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Home My WebLink AboutBLDE-23-002135 -- Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002135 e..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:10/20/2022 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) 18 ROUTE 28 Owner or Tenant FOSTER FRANCIS X Telephone No. Owner's Address PO BOX 2628, HYANNIS, MA 02601 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: Remodel unit#26 Completion of the following table may be waived by the Inspector of Wires. No.of Total 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 24 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 34 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons Tot No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area HeatingKW Local ❑ Municipal ❑ Other No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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: LIC.NO.: 22981 Licensee: Luis Miranda Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:7 Washington Avenue,Ashland MA 01721-1958 *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 I Signature Telephone No. 'PERMIT FEE: $100.00 RI_ A ,5 3,0(0 a- CZ-3.0- ‘41r0113ii r. s'I Al v5 tiz (&c Ats- ) I OCT 20 2022 1 i g QQ rr // Official Use Only N U .,,Ak f v -orn, navalth o� aeeachadotte 2`�J C/1 55 — -- . cc77 nn Permit _ ;Z a partmsni oi31:ro Jorvicse 1 :11^; - Occupancy and Fee Checked v ;Jo., BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] .A (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 12.00 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: /. . �Z Z— City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice is or her intention to perform the electric work described below. Location(Street&Nu er / e. l Owner or Tenant S� 49-0- rj�'�j Telephone No. QOwner's Address Q ,l-(71k 7aj z e e Z e Is this permit in conjunci/ with a building permit? Yes �1 No ❑ (Check Appropriate Box) : Purpose of Building M "1t 1�/ Utility Authorization No. r\ Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters k New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: 0.--)impfk>6.7. W4V, bi(//17\ 7----(O Vl Completion of the followingtable may be waived by the Inspector of Wires. No.of Total �.: No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA C.; No.of Luminaire Outlets No.of Hot Tubs Generators KVA -'. No.of Luminaires 74 Swimming Pool Above In- No.of Emergency Lighting grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets 3 4 No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 'z' No.of Ranges No.of Air Cond. Total No.of AlertingDevices g Tons No.of Waste Disposers Heat Pump Number Tons -KW -No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:f _ No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Equivalent y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value pf Electrical Work: 9-0"19-0 (When required by municipal policy.) Work to Start: /0•Ze,Z—Z 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 o same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER ❑ (Specify:) f 1�j/4,,,, A,�� Z /P/c I certify,under the pains and penalties of perjury,that the information r n I •pplication is true and complete ,Q FIRM NAMEf /�� LIC.NO.: �� ' Licensee: 1it,�/Z t//'4/t/�!'`r Signature /,j LIC.NO.: a7jr/� (ifapplica ent e e t"i he c nor ber ,e� 49' us.Tel.N0.'Address: � `9 v(� O/7 Z/Alt.Tel.No.c��'7176 *Per M.G.L.c. 147,s.57-61,security work requires gar-Intent 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$