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Home My WebLink AboutBLDE-23-005480 Commonwealth of Official Use Only lr Massachusetts Permit No. BLDE-23-005480 �--' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:4/3/2023 City or Town of: YARMOUTH To the I pectorofWires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 33 CAPT DANIEL RD Owner or Tenant BRIAN ALEXSON Telephone No. Owner's Addresp 33 CAPT DANIEL RD,SOUTH YARMOUTH,MA 02664 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: Wiring for gas log in fireplace. 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 0 In- ❑ No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.oft Detection and lmtiatine 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 ❑ Municipal ❑ Other: onnection No.of Dryers Heating Appliances K W SectiMMISystems:' o.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Slants No.of Devices or Ea uivalent No.Hydromassage Bathtubs No.of Motors Total III' 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 ❑ 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: Ryan P Carvalho Licensee: Ryan P Carvalho Signature LIC.NO.: 21309 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:1 Melvin St,Unit 1F,Wakefield MA 018802577 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:$50.00 ( D,/ q/ f Official Use OnJp- -ornmon.weallk oil Mantzelta selt3 W __=° c > Permit No. E2-3 - S4 )0 'S►_ S�;�/f� •�, e�artma►tt o�_tire .._ ervir.u:s Slim- Occupancy and Fee Checked _,J BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] Cleave hl'mk) ] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code (MFC), 527 CMR 12.00 CI 1 Z(I4JEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 -ag- ,2 3 Ho en City or Town of: YA�2/ko c Ty To the Inspector of Wires: o �B) this application the undersigned gives notice of his or her intention to perform the electrical work described below. i `�' ! aLc cation (Street & Number) 33 CAP7A1A, &In)/et_ ,OA 0 ► C) uj ------------ Ll CO i oOlvner or Tenant I2 i4/'J A .c)c SON Telephone No.6 /.997-66(4f („) - zO`iivner's Address 33 C�.0TA/•v Digiv / EL /rG0 /�, f) Q L!W ( `ls :his permit in conjunction with a building permit? Yes n No [ ✓ (Check Appropriate Box) rpose of Building /L ES i 0 6.i,C rre Utility Authorization No. xisting Service Amps / Volts Overhead Undgrd n No. of Meters • New Service Amps / Volts Overhead Undgrd P No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /Ai 764104 1N! i2.6 /ver-t,v �i/2 "/aL4,Ace-- 643 4c<'. Completion of the following table may he waived by the Inspector of Wires. No. of Recessed Luminaires No. of C'eil.-Susp. (Paddle) Fans T Tot Trans formers KVA No. of Luminaire Outlets No. of Mot Tubs Generators KVA Above ---- In- ❑ No. of Emergency Lighting No. of Luminaires Swimming Pool grad. — grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners [FIRE ALARMS No. of Zones No. of Detection an@ No. of Switches No. of Gas Burners initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons t. 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 Connection _ No. of Dryers Heating Appliances 1;W '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 dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring: No. H y gNo. of Devices or Equivalent OTHER: Attach additional detail if desired. or as required by the Inspector of Wires. Estimated Value of Electrical Work: 600 . 0.0 (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: INSURANCE 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: 6) 'CPin ( /LI wi /:; ,•t (x ' c- -7 Licensee: /tj ci 11 Z"1 as Ley //) C.`; Signature -- '. :'- /4",f.x—.. ._- LIC. NO.: ,/ 00041—I -IS Mr' (If applicable, enter "exempt" in the license number line.) `} Bus. Tel. No.: ' f"'= Address: !� ,-1/42/4- , 1 a'.�... t-a y1 f (/- a:�a /(c t' a-.tip /<.•.>` �G•f,-i C't d t'' Alt. Tel. No.: of -S92-4/42s *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) (1 owner pi owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.