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Home My WebLink AboutBLDE-23-002074 Commonwealth of Official Use Only i. Massachusetts Permit No. BLDE-23-002074 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:10/18/2022 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) 36 CAPT RYDER RD Owner or Tenant LOUUIS ROUCELLI Telephone No. 4 y Owner's Address 36 CAPT RYDER RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Cl:teck'Approprtfite xi 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: Install generator Completion of the following table may be waived by the 1 frspector 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 1 KVA 10 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 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 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 of perjury,that the information on this application is true and complete. FIRM NAME: Shawn A Souza Licensee: Shawn A Souza Signature LIC.NO.: 39768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 LAKE DR, PLYMOUTH MA 023605648 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: $50.00 Txic- t Q j (\DOT- t (ILI 6''2 - '; � Via.. �aA RE C EIVED w` OCT 18 2022 1 Come &1 1 1 Official Use Only YR O RdeAC 14dQL66 . . z3 ILGItJG D'cFail rChs l (� I—.. r t� Permit No. {s rc� o�.. ire Serviced `, \ flT Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]art- sA (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC), 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /Q r l 3 City or Town of: YAR M O UT H To the Inspector of Wires: �9 By this application the undersigned gives notice of his or her intention o perform the electrical work described below. C r Cr Location (Street & Number)3( S,‘.v 2-Y CJL M Owner or Tenant �U S 011 CSC.� �, 0 ____Telephone No.S o8 - 8(s - (i3 0 jI Owner's Address S _" ( !y r Is this permit in conjunction with a b !ding emit? Yes ❑ No 1/1'" (Check Approp to Box) Purpose of Building �t/A.,,,k t' (� I , Utility Authorization,,----. Existing Service DC Amps / j/at-/OVolts Over ad Undgrd No. of Meters P ❑ g New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity /'(�0 4Mip S j Location and Nature of Proposed Electrical Work: ( j/�N,t, p� _ 4 2.J /d`(/ j & -&)cJjk Ce J kg Completion of the following table may be waived by the Inspector of Wires. '•! No. of Recessed Luminaires No. of Ceil:Susp. (Paddle) Fans N'o. of Total i Transformers KVA C,` No. of Luminaire Outlets No. of Hot Tubs Generators ` KVA /0 -E 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 INo. of Zones No. of Switches No. of Gas Burners 1 No. of Detection ana c Initiating Devices Iv! No. of Ranges No. of Air Cond. Total No. of AlertingDevices Tons No. of Waste Disposers Heat Pump N mber Tons KW No. of Self-Contained Totals: _ Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security gystems:1 No. of Devices or Equivalent No. of Water KW N�o. of No. of Data Wiring: Heaters Signs Ballasts 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 l tr' al Work: / 00 Q (When required by municipal policy.) Work to Start: /0 a/ _ Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waivedy the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins.uraiice 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 Er BOND ❑ OTHER 0 (Specify:) I certify, under the ains and penal:i s of per ury, that the information on this a plication is true and complete. G FIRM NAM : .j�.0"c."3 / -- p UZP (l t 'C . _ LIC. NO.:E3 l Licensee: S 'L___ Signature -.. _ �[� ...di!_ LIC. NO.0 (If applicable center ..rem t"in the=4,tne_r li} ,f ?� Bus. Tel. No.•7 6 7Address: ` 1 t 3i_- 0 L yt,Locr'"� LM4 o- -3 r Alt. Tel. No.: - 513 *Per M.G.L. c. 147, s. 57-61, security work requires Department 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. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ SLR - C 64 LD3s o7 - ;• • • • • • • n • •