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Home My WebLink AboutBLDE-23-004732 „, Iktp Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004732 40.0 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:2/27/2023 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) 15 BURCH RD Owner or Tenant FERULLO GLORIA R TR Telephone No. Owner's Address 26161 SUMMER GREENS DR, BONITA SPRINGS, FL 34135 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: Finish basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 16 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 3 No.of Alerting Devices Tons 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 ❑ 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: AUGUSTO VINATEA Licensee: AUGUSTO VINATEA Signature LIC.NO.: 22227 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2 LINWOOD ST, HOLBROOK MA 023432029 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 PS4---U-C443j (23 -- -,'' RECEIVED 2 4 2023 om.monweaGth oi//laodachu6etto Official Use Only __ C� Permit No. l7 3� DEPARTMENT eparimento/,.`c7 ireJervice.4 Occupancy and Fee Checked IRE 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(ME ,527 CMR I7.00 (PLEASE PRINT IN INK OR TYPE L PNFORMATION) Date: 0.. 2 t/ (/ aW"23 City or Town of: �( i �(Y� V To the Inspector of Wires: By this application the undersigned g es notice o; r her intention to perform the electrical work described below. Location(Street&Number) J. u 1Gu 1 RA Owner or Tenant ikifiatet. g p ar) Telephone No.50uD'C(6C 7 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (\ 15 In s3 aSP S\ 0 I Completion of the following fable may be waived by the inspector of Wires, otal No.of Recessed Luminaires ) ( No.of Ceil:Susp.(Paddle)Fans No of TVA Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Abovernd. ❑ In-rn d. ❑ Na.Batt er Unitsof E Units cyldghting No.of Receptacle Outlets i 2, No.of Oil Burners FIRE ALARMS No.of Zones -ANo.of Detection and No.of Switches l,/ No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices ;5 Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/AIerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection HeatingAppliancesSecurity Sstems:* No.of Dryers pp KW No.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3/ a d (When required by municipal policy.) Work to Start: 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 Iicensee 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 th ains and penalties of perjury,that the information on this iration is true and complete FIRM NAME: vSr► a V 1 Atfi LIC.NO.: 5,21 +5 Licensee: ? t 7 Signature LIC.NO.:.t.2.22. _A (If applicable, enter�mpt"in the license number line.) Bus.Tel.No,: Address: 6 N'eve re S' 1-(-0l b(act -?3, j Alt.Tel.No.: 5os6 ws/6/ *Per M.G.L. c. 147,s.57-61,security work requires Department of Pub is 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: $