HomeMy WebLinkAboutBLDE-25-581- RECEIVED
ti • monwealth of Massachusetts O icy'al Use Only
PermitNo.: t-- Sc i
2025 epartment of Fire Services Occupancy and Fee Checked:
044 s. :• A : I O FIRE PREVENTION REGULATIONS [Rev. 1/2023]
B -_; =-_- DEP eY TION FOR PERMIT TO PERFORM ELECTRICAL WORK
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All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: YARMOUTH Date: 04/29/2025
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): 62 Aft Rd South Yarmouth Unit No.:
Owner or Tenant: Germain Linars Email:
Owner's Address: Same Phone No.: 1-603-661-3783
Is this permit in conjunction with a building permit?(Check appropriate box)Yes ElNo❑Permit No.:BLUR-25-138
Purpose of Building: Home Utility Authorization No.: NA
Existing Service: Amps / Volts Overhead❑ Underground El No.of Meters:
New Service: Amps / Volts Overhead El Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Wire new bathroom fan light on Arc fault Ground fault breaker
relocate Recessed light over toilet and add one back outside light.
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets:0 No.of Switches: 3 Generator KW Rating:0 Type:o
No.Luminaires:4 No.of Recessed Luminaires: 'I No.Wind Generators: Wind KW Rating:0
No.Appliances: 0 KW: 00 No.Water Heaters:0 KW: 00 No.Transformers: 0 Total KVA:o
Space Heating KW: 0 Heating Equipment KW: 0 No.Motors:0 Total HP: 0 Total KW:o
No.Heat Pumps: 0 Total KW: 0 Total Tons: 0 Fire Alarm System❑ No.of Devices:0
Swimming Pool:In-Gmd.❑ Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: 0
No.Oil Burners: 0 No.Gas Burners: 0 Video System El No.of Devices:o
No.Air Conditioners: 0 Total Tons:0 Telecom System❑ No.of Outlets:0
No.Energy Storage Systems: 0 KWH Storage Rating:0 Security System ❑ No.of Devices:0
Solar PV KW DC Rating:0 Solar PV KW AC Rating: 0 No.of Electric Vehicle Supply Equipment: 0
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: 0
OTHER: none
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 1500.00 (When required by municipal policy)
Date Work to Start: 04/30/2025 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: Automation plus A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: James Luppino Sr LIC.No.: A15754
Journeyman Licensee: James Luppino Sr LIC.No.: E31942
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: NA
Address: 19 Gardonia Steet Wareham,MA 02571
Email: luppo1@vewrizon.net Telephone No.: 508-295-1647
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: James Luppino Sr Print Name: James Luppino Sr Cell.No.: 508-295-1647
INSURANCE COVERAGE: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❑� BOND❑ OTHER❑ Specify: Travellers Ins Co
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❑
Owner/Agent: Tel.No.:
Signature: Email.:
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