes 0 No 0 itiih , 1 e Box) Purpose of Building Utility Authorizati i '`) ''� Existing Service Amps Volts Overhead 0 UndgrdNI P ✓g o f+ I ie'sll, i New Service Amps Volts Overhead 0 Undgrd 0 ,I i et4&i 4,' ,AA Number of Feeders and Ampacity §j f Location and Nature of Proposed Electrical Work: New bathroom, recessed lights,&outlets.(Per attached) L/`� °t'", Completion of the following table / e//v�aiv�td/ Spector of Wires. No.of Recessed Luminaires 12 No.of Ceil:Susp.(Paddle)Fans 3 No.of K7/ Total Transformers �..? KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 7 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 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: Cristiano DaSilva Signature LIC.NO.: 55363 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 81 Webster Street,Rockland MA 02370 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 "` 0mm0 u� a r/r ea iaaf o I Official Use Only y t j .t r c7 Permit No. �Z—' 7, 2 rpartsn n.t of 1r...S.ruicee .f-f Occupancy and Fee Checked ' - �., BOARD OF FIRE PREVENTION REGULATIONS [Rev. i107} �•,,,.,* (leave blank) CI ' •i'PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1.14 * w All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 m. : ;SE PRINT RINT IN INK OR TYPE ALL INFORMATION) L , , i ,.Cii or Town of: 1ARM (J1To the Inspector ofWires. Lk.lt ""i. 9... t` .application the.undersigned gives notice of his or her intention to perform the electrical work described below. a �n( tr eet 'z�Number) ra< W e . e' or-Tenant p Q ..."r', 1 Telephone No. b10 t(80 5?/0 4 s Address - - s this-permit in conjunction with a building permit? Yes [j No Q (Check Appropriate Box) Purposee'of Sailding Utility Authorization No. Existing Service Wimps -/ Volts Overhead 0 Undgrd E_.I No.of Meters New rvice w' Amps I' Volts Overhead E Undgrd Q No.of Meters Number of Feeders and'Ampacity x .--',':-::to liO and Nature of Proposed Electrical Work: At L iv 13i'ttf gootti l'o sir P1R/ R c 4a%t Vi t , t `3_ ovr4t7 , >� :_ Completion of the following table mcy be waived by the inspector of'Wire. No "of Recessed Luminaires No.of Ceil;Susp.(Paddle)Fans No.of Total d- -. Transformers KVA No.of Luminaire Outlets No.of Not Tubs Generators KVA No.of Luminaires Swimming Pool Above Q In-: No,of Emergency Lighting grnd. grnd.- Battery Units Y No.of Receptacle Outlets 7. No.of Oil Burners FIRE ALARMS No.of Zones r�lo._of Switches No.of Gas Burners -No.of-Detection and 10 Initiating Devices ' Total No,of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat PumpNumber Tons KW No.of Self-Contained No of Waste Disposers Total ..`. ......... ........ Detection/Alerting Devices `No.ofDishwashers ` Space/Area Heating KW Laval[] Municipal Q Other Connection ,- No.bf`Dryers _ Heating-Appliances- KW security Systems:* . No.of Devices or Equivalent 3 of Water ' Na,of No.of KW Data Wiring: ��-- Heaters Signs Ballasts No.of Dvices or Equivalent o Hydromassage Bathtubs No.of Motors Total HP Telecgro f Devices o r Vyiring: No.of Devices or Equivalent OTHER. M' Attach additional detail itfdesired,or as required by the Inspector of Wires,stimated Value of Electrical Work: �j, � . 00 (When required by municipal policy;) ,Work to Start. 3/,2 i 12o22 Inspections to be requested in accordance with MEC C 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 o five. CHECK ONE: INSURANCE 0 'BOND Q OTHER 0 (Specify:) ii Icertify, s an d ienal�ties.ofperJury,that the Information on:this application is true and complete FIRM NAME:1,1:''-,--,'4-tm'--,-i'-,''k:-2-;.-;-:-i,..---,-.-(--''-'-",-._--'-',:-:±,`::*(i.- - - .' 4IC':,NO.• Licensee s fl `�'Q l t4 ''t �t � Signature LIC' .NO . " .0 �� . � .faftpHctblc,eir r "exempt"in the license number ne.,?,'_ � B�ks.'I"el.i�o.` ..:,. , Addrt r hr !4 i. Alt.Tel,,No.: Per M c 147,s.57 61,security work requires Department o Public piety S License . . a---„',' Lie. Nt . OWNE1 'S INSURANCE WAIVER 4 am aware chat the Licensee*does not have the liability tt ran e-cover e µ x ,, TM �� ; wired ' , . y y ��.0b ,I I►e' y wa)_ve t is r .3 �tl r s ,.. , .l t"tYt f t k � a p,,, SG� ate° d + 9'a+tl