HomeMy WebLinkAboutBLDE-22-002700 Commonwealth of Official Use Only
Atli Massachusetts Permit No. BLDE-22-002700
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:11/10/2021
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 sc 'bed below. � _/'
Location(Street&Number) 45 HASTING AVE (1 S00
Owner or Tenant LOPILATO GERARDO H TRS Telephone No.
Owner's Address LOPILATO LOUISE R TRS,45 HASTING AVE,WEST YARMOUTH, MA 02673-2634
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check ArKiate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 o. I lytSfj LAN.,,
New Service Amps Volts Overhead 0 Undgrd 0 ,' 6
Number of Feeders and Ampacity O` ala
Location and Nature of Proposed Electrical Work: Renovate kitchen, bedrooms, bathrooms service,garag . e,./
Completion of the following table ma be e .. ./n ctor of Wires.
No.of Recessed Luminaires 56 No.of Ceil:Susp.(Paddle)Fans No.of ^' •tal
Transformers l�4,4,... A
No.of Luminaire Outlets No.of Hot Tubs Generators 3 VA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets 6 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. Ton l 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 ❑ 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:) '70✓5'3A9 0
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Edson Hilaire
Licensee: Edson Hilaire Signature LIC.NO.: 52280
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 14 NICOD ST,ARLINGTON MA 024765702 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 : $75.00
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Commonwealth o///ladeach.ueelta Official Use Only
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2eparimenl o� fire Serviced
Occupancy and Fee Checked
z;, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 1 1 /4/2 0 2 1
City or Town of: West 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) 45 Hastings Ave
Owner or Tenant Christopher LoPilato Telephone No. (61'/)
592-7872
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No.
Existing Service 100 Amps 120240 Volts Overhead❑ Undgrd® No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity single phase 120/240
Location and Nature of Proposed Electrical Work: Renovation:Kitchen,Bedrooms,Bathrooms,Service Garage,
Basement
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 56 No.of CeiL-Susp.(Paddle)Fans T .of Total
Tr No.Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires 13 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
ggrnd. grnd. Battery Units
No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 13 No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of AlertingDevices
g Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: ""'_ " ""-"" Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ 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 Wirin •
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 15,000.00 (When required by municipal policy.)
Work to Start: 11/03/2021 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 pedury,that the information on this application is true and complete.
FIRM NAME: EH Electric&HVAC LLC LIC.NO.:
Licensee: Edson Hilaire Signatur LIC.NO.: 52280
(If applicable,enter"exempt"in the license number line.) Bus.TeL No.• 781-530-0650
Address: 384 Main St,Waltham,MA 02452 Alt.Tel.No.: 617-335-1122
*Per M.G.L.c. 147,s.57-61,security work requires Department of lic 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 ❑owner's agent.
Owner/Agent
PERMIT FEE:$ 75.00
Signature Telephone No.