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Home My WebLink AboutBLDE-23-005331 o Commonwealth of Official Use Only ILA Massachusetts Permit No. BLDE-23-005331 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:3/29/2023 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) 120 HOMERS DOCK RD Owner or Tenant DOREEN DeIMONACO Telephone No. Owner's Address 120 HOMERS DOCK RD, YARMOUTH PORT, MA 02675-1010 Is this permit in conjunction with a building permit? Yes 0 No 0 heck Appropriate Box) Purpose of Building Utility Authorization o. 2-4 7 U ki'I 'tf Existing Service 150 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 o.�-A4etecc�, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Disconnect/reconnect to R/R meter socket for siding. 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 Initiatine 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/Alertine 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ELUX ELECTRICAL SOLUTIONS, INC. Licensee: Mauricio DaSilva Signature LIC.NO.: 23396 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 7814695555 Address:24 Hamilton Street(Apt 31), Saugus MA 01906-2244 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: $100.00 _ C n W 3(25/7 Cit cc �ltaseda 64'2a Ai/ cAtzc/ Commonwealth of Massachusetts e'al se o ly Permit No.: j2``� 3�t. 'E •:_Mlg.` Department of Fire Services Occupancy and Fee Checked: i;=_rk--s BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/2023] —' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 City or Town of: YARMOUTH Date: 3ai f o&,0033 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): I 4C(S VOCK Unit No: Owner or Tenant: or& l Email: JIrQL'YIC�il Q�U�lr1p0• Co'n Owner's Address: �( Phone No.: e q 116y0 It•I Is this permit in conjunction with a building permit?(Check appropriate box)Yes No 0 Permit No.: Purpose of Building: Utility Authorization No.: 4o2161 00E1 Existing Service: I50 Amps /20/,s 4O Volts Overhead❑ Underground Ir No.of Meters: 2 New Service: Amps / Volts Overhead Overhead 0 Underground/y�_� El,l No.of Meters: . Description of Proposed Electrical Installation: l t/ti,o cJ Thither►ithe- 5u w1 �t" l Yko t/)011C j✓ss rJ'►'. iri<ic �"loti (�dS4-Lig1'1I, Completion of the following table may be waived by the Inspector of Wires. No.of Acceptable 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-Gmd.❑ Above-Grad.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 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: 1-3/aq'f><oz_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: C/JX �E)c.(,1-r1(ctl folt)Il10 fr 1 iTYIc. A-1 Elor C-1❑LIC.No.: Master/Systems Licensee: , 3 316-4 LIC.No.: Journeyman Licensee: GSU LIC.No.: Security System Business requires a Division of OccupationalO Licensure"S"LIC. S-LIC.No.: Address: t7Sy i41,G,�VLYVI[tort 54-1 t31 zit c11S mA G Email: ()I)1( t .c-f/'Ic 1' jrrayl'.Cnm Telephone No.: (�I) 46 I—5555— I certi,under . s and penalties of perjury,that the information on th application is true and complete. q Licensee: Mg'. Print Name: //[At J i'l c10 1 Si l�Gt Cell.No.: I, /-5.,JS INSURANCE OVERAGE: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 same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND❑ OTHER 0 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 0 Owner/Agent: Tel.No.: Signature: Email.: