HomeMy WebLinkAboutBLDE-21-003625 - Commonwealth of Official Use Only
E` 1
0Massachusetts Permit No. BLDE-21-003625
BOA D 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/N INK OR TYPE ALL INFORMATION) Date:12/31/2020
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.
Location(Street&Number) 74 JEFFERSON AVE
Owner or Tenant NAPOLITAN CARLO L Telephone No.
Owner's Address NAPOLITAN MARIE, 74 JEFFERSON AVENUE,WEST YARMOUTH, MA 02673 P)).1, ZIs this permit in conjunction with a building permit? Yes ❑ No ❑ (Che lroprPurpose of Building Utility Authorization No. •
Existing Service Amps Volts Overhead 0 Undgrd ❑ .0:,
New Service Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity NI84)t gLocation and Nature of Pro osed Electrical Work: for ool installation.
P Wiring in-groundP
Completion of the following table tnay be waived by t 4 r of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of i al
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' PPgitf Zones
No.of Switches No.of Gas Burners No.of De$ection 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 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 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: Julius Prizgintas
Licensee: Julius Prizgintas Signature LIC.NO.: 10408
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:97 CHUCKLES WAY, MARSTONS MLS MA 026481583 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
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: $150.00
`�'�-cam +J 1u� `9/6-. ca nr�+n3 /�/z l
ConunonmraRh of nladdaCL.0H4 Official Use Only
c� �c'7( n Permit No.
.r� _.partmani of Jiro Serviced
= -�" Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/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 INFORMATTON) Date: /.?/a 91.2 0
City or Town of: 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) 9 >EFF EA'S 0 N A sere
Owner or Tenant /`J,¢,P/rr NAP/7 C/TAN Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes,k3" No ❑ (Check Appropriate Box)
Purpose of Building ,0 4/Ee/N6 Utility Authorization No.
Existing Service /OC Amps /1O l C('O Volts Overhead❑ Undgrd[} No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: w//f //y6,PQ(//I/Z2 C
e 4'(//, E/✓7
Completion of the followinktable may be waived by the luyector of Wires.
No.of Recessed Luminaires No.of Ce6 (Paddle)Fans No.of Total
'�• Transformers KVA
No.of Laminaire Outlets No.of Hot Tubs Generators KVA
d- No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
nd 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
1.. No.of Ranges No.of Air Cond. Tun l No.of Alerting Devices
No.of Waste Disposers HeatTtallsp Number,Tons........ ........ No.Detection/Ale of
Self-Contained
ection/AleritinDevices
No.of Dishwashers Space/Area Heating KW Local 0 l nation ❑Other
No.of Dryers Heating Appliances KW SecuNo. f Systems:*
evicea or Equivalent
No.of Water No.of No.of Data Wining:
Heaters ICW
Signs Ballasts No.of Devices or Equivalent
No.Hydromnasage Bathtubs No.of Motors Total HP Tel No. f Devices ocommunicatir Eqa t
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: /,(C'S(A/7 Inspections 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 Er BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: JUC/C'S /Se/Je/N TA S LIC.NO.: /C'//OL`//S
Licensee: _Jj//c'{ /ril pin/a s Signature LIC.NO.:/O 9Of Q
&applicable,enter"exempt"in license number line.) Bus.Tel.No: re," O/fJ'
Address: 9r C/1aC."L&-S WAY iA.PJ/WA//' /`//e t I" />A 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)0 owner ❑owner's agent.
Owner/Agent PERMIT FEE:S
Signature Telephone No.
a,
• No-
•
Elliott, Ken
From: Claude Souza<claudesouzaconstruction@gmail.com>
Sent: Wednesday,May 26,2021 11:35 AM
To: Elliott,Ken
Subject: 74 Jefferson Ave
Attention!This email originates outside of the organization.Do not open attachments or click links unless you are sure
this email is from a known sender and you know the content is safe.Call the sender to verify if unsure.Otherwise delete
this email.
Good morning sir,my name is Claudemir De souza,resident on 74 Jefferson Ave,w Yarmouth.
Im remodeling my lower level.Making a entertaining place for my family go along with the swimming pool..
I have the plumbing passed inspection and I'm waiting on electrical hough inspection.
Unfortunately it been 3 weeks and the plumber said that they don't have an idea why is taking so long for be schedule
the inspections.
I know that there is 3 diferent permits pulled from different electrician,solar panel,swimming pool,and the remodeling.
I know that my carpenter said that you came to do an inspection but I don't know which one its was.
Please give me a feed back when you have a chance,i just want to get this project done and settle down with my family.
I can be reach at 978-421-6363.
Thanks for your time
Claudemir