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Home My WebLink AboutBLDE-23-003825 Commonwealth of Official Use Only i, kt,' Permit No. BLDE-23-003825 Massachusetts 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:1/13/2023 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. 7 Location(Street&Number) 83 SISTERS CIR Owner or Tenant WILLIAM SILVA Telephone No. Owner's Address MA Is this permit in conjunction with a building permit? Yes 0 No 0 (Check? r&, o riateBoxtO lb Purpose of Building Utility Authorization No. 2,4t,� T G�� k) Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 200 amp U/G service. 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection I No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent 1No.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. PERMI FEE: $75.00 ic...4vC-t /;4' t �cvt)Ut1 -f. 1/Z.9Z'3 k kirL" Cot 1( . ECEIVED JAN 13 1 Commonwealth l,ommonwea[th oi, aedachiccdatia Official Only B U I L D l G ;_ tii�i l ccyy�� cc77 n�7 Permit No. Use O ay: ;...k �Ue/varf`manf o� }iro Serviced 0 tal '. Occupancy and Fee Checked li t BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Zi 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: 0/1/3/21 p 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) gj3 5/5 tern C /1 yQr-. r,- o"7'y / 2.-7 y` Owner or Tenant Vt11L L a,-.t 4 5 /4 try Telephone No.feg ?Sg ese S Owner's Address YF NV CA.t ti 5 ivec k re/ CCwfer✓e LG O ZG j Z Is this permit in conjunction witha building permit? Yes C No IN (Check Appropriate Box) i] Purpose of Building / C S/EY//c•h Ce at_L Utility Authorization No. , , x Existing Service Amps /IV/ Z 'olts Overhead D Undgrd ,,.*, No.of Meters ,* New Service eo u, Amps / Volts s OverheadE Undgrd C No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Eye,-v ic_e U eV."'SC ipCe' 4Cov EJ irnvn.t„� Z�/gH+f+ c , nT�f' 309� 9y'oo/S w Completion of the following table may be waived by the Inspector of Wires. U. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total ",° Transformers KVA Ct No.of Luminaire Outlets No.of Hot Tubs Generators KVA Ar No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units c No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.ofbetection and Initiating Devices it No.of Ranges No.of Air Cond. Total Tons No,of Alerting Devices No.of Waste Disposers Meat Pump Number Tons KW No.of Self-Contained 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 E uivalent No.of Water No.of No.of q Heaters KW Data Wiring: Signs Ballasts No.of Devices or lr uivalent No.Hydromassage Bathtubs No.of Motors Total HP '[elecommunca ons ring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: a" Y.me' ' (When required by municipal policy.) Work to Start: CV/Ii Z , 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 0 BOND ❑ OTHER ❑ (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: gvy , . C-_tv iA,c, Signature Je,...0 /� ( LIC.NO.:,5 863-6 (If applicable,enter"exempt'.in the license number line.) 11 Address: / Akak C >"f 17 �j'�r qAltrl i c Bus.Tel.No.:. a�2-6j c,Z.C m E. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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:$ 1