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Home My WebLink AboutBLDE-22-007153 Commonwealth of Official Use Only IL Massachusetts Permit No. BLDt 007153 lizer;;;§ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1107) APPLICATION FOR PERMIT TO PERFORM ELFC_TTRICAL WORK All work to be performed in accordance with the Massachascns i lectrical Code IN-IiD:'). 27 C'MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 1)a le:6/10/2022 City or Town of: YARMOUTH In the Inspector u 'i''r'c: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ' Location(Street&Number) 18 OAK GROVE RD Owner or Tenant MILOT WILLIAM J Telephone No. Owner's Address MILOT JILL S, 8 NORTH WALKER ST,TAUNTON, MA 02780 Is this permit in conjunction with a building permit? Yes 0 No 0 0,.t ',I, Appropriate Box) Purpose of Building Utility Authorization :An Existing Service Amps Volts Overhead 0 Undgrd ❑ No.offeters New Service Amps Volts Overhead ❑ I.ndgrd 0 Q� r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire unit# 1 -44 dire410, Completion q/the folk ,'n t b 44:) i litispector of Wires. No.of Recessed Luminaires 30 No.of Ceil:Susp.(Paddle)Fans 3 No. ni O g ik otal Tr lnyiermers KVA No.of Luminaire Outlets 10 No.of Hot Tubs (:ei,' a ors KVA No.of Luminaires Swimming Pool Above ❑ In- 0 No, of : ,nergency Lightin grnd. grad. Bart r;:t. nits No.of Receptacle Outlets • 50 No.of Oil Burners- FIR i.. A',ARMS No.of Zones No.of Switches 30 No.of Gas Burners Ncr. H i .'tection and Initi:Wflug Devices No.of Ranges 1 No.of Air Cond. Total No, : (,kierting Devices Inns No.of Waste Disposers 1 Heat Pump Number Tons I KW No. „i';';'il_Contained Totals: I Dete,; r, /Alerting Devices No.of Dishwashers 1 Space/Area Heating KW L,,,,i f.l Municipal 0 Other: Connection ' No.of Dryers 1 Heating Appliances KV, Seearii'. Systems:* No.. i._ievices or Equivalent No.of Water KW No.of No.of Ballasts DaL: N,',,ir-ing: Heaters Signs . No. :;'Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP "rel`.'corurnunications Wiring: No.int devices or Equivalent OTHER: I torch additional,Icr:,,'ifdesired,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 wok 1NIIiC Rule 10. i,, tI; ni' completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical woe issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The mid.'t•-: n:t.d 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and coar;:;rie. I FIRM NAME: LUIS MATUTE . 1 Licensee: LUIS MATUTE Signature [IC.NO.: 54935 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 DANA AVE, HYDE PARK MA 02136 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S" Liceiise: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the li;,hility insurance cos.,-: normally required by law.But my signature below,I hereby waive this requirement. I am the(check one) 0 own.r 0 owner's a :: ii. Owner/Agent Signature Telephone No. . i 1=f ?.11/7 EE: $180.00 4........... ......t Z--yzr /(q( 2 0)-(- -4 /2-0--iiivr) Spu fib/ r IMP 6260e4;) 6/171y2 l,om.»wnuma&of Mattsacimesits Official Use Only >rf ` Permit No. c� �_ . ( S3 ..C)erarfnunl o f.�irs�srvicr� T t` Occupancy and Fee Checked . BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Ti 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: 6 /3 / ,2Q c2 2— City or Town of: Vhe( 0 U net 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) j OAK 6 6 r`i'� Owner or Tenant Telephone No. Owner's Address 11) c) Is this permit in conjunction with a building permit? Yes 1,21 No 0 (Check Appropriate Box) Purpose of Building re. J Utility Authorization No. 14) Existing Service i Amps .12 / .2.4 OVolts Overhead �P Undgrd❑ No.of Meters 4 ri New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 2 Number of Feeders and Ampacity Ii' Location and Nature of Proposed Electrical Work: ae.W 'I ,e U N 7 Completion of the following table may be waived by the Inpector of Wires. No.of Recessed Luminaires 3n No.of Cell.-Susp.(Paddle)Fans 3 Transformers KVA No.of Luminaire Outlets jo No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets 5'0 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches jQ No.of Gas Burners "No.of Detection and Initiating Devices 1 k. No.of Ranges J No.of Air Cond. Tonsl 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❑ Municipal Cyyonnection ❑ Other No.of Dryers 1 Heating Appliances KW No o Sy stems:* Devices:or Equivalent No.of Waterars KW No.of No.of Data Wiring: HeaSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Winng: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 9o,pop „6)j (When required by municipal policy.) Work to Start: 6 /2-/2,02,4 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 al BOND 0 OTHER 0 (Specify:) (f, /7— 81 S- ee%s' I certify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: t� Th/U T.5 fU IE LIC.NO.: � Licensee: i✓U S 01/17"U 7e Signature �p, (If applicable,enter"exempt"in the license number line.) �r _ LIC.NO.: j L1`� 5 iS Address: 6 ()AN l� 14-0 r � Bus.TeL No.: work ' ttti � { ill � la/ v�-�`�� Alt,Tel.No.; *Per M.G.L.c. 147,s.57-61,security 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 agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$