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Home My WebLink AboutBLDE-22-006629 - - -- Commonwealth of Official Use Only „Ave Permit No. BLDE 22 006629 !�- ��ittMassachusetts ,Ifeb.._'' 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:5/17/2022 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) 68 WILFIN RD Owner or Tenant PRIANTE ROBERT F Telephone No. Owner's Address 138 ALLERTON RD, NEWTON HIGHLANDS, MA 02461 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: Small addition 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 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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/Alerting 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 Signs No.of Devices or Equivalent 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:) let 790-$1/6 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Candido Carrillo Signature LIC.NO.: 57845 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:20 Fletcher Street,Ayer MA 01432 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 Iii: q 10 Z77(----(14)) ' riNi�-4-,. a/s/2 ... 7t jv2 (te in/ L/it-1) , i t RECEIVE ® 14 MAY 1 3 2022Cos nwea[th o/Vaadachasalfa Official Use Onl !",t 70. n / "�4. a DING UEf'ARTM /°I �msnf o�-}ire Jarviced Permit No. 1°( 7 Occupancy and Fee Checked �'� " • • REVENTION REGULATIONS [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) Date: �., City or Town of: YARMOUTH To the Inspector of Wires: < By this application the undersigned gives notice of his or he5r intention to perform the electrical work described below. aLocation(Street&Number) t:1 ^.1/��'i ;1,� ,/• � �/�,1,�1 ,�, �� I �� L7 Owner or Tenant /7(h e A`„ fr., ,� ? � �J Telephone No. No. Owner's Address G� ,� ;N;i/,r f{!�f Svy� (/j,�'IG?t/f/ jJ� C��a k�41 Is this permit in conjunction with a building permit? Yes ❑ �1 0 (Check Appropriate Box) _k, Purpose of Building ,c/,t/ No 12 VI Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd C No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters vE Number of Feeders and Ampacity Vr Location and Nature of Proposed Electrical Work: J/ 4 / F / 5fYtGlll t��iG�t 1' �"ill fly/� �Gt�C v( 1 !'d (l1 ih( 4(rT%0c0"' w, Completion of the following table m be waived by the Inspector of Wires. t!? No.of Recessed Luminaires , No.of Ceil:Snsp.(Paddle)Fans No.off Total { Transformers KVA 1:2..1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA 1 No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units No.of Receptacle Outlets 9 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches / No.of Gas Burners •No.of Detection and Initiating Devices °I'' No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste'Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals:I �_ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:1 No.of Water No.of No.of Devices or Equivalent Heaters No.of KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electric 1 Work: it 067 C (When required by municipal policy.) Work to Start: `n 5//cI72 L 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 BOND0 (Specify:) 0 OTHER I certify,under the pains and penalti s ofper ury hat the information on this application is true and complete. FIRM NAME: CA (d y , /l� et°C/II (/a in LIC.NO.: 5 } P/5 - 6 Licensee: ( �r o ).,, ,n Signature (If applicable,enter"wino"in the lifense number line) ' LIC.NO.: ;� Address: Z l re fL p )� 4yfr � V v ' Bus.Tel.No.: /ol�U/ *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Ait lT c.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 a.ent. Owner/Agent Signature Telephone No. PERMIT FEE:$