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Home My WebLink AboutBLDE-23-004425 Commonwealth of Official Use Only its, Massachusetts Permit No. BLDE-23-004425 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:2/9/2023 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) 881 ROUTE 28 Owner or Tenant YARMOUTH COMMONS Telephone No. Owner's Address {/`�.+ Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Aox)// Purpose of Building Utility Authorization No. _ v w Existing Service Amps Volts Overhead 0 Undgrd 0 C, J New Service Amps Volts Overhead 0 Undgrd 0 4, 1 of rs/L 7 IE. Number of Feeders and Ampacity rrir' Location and Nature of Proposed Electrical Work: Repairs due to water damage(Exit sign&light-1st floor, Bldg#1, _ r ttl (BUILDING#1) Completion of the following table may be waived by •- .j. • of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 1 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 ❑ Municipal 0 Other: _ Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of 1 No.of Ballasts Data Wiring: Heaters Siens 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 ❑ 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: Licensee: Ederson Savi Signature LIC.NO.: 57451 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:394 Lincoln Avenue, Saugus MA 01906 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: $100.00 1Vi// &AVI/4/1,0 RECEIVED / y� / • i--f salmi 4 rrlaeaachueaite Official2 Use O'1n.(y �j 51:.w�t FEB 0 9 202 �i Permit No.(l-1 1 `�/ at';.�,r: nt,Jim Jiwicae ;I' s" T Occupancy and Fee Checked Jit- OFMK=P EVENTION 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 her intention to perform the,c7 electrical work described below. Location(Street&Number) S S//A.1 frt/I- Rourc a'g . Owner or Tenant 1�diiJ Telephone No. 1-i Owner's Address Is this permit in conjunction with a buildin rmit? Yee 4 g pe ElNo ❑ (Check Appropriate Box) ] Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters �j� New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters _ w Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: &A TER_ UA/('4(,L - (J pc LI,6&- t-S AuD 'l2T CIti1J .a1 Faer Flt-0O,4-- . Completion of the followingtable m be waived by the Inspector of Wires. lh Na.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans Tra ns� TVA ! ,Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA dc' No.of Luminaires Swimming Pool Above ❑ In- ❑'No.of Emergency Lighting grad. grnd. Battery Units . No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and '� Initiating Devices ILl No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number-Tons KW No.of Self-Contained Totals: -._ - II - -� l� �� Detection/AlertingDevices Heating No.of Dishwashers Space/AreaMunicipal P KW Local❑Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathrobe No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: - l/ L3 pp Attach additional detail If desired,or as required by the Inspector of Wires. Estimated Value of leadleadal Work: q. OD,a.3 (When required by municipal policy.) Work to Start:" Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE G :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❑ OTHER 0(Specify:) I certify,under the pains andpenahles,o perju that the information on this application is true and complete. FIRM NAME:o� .S0`NJ K, 4,vy LIC.NO.: > Licensee: _`ou I rJ E?/ 4 s/' A Signature4 ¢" LIC.NO.: JS1 2) (ifapplicabl;*tee"exempt•in the license number line.) Address: °I ( LTA COW J ,AJ E Lartifa U S Bus.TeL No.. °Per M.O.L.c.147,s.57-61,security work requires Department of Public Safety"S"License:Att.Lie.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 wner's a ant. Signature Telephone No. PERMIT FEE:$ ')8/-5lfJ_ Jy3