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Home My WebLink AboutBLDE-23-005979 v � Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005979 !i,,§ 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:4/28/2023 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) 83 SISTERS CIR Owner or Tenant VILLIAN DaSILVA 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 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: Swimming 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 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 No.of Waste Disposers Heat Pump Number _ Tons KW No.of Self-Contained 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.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: Ruy Coelho Signature LIC.NO.: 56863 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 Nancy Lane, 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: $85.00 5I, (23 i , coN4-30IT 4- -Qom C Cael4k0 i , 51` z3 6 a G/ tNA *mew 08oz, swell- ' • ,,,, A;:. 1vLMviL. APR 27 2023 A� ry�j ommonweatth of///assachusaifs Official Use Only �/ .......f ,B wit DEPARTMEN 2 �c-]� n Permit No, t,Z - sfi 7 Q. ., il�,; sivarfinant o�}ua Jaewiesd } a _ Occupancy and Fee Checked Ittv BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j (leave blank) s 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: 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) s 5 r> 7`e.,,'". C t fC 4 6, — PPP ZCti7L f1/ 7' x Owner or Tenant ( I to,Pa ,Qc,_ r' Telephone No.5ti e- 9S 6 8 z S ` Owner's Address 3 ( C e-.z e c-or 4 170,...,z7 c4-1 _/-I/C2_s"s7 i 5 1 Is this permit in conjunction with a building permit? Yes E No (Check Appropriate Box) O' Purpose of Building Ke,at 16,7 C/cz L Utility Authorization No. --$11 Existing Service 2Cc) Amps 1/0/2,0e Volts Overhead❑ Undgrd 154. No.of Meters / JNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters d€ Number of Feeders and Ampaclty U F Location and Nature of Proposed Electrical Work: G1_C .rp � LAJ f\r/ { ,) r 3— i iv(/ 4`. i�,c,l.' — 051 kt yes Completion of the following table may be waived by the Inspector of Wires. L i No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of I otal n< Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA rt No.of Luminaires Swimming Pool Above ❑ In- No.of-Emergency Lighting grad. grad. e� Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones t •-- No.of Switches No.of Gas Burners �No.of Detection and ti' _ Initiating Devices r 1.t No.of Ranges No.of Air Cond. Toast No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipalnnection ❑ Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Aydromassage 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. t Estimated Value of Electrical Work: /8t (When required by municipal policy.) r Work to Start: C y-e_7-454 Inspections to be requested in accordance with MEC Rule 10,and upon completion. NA..) INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless O the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The L,j undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER 0 (Specify:) I certify,under the pains� and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: cy Cee Z. Signature ild�( .1 LIC.NO.: 56 86 3-6 (If applicable,enter"exempt"in the license number line.) Bus.Tel_No.:fie Zee't C Z Se Address: 1 3 /(ft I tom.y 5" - 4-L('' 17 I j'6'i1-i s Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public 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 Signature Telephone No. PERMIT FEE:$