HomeMy WebLinkAboutBLDE-23-18973- 6/21/23,5:49 AM about:blank
N kt- 94 Commonwealth of Massachusetts o Y "
* Town of Yarmouth ��
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ELECTRICAL PERMITICA ��`� ��������
Job Address: 56 NORTH RD Unit:
Owner Name: LANDIM ESTEVAO F MOTA DE CARVALHO RACHEL
Owner's Address: 56 NORTH RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-18973
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: Remodel basement& add smoke detectors
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 19, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ADAIR MARTINS License Number: 23369
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: OSTERVILLE, MA, 02655 OSTERVILLE MA 02655 Fee Paid: $75.00
Email: info@mrcapeelectrician.com Business Telephone: 508-301-2655
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.
INSURANCE:
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Commonwealth of Massachusetts Official Use Only
___— Permit Permit No.: -Z3 — 1 67 7._
—R _
—_.> � r, Department of Fire Services Occupancy and Fee Checked:
NI =i Y—
k,=-ef-- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
.'.—''` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 2.00
City or Town of: YARMOUTH Date: 06/%O�2J
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): Sty (tx t tzS vn1 Ss ' \f AA"M.pv d'i Unit No.:
Owner or Tenant: 'Gi"A LCt.1.41 Am Email: F.S 44.0aLO P 1 ovrt c .i rrt @ G3 nh,)•.c.v0-1
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No afermit No.:
Purpose of Building: 14. S,010.4 4itAi( Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: Amps / Volts Overhead ElUnderground❑ No.of Meters:
Description of Proposed Electrical Installation: 1.4 ict'eP lat.Seni la./1 t 1 IA);c` d ^p Lyon t'-ix' e-,
1 , .����U of v�o,,GC.( U 'Ai; c a I- ,�F-{.t ( vcc l 0,.r.d`J(,c tA/t-s) ,- �-el0P 4
S rvt' eAct, d �,-c 0 tl cup k a- .taus ,K> ct w,.,'at),
Completion of the Efo lowing tole may a waived by ie Inspector o es.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:.
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No:Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 0 Level 2❑ Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or a re wired by the Inspector of Wires.
Estimated Value of Electri al Work: Li 00 0 (When required by municipal policy)
Date Work to Start: 06/(q/2 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: tti e., Cv 12 le r G!Or n �Li C. A-1 ❑or C-1 0 LIC.No.: _
Master/Systems Licensee: [V[ �hS J R- LIC.No.: ;1`>69
yq-
Journeyman Licensee: / a, (" M C'.-c 6-3 2. LIC.No.: 55 63 0
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: cc e)Calc h va:C J'cd-ce.Yt 21 {vi,q,-1 at..' 11it✓4- 02.60)
Email: ►Y]Q e (Y[cc.4ge.c, 1 (4.ty► . Cr)o .. Telephone No.: ,, `ir i`J` 6 t 9-'3
t ' t '1 26 S5
I certify,under t e pains and penalties of perjury,that the info motion on/ this application is true an omp
Licensee: /C2--Print Name: �LrT !"64.,r 4 it 3 Cell.No.: 502'E1 9--G I ',3
INSURAN E COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof of s to the permit issuing office.
CHECK ONE: INSURANCE[N'BOND❑ OTHER❑ Specify:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law.By mysignature-below,,Lherelay.waive this requirement.I am the: (Check one)Owner❑ Owner's agent❑
Owner/Agent: 1°a . d V ,_ 0 Tel.No.:
Signature: Email.:
JUN 20 2023
BUILDING UEPARTMEM
By _ ,.