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Home My WebLink AboutBLDE-23-20088 12/28/23, 1:00 PM ( about:blank Commonwealth of Massachusetts .-oF • yA4. . *� Town of Yarmouth, �j, ad 1 0�,�,.a, •y; ELECTRICAL PERMIT ""' `3,$,�- -�. Job Address: 1196 &1198 ROUTE 28 Unit: Owner Name: MANGALO MICHEL G TR HAYMAN REALTY TRUST Owner's Address: PO BOX 2128 Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-20088 Existing Service Amps/Volts Overhead E Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: Corrections per attached. No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW: No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: December 29, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: FERNANDO MARTINS License Number: 59711 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: CENTERVILLE, MA, 02632 CENTERVILLE MA 02632 Fee Paid: $100.00 Email: sagatfm@gmail.com Business Telephone: 508-367-4196 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. INSURANCE: yr` N 1 k3- - (Pi / di( l `s ? l.A v eel ( or )e b`! riAts G-L) about:blank 1/1 RECEIVED �. C FO ``'`' 023 ommonwealth of Massachusetts Official Use Only Permit No.: 1___t� '' t TMENT Department of Fire Services Occupancy and Fee Checked: BU I L '* 'al [Rev. I/2023 By ___ _-A.A.: 0 OF FIRE PREVENTION REGULATIONS yam.—�'V APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 City or Town of: YARMOUTH_ Date: NI.)9/a3 To the Inspector of Wires: By this applic tion,the unde igned ives notic of his or her intention to perform the electrical work described below. Location(Street& umber): \ 1� OV .:Unit No Owner or Tenant: % Email: Ot yes (v..,a ` C,�p ram-.p� ,a. Owner's Address: S N\� ` , 9,,_.,�n�Le... or, 0,,3, Pone No.: J Is this permit in conjunction wit la building permit?(Check appropriate box)Yes ❑ No ❑ Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: New Service: Amps / Volts Overhead Under round❑ No. of Meters: . Description of Proposed Electrical Installation: l;C Al ()\r '.ef1-kth Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No. Wind Generators: Wind KW Rating: No.Appliances: KW: No. Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No. Motors: Total I IP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: in-Grnd. ❑ Above-Grnd. ❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No. Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3 ❑ Rating: OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: 1)fa (23 Inspections to be requested in accordance with MEC Rule 10, and upon completion. FIRM NAME: r vJ Rol Dc (RI( O PMAt:'(t'c A-1 ❑ or C-1 ❑ LIC.No.: Master/Systems Licensee: LiC.No.:Journeyman Licensee: 5 1 t\ Cj V-f tkl,J AiJ f% F. M p%,1(OS LIC.No.: 57 4 q II -.Q Security System Business requires a Division of Occupational Licensure"S"LiC. S-LIC.No.: Address: Email: Telephone No.: I certify, under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: 5 111 .0 Print Name: }'r R tJA iio o FR R)1 Go h A M'I d ell.No.: SO% 3 6 } q 14 6 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of me to the permit issuing office. CHECK ONE: INSURANCE[l ] BOND ❑ OTHER❑ Specify: 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: Tel.No.: Signature: Email.: Lnio "3N V•Yd1 . BUILDING 4 ' 4-I�'� .. TOWN O F Y A R M O U T H ELECTRICAL X GAS ''0 y% 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 4451 MATTACN[ s' ' PLUMBING CS�'ko�a'0,: Telephone (508) 398-2231,Ext.261 — Fax (508) 398-2365 SIGNS BUILDING DEPARTMENT NOTICE OF VIOLATION lel (e1-3 Inspection Date: 2 Inspection Type: (it. ' Property Address: {l ?) (201}Te 2 7 Name: -1ZX&( °k K-13 IT Le Owner ❑ Tenant ❑ D / B / A: Telephone: Mailing Address: City/ Town:Sb • /' 4t41Ol State:(NA Zip Code:li �q An inspection of the above captioned property was conducted by the undersigned, during which the following VIOLATIONS were observed: ( R 2, Ae- cc ktr -t (Op px,P 62, CCt i V ` I t -, f ape,p ._. (14 of r- r..tv en idAtt. &r rwvA t wz. Coo ware.— t Ur"" 9( ?N c ) L!i.t * e ( t 4st -Tl,ydc it G.()de L .t.C., )et.g-- `O 7w a\fr" You are hereby ordered to abate or correct said violations withi 2I -- days. Failure to do so may result in criminal/civil complaints being filed against you, which may be subject to fines as prescribed by pertinent laws and regulations, or may delay the issuanc of your license. You are also required to contact the Building Department for a re-insp o the time noted above. ,,, Signed: ht t lAJ ra4 Inspector t Title Copy Received By: nan W ,��1 A r.�1 n� r,�%C,Yl, Original - Owner/Te Yellow Copy - Licensing Authority Pink Copy - Bldg.Dept.