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Home My WebLink AboutBLDE-23-001098 Commonwealth of Official Use Only , Massachusetts Permit No. BLDE-23-001098 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:8/30/2022 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) 4 MELVA ST Owner or Tenant Camilla Flannery Telephone No. Owner's Address 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: New bathroom 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 4 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 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiatine Devices To No.of Ranges No.of Air Cond. Ton 1 No.of Alerting Devices 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 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 of perjury,that the information on this application is true and complete. FIRM NAME: Robert R Chaves Licensee: Robert R Chaves Signature LIC.NO.: 50560 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 MOUNT VERNON TER, LAWRENCE MA 018431914 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 I 3 (VI/ ((Nib Fe CAI 110 &14LEI c z I eornnwnwaanho Ma.1.4acluaoth Official Use Only Will2)4paPtm4rd CR Permit No. � e . _ k. : of}«a Permit . MIL-----'--- Occupancy and Fee Checked • BOARD OF FIRE PREVENTION REGULATIONS =../'` [Rev. 1/07] 0 Z (leave blank) CI �, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL ILI WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME ), 527 CMR 12.00 > I gi) , Q • a. (PLEASE PRINT IN INK OR TYPE. ALL INFORM4 TION) Date: 71 a 6 0 o A co w C\t o i City or Town of: 10, 1, MQ To the Inspe . or of Wires: u t , CD By this application the undersigned gives notice of his or her intention to perform the electrical work described below. la \ Location (Street & Number) Li ,M ( �4,4 _ t 5 . .' Owner or Tenant Cconi 1\c,k. p J c;Ay\t Telephone No. ce mm Owner's Address 4 Now U 0, ( , qapit,toLot...*Iet m -}.- Is this permit in conjunction with a building permit? Yes iiQ No E (Check Appropriate Box) Purpose of Building k2.e,s 7-014,1- -;c Utility Authorization No. r Existing Service -% Amps ) of (; I 0 c/OVolts Overhead Undgrd fl No. of Meters /' New Service Amps / Volts Overhead ❑ Undgrd g LI No. of Meters Number of Feeders and Ampacity % 9( '2 LtJ; 2.i 000 )1A,Ip Location and Nature of Proposed Electrical Work: jUt(i ged-4. too ivt a dictS-ic., vi - Completion of the lbllowing table mar he waived hr the Inspector of-Wires. No. of Recessed Luminaires No. of Ceil.-Sus p. ( � Transformerso KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting grnd. grnd. Batter�� Units No. of Receptacle Outlets c2, No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches L No. of Gas Burners Initiating Devices Total No. of Ranges No. of Air Cond. Tons No. of Alerting Devices 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 Other OthConnection No. of Dryers Heating Appliances KW security Systems:* No. of Devices or Equivalent No. of Water KW No. 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: ei &&il e et; Attach additional detail ifdesired. or as required hr the Inspector of Wires. Estimated Value o Ele trical Work: ' / eV (When required by municipal policy.) Work to Start: F 6 a Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE O FRAGE: 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 ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. Ab% FIRM NAME: CJ- c* vc. - /.c,c7r-ri--cd,c.e_ra 4 L., LIC. NO.: asocia4 7-7 Licensee: _ o c, Signature . LIC. NO.: 656 613 -.....- ___.-___ (If applicable, enter exempt in he license number line.) l/ Bus. Tel. No.: /7 V 778'- 3097 Address: 3I `i .�11C7 C� L / i3e/ 20td /,4 )- ô97 Ye) Alt. Tel. * No.: 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. I am the (check one) El owner El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $