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Home My WebLink AboutBLDE-23-001950 ts' Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001950 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:10/12/2022 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) 56 SILVER LEAF LN Owner or Tenant EILEEN SMITH 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: Remodel two(2)bath rooms. 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 2 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 A Sousa Licensee: Robert A Sousa Signature LIC.NO.: 40596 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO Box 14,P 0 BOX 14,Osterville MA 026550014 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 16 1114 1:1 (Gc , R"ECEiVED • OCT 12 E221 /� AA,, �yy� Commonwaa[th of rr/aldac�iae.(Id O icia2ll Use [��yy-� BUI[LDING-., .:-I t.:1 `� rim.niof..ti,..�'.rwcM permit No. J�7 JV BY :.2:h epa �.."..i ._..._ and Fee ''' BOARD OF FIRE PREVENTION REGULATIONS [Reev.VOpa7]y 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 INFORMATION) Date:/6-/Z.- Z Z City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersignegiven notice of his or her intention to perform the electrical work described below. Location(Street&Number) t(4 S t I ve,:. Ltr4 QC LA, hl 9A4,Mou(l h Owner or Tenant 'Jf-4.y., cjM 71, Telephone No. Owner's Address 5' F' 65 S TON4 Li A, N 6>43-16'u //'''' 1 Is this permit in conjunction with a building permit? Yea. K1 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service.),t' Amps LL// , Volts Overhead[J Undgrd❑ No.of Meters I New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: AV:Ma/4 it kj )p3'A/ ,III s a, a;,.,. c,E-z C.,ec,,,r1" 1 74v0 )- GI11,1 utl Completion of the lolknyinKtabk mg be waived by the Inspector of Wires. Ili Na.of Recessed Luminaires No.of Cell:Snap.(Paddle)Fans No.of 7otal Transformers KVA nNo.of Luminaire Outlets Z No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of N,mergency Lighting grnd. 0 grnd. 0 Battery Units No.of Receptacle Outlets/ No.of Oil Burners FIRE ALARMS No.of Zones tip.. No.of Switches No.of Gas Burners No.of Detection and t Initiating Devices I7 m ' No.of Ranges No.of Air Cond. Tos No.of Alerting Devices No.of Waste Disposers -Heat Pump Number Tons K_W No.of Self-Contained Totals: ...... ................. �� "�� Detection/Alertln Devices No.of Dishwashers Space/Area Heating KW "cal0 Municinnectpaionl er 0 Oth C _ No.of Dryers Heating Appliances KW SecurityNo. Systems:* Devices or Equivalent No.of Water tea KW No.of No.of Data Wiring: 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: 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: INSURANCE2i BOND❑ OTHER 0(Specify:) I certify,under ty;e,a'ains an penalties ofpe, ury,that the l j/ormation on this application is true and comple! FIRM NAME: KQ o k Al F _a'S n .1 ,' LIC.NO,:( YO S`/S� Licensee: Signature pIC 1- LIC.NO.: `(If applicable,erpe."exempt"in the license,n her line.) 2V7��L Bus.TeL No,' 9d O^e17r45 ddress: T e ��/L., l �� Per M.G.L.c.147,s.57 I,security work requires Department of Public Safety License:/A�LiTc No. 7 S 9G 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 2S- I e(C ay49