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Home My WebLink AboutBLDE-23-004549 Commonwealth of Official Use Only 4. , Massachusetts Permit No. BLDE-23-004549 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:2/15/2023 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) 17 RAYMOND AVE Owner or Tenant JEFFREY FEAR 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: New addition, half bath, &laundry. 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. Total No.of Alerting Devices Tons 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Euuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Euuivalent 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: $75.00 RECEIVED I FEB 15 2023 nk o / �j t , in ^ 'sa ///addac�iudattd Official Use Only ,, °eif:>r W [ jam( E rs artmsn.t o f .arvicsd Permit N 1 � v: IrING DEPARTME a ; "` _ ' PREVENTION REGULATIONS• Occupancy and Fee Checked army [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) City or Town of: YARMOUTH Date: e?Z—/5 -e 5>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) / Owner or Tenant .(79 4 y 11,1 Fee./'''' Telephone No. 42 •�2� _ $�3z Owner's Address e.7.Il ,r// I I�,` � ' o e _ / 5-_r Is this permit in conjunction with a building permit? •1 Yes ❑ No � Purpose -) t / C (Check Appropriate Box) of Building /`�C p t r L Utility Authorization No. V ' Existing Service (et, Amps /fe /22 Volts Overhead Undgrd❑ No.of Meters t New Service Amps / Volts Overhead Ell�✓, Undgrd El No.of Meters Number of Feeders and Ampacity _,' Location and Nature of Proposed Electrical Work: /. ......ttt O j /lie I Apo,-, 4/ y,t;/� d A',,-- �e�L, 6 h�.-cvij,� 1.Lr� C�csv d� r;;. "� Completion of the followinktable may be waived by the Inspector of Wires. (I; No.of Recessed Luminaires No.of p .' No.of Ceil:Susp.(Paddle)Fans Total No.of Luminaire Outlets Transformers KVA '..' No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting - grnd. �rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners • FIRE ALARMS INo.of Zones • No.of Switches No.of Gas Burners No.ofBetection and ' No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump Number Tons I W '1 of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipa Connection ❑ Other No.of Dryers Heating Appliances KW ecurity ystems: o.o a er KW o 0 0 I) No.of Devices or E uivalentHeaters Si ns Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E uivalent g No.of Motors Total HP a ecommumca ors irmg: OAR: No.of Devices or E uivalent c+_x j Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2, (When required by municipal policy.) Work to Start: C 2Z _?_3 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 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: LIC.NO.: Licensee: �y 6- CePZ j.2_, Signature (If applicable,enter exempt"to the license number line./ LIC.NO.: �(,=_/�' Address: S FBI t«•ys L ut+2ts y/�5 Ay Bus.Tel.No.;Ze L r�z s c'2 1 G tt 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 0 owner ■ owner's Owner/Agent Signature Telephone No. PERMIT FEE:$