HomeMy WebLinkAboutBLDE-23-005156 ....
6, Commonwealth of Official Use Only
'sit:,'i\ ` Massachusetts Permit No. BLDE-23-005156
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:3/20/2023
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) 41 PEREGRINE LN
Owner or Tenant LANDRY PAUL Telephone No.
Owner's Address LANDRY LINDA M, 693 PAGE STREET, STOUGHTON, MA 02072
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 No.of Meters
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Addition/Remodel
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 2 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 25 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. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 9
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
HeatersWater KW No.of No.of Ballasts Data Wiring:
Signs No.of Devices or Equivalent 2
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. b �� _ 7 ,
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) `C
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: JOSE RAPOSO
Licensee: JOSE RAPOSO Signature LIC.NO.: 55162
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:46 FAWCETT LN, HYANNIS MA 02601 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
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RECEI vni,
Official Use Only
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!;7 :11.: AR 2 0 2023 I , Permit No. z--3—51 SI:,
-. !;',7: „.p,,,Alz.Thii.r,L. Occupancy and Fee Checked
_., ,,,;s D I N c8v.)A K u foF T-IR PREVENTION REGULATIONS Rev. 1/07] leave blank)
I
APPLICATION FOR PE - IT TO PE FOR ELECTRICAL ORK
All work to be performed in accordance with the Massachusetts Electric21Code(MEC),527 CMR 12.00
VI (PLEASE PRINT IN INK OR TYPE Al.!.INFORM4770N) Date:
t
City or Town of: ArriTicr/4 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
, -121") Location(Street&Number) 11/ t_cfr)e_.,
fge...c.....7.) .
Owner or Tenant Pei..// LeV7C/2/ Telephone No.
... Owner's Address 9/ Rry.rThel le?tie,
Is building
with
this permitconjunction a permit? Yes m.4
• in , No 0 (Check Appropriate Box)
—
Purpose of Building iceNieteryk'ec/ Utility Authorization No.
t ' Existing Service Amps
/ Volts Overhead Undgrd E No.of Meters
New Service Amps / Volts Overhead Undgrd C No.of Meters
Number of Feeders and Ampacity
c.)
Location and Nature of Proposed Electrical Work: 46/174 6,--) 19 Oh/
- ---)
Completion of the following table may be waived by the Ivoltor of Wires.
No.of
' No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 2_
,- V -----
Transformers ---rAI
' .
No.of Luminaire Outlets No.of Hot Tubs ...------- Generators
No.of of Luminaires Swimming Pool Above In-41---- --
- grad. ' grad. L jrn BNaot.toetryE
___,---
No.of Receptacle Outlets 2.... <-- No.of Oil Burners ...--= Units
No. Lighting
FIRE ALARMS JNo.of Zones
_ -
o.of Detection and
No.of Switches No.of Gas Burners -----
/ . Initiating Devices
To
No.of Ranges _...---- No.of Air Cond. _ tal_Toni-- No.of Alerting Devices (.3)
Heat Pump NumberI. Tons liKAV No.of Self-Contained
No.of Waste Disposers -.------ ' Totals:I '; 24-7A).,., -ri,d , Detection/Alerting Devices
No.of Dishwashers ----- Space/Area Heating KW ,--- Local 0 lifounnniciP.On 0 gther 1
No.of Dryers
SHeating Appliances .K.vr "uritY SXstems:1
No.of uevices or Eq4valjr No.of Water No.of No.of Data Wiring:
Heaters --ICW Signs T--Ballasts No.of Devices or Equivalent
, . .: ---- Telecommunications Wirin
No.Hydro :
massage Bathtubs,.....--- No.of Motors , ..
No.of Devices or Equiv .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: ij.,,,,--3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
.
INSURANCE OV RAGE: 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 p!eqalties of perjury,that the information on this application is true and complete.
FIRM NAME: -,17C..- ioNr.,Vr-- ) _Ekl-ric...
LIC.NO.:,33.760,7-,8
Licensee: 3vs - C. ,,.:4:i.x.._0
Signature--r --,-.. LIC.NO.:5376 02-B
(If applicable25n(er"exempt"in file license nu ber line.) Bus.Tel.No.:5Z)F 27?7 e•-/ 7P
Address: 74 6.f.i.cebt Z-c:-/e. / ..4.74.5.,,,414 0--; ,0/
,
Alt Tel.No.:
*Per M.G.L.c. 147, s. 57-61,security workrequires Department of Public Safety"S"License: Lic.No. 'T'576,-2-,e5
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By ignature low,I hereby waive this requirement, I am the(check one)[ owner 0 owner's agent.
Owner/Agent
Signature - 7 - - Telephone No.5.-t-ii<,--xio-,X,V__I PERMIT FEE:$