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Home My WebLink AboutBLDE-22-005889 Commonwealth of Official Use Only - 'di.. , 4) Massachusetts Permit No. BLDE-22-005889 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:4/14/2022 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) 16 PIERCE ST Owner or Tenant PIERCE BENITA Telephone No. Owner's Address PIERCE HERBERT B III, 26 PIERCE ST, 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 ❑ 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: Wire addition &upgrade service. 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 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 ❑ 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:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Joao De Pina Licensee: Joao De Pina Signature LIC.NO.: 13710 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 185 WESTVILLE ST 3,4 BRINSLEY ST 2,BOSTON MA 021213608 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 (---eis.,0‹.41 (-0 1 -- iLt_ t-zr) Li/(7 b)2,VE„ 6(AA 66T IWT a dyib cpALetw_ud o L /, U)t/l erna_i 1 RECEIVED a' i/7SLLfZlr1 .;..' ,PR 12 2022 `�nea,osteealth of MaoAarhuoe(fd Official Use Only ' r'r-��,`__ cc AA c'7 (�'� Permit No. � 2 580 t1,..II- _.. 2trp tment of Jiro Jeraices CNG DEPARTMENT • Occupancy and Fee Checked S--- PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perforated in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:O //3- z 2 City or Town of: YA O UTH To the Inspector of Wires: By this application the undersigned ' es not e f his or her intentio perf the electrical worfi described below Location(Street&Number}}} ] f C2 Owner or Tenant Tel tL" •i ,ejl `� r Telephone No. Owner's Address )�j-iZZ.,' Is this permit In conjuncts ith a but ding permit? Yes V rNo ❑ (Check Appropriate Box) Purpose of Building ✓Q.'� (yi'�, Utility Authorization No. Existing Service Amps //U/Z tilts Overhead�l Undgrd •� h �J(�V DV g E Na.of Meters New Service v) Amps/2 CO /L'ty )Volts Overhead a Undgrd❑ No.of Meters Number of Feeders and Ampacity ® Loc don and Nature of Proposed Electrical Work: t0i Vie r ¢w ;rf Completion of the following.table may be waived by the bts actor of P'res. -\ U. No.of Recessed Luminaires No.of Ceil:Sas No.of Total p.(Paddle)Fans Transformers KVA `'1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA -t No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting prod. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones O„ No.of Switches No,of Gas Burners No.of Detection and 11 Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump)Number)Tons._IKW No.of Self-Contained Totals: ' l Detection/Alerting Devices No.of Dishwasher Space/Area HeatingMunicipa KW Local❑Connection ❑lhher No.of Dryers Heating Appliances KW, Security Syystems:• No.of No.of Water KW, Heaters Signs Ballasts No.of No.of Data Wiringvices or Equivalent No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: �r n No.of Devices or Equivalent OTHER: c�,r /,„,.. //,_'„ GIs2�/4 / f�l� �7�•�� 3 �Di�S Attach a ditionol detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal lie Work to Start 2,7Z P policy.) fir'b Ins actions to be requested in accordance with MEC Rule 10,and upon completion. INSURANC C RAGE: 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({A- BOND 0 OTHER❑(Specify:) I cerN under t fY. pains and pe letey perjury,that the information on this application is true and complete.1 N Q 5 FIRM NAME: .i�r.p ,f IY/yt7+C, - � LIC.NO.: j Licensee: / Signature (If m plicabl ant�'r exempt' 'n a liceue rib r lined LIC.NO.: �y Address. ?-'%!77 /7�7 O J i % But.Tel.No.:.-5 ��QI *Per M. .L.c.147,s.57-61,security war requires Department of Public Safety"S"License: Alt.LiTel .No.: No. OWNS '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/Agent ❑ owner's a:ent. Signature Telephone No.