HomeMy WebLinkAboutBLDE-23-005908 . a Commonwealth of Official Use Only
IhiMassachusetts Permit No. BLDE-23-005908
*...:...; BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.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:4/25/2023
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) 32 EMBASSY LN
Owner or Tenant GLEN VITORINO Telephone No.
Owner's Address 32 EMBASSY LN, YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes D No ❑ (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: Grounding for swimming pool.
Completion of the following table may be waived by the Inspector of yires.
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
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 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 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:
Licensee: Luis Miranda Signature LIC.NO.: 22981
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 7 Washington Avenue,Ashland MA 01721-1958 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: $85.00
Commonwealth o/Vaddach....dettj Official Use Only
Z-- --.----4—_r c� Permit No. 7j' �0 e
l- . bepartment o/.ire Serviced
• e« Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code E ),527 12.00
(PLEASE PRINT IN INK OR TYPE L I 'F N) Date: - G' • 23
City or Town of: To the Inspector of Wires:
By this application the undersigned gi es notice of his or her intenti3.to erform the electrical work described below. 1
Location(Street&Nu er) eiW SS
Owner or Tenant 6,/ / 0 Telephone No.
Owner's Address
Is this permit in conjunctio ' h a building�ilin perm Yes El No n (Check Appropriate Box)
Purpose of Building /�li�i/i/ ` Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters
New Service Amps / Volts Overhead Undgrd n No.of Meters
Number of Feeders and Ampacity [ cia/Ml144.1Location and Nature of Proposed Electrical Work: ify`� 6 A2 ile-Z__
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf
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
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 ❑ 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
WirinNo.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equivalent
ent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value o Elec •cal Work: /,,S� (When required by municipal policy.)
Work to Start2 � 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 o ame the permit isstlipg office' /��
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) 0, kiepitipti 0 S�I certify,under to pains and penalties of perjury,thtt the information of i• ,'p ' ttofte mid comple e.
FIRM NAM : . e LIC.NO.: 0
Licensee: /Z. 141 1 '•V Y Signature /' LIC.NO.:
(If applicab , nt r " xet i""ip th i • • nu tber i ) ,, I�z Bus.Tel.No.
i # ��/ 7
Address: � Alt.Tel.N o.: 9.....
•
*Per M.G.L.c. 147,s. 7-61,5 security work re tures Dep lent of Public 'afety"S"LicensL Lic.No.
OWNER'S INSURANCE WAIVER: I am ware that he 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.
Owner/Agent PERMIT FEE: $
Signature Telephone No.
July 10`h 2023
To whom it may concern
Yarmouth Building Department:
My name is Ezio Marinho of Ezio's Pool and Landscape Design. I am the contractor building a
swimming pool at 32 Embassy Lane in Yarmouth Port. Approximately three months ago I
subcontracted an Electrician to do the electrical work at the pool. The electrician applied for a pulled
a permit for this address. He did not finish the work and he stopped all communications with me.
Afterwards I decided to subcontract a new Electrician,Cristiano Da Silva to finish the job.
I would like to cancel the first permit that was issued for 32 Embassy Lane.
Thank you
Ezio Marinho