The URL can be used to link to this page

Home My WebLink AboutBLDE-23-000697 01.--- _, ' n Commonwealth of Official Use Only - ikMassachusetts Permit No. BLDE-23 000697 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:8/11/2022 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) 56 NORTH RD Owner or Tenant ESTEVAO LANDIM Telephone No. Owner's Address 56 NORTH RD,WEST YARMOUTH, MA 02673 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of security system 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 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 0 Municipal 0 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 Siens No.of Devices or Eauivalent 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: STEPHEN B COPPOLA Licensee: Stephen B Coppola Signature LIC.NO.: 1471 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:268 WASHINGTON ST, GROVELAND MA 018341007 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: $45.00 6 t- 1 At r a £42 4FZ" ' ;%I t 2(L n B Official Use my C�ornm.onwea/L of ri aseacAueetLs 1_ ``�� -�: c� i> 3 �� eparErnenE o�.}ire�erviced Permit N Occupancy and Fee Checked RECEIVE '__"' v BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK [AU6O22J All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 UIIOINGDEPARTMEN P EASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Wires: City or Town of: West To the Inspectorof h application the undersigned gives notice of his or her intention to perform the electrical work described below. ca 'on(Street&Number) 56 North Rd AUG 0 9 7 7 Telephone No. (774) 368-8324 wn r or enant o Landim wn is Address 56 North Rd BUILDING DEPARTME h s permit in conjunction with a building permit? Yes C No ® (Check Appropriate Box) °v ,)?ur ose of Building Utility Authorization No. Existing Service Amps / Volts Overhead LI Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Low voltage wireless burglar alarm installation Completion of the followingjable may be waived by the Inspector of Wires. No.of otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting gird. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches Na.of Gas Burners Initiating Devices Total No.of AlertingDevices No.of Ranges No.of Air Cond. Tons Heat Pump I Number irons (KW No.of Self-Contained No.of Waste Disposers Totals:- j i Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection Other HeatingAppliancesSecurity Systems:* No.of Dryers KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs KW Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER:businesspermits@vivint.com Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: $300 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER 0(Specify:) I certify,under the pains and penalties of perjury,that the information on this ap$ication is true alni complete. 4 7 1 FIRM NAME: V i v i n t Inc LIC.NO.: 1471 Signature ( I _� Licensee: Stephen Coppola g Bus.TeL No.•S77d79 ibb7 (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.:$77.479-bb7 Address:4931 N 300 W Provo UT 84604 *Per M.G.L.c. 147,s'57-61,security WAIVER: Iram awares Department Licensee does not have the liability insurance coverage normally OWNER'S INSURANCE � a+ent. required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 ownerIT FEE: $owner's5 PE Own tune __ Telephone No. Signature