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Home My WebLink AboutBLDE-19-003106 '' Commonwealth of dei �� Massachusetts Permit No. BLDE-19-003106 ® Official Use Only BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:11/20/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pert orm the electrical work described below. Location(Street&Number) 47 LUMBERJACK TRAIL Owner or Tenant CARVALHO THAYANNE Telephone No. Owner's Address MACHADO MARCIO B,47 LUMBERJACK TRAIL,WEST YARMOUTH,MA 02673 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: Replace&refeed existing outlets.Run feeds for future kitchen expansion. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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 Data Wiring: Heaters 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: 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:) !certtfy,under the pains and penalties of per]uty,that the information on this application is true and complete. FIRM NAME: Robert E Baker Licensee: Robert E Baker Signature LW.NO.: 12793 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:382 Buckskin Path,Centerville MA 026322206 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:1 am aware that the License does not have the liability insurance coverage normally required by law.But 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 la t) 6i to/. Je __ ammoau/said o`evicel 2�//adduc fis . Official Use Oni //� '��_'_ apartmentrfinenf I ..Vire J Permit No. (Q ---- '�1J er 7‘.4 ---= BOARD BOARD OF FIRE PREVENTION REGULATIONS I Occupancy and Fee Checked .414. rev. 1/07] (leave 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 o ` i LEASEPRINT IN MK OR TYPE ALL INFORMATION) Date: W I City or Town of: YARMOUTH To the Inspector of Wires: > �N tie. I:y this application the widersigped gives notice of his or her intention to perform the electrical work described below. a a cation(Street&Number) 7 �u� Ti W � C/Lm � !/au 4:,-: o a wner'orTenant art,J`IG %7n. p// .z Owner's Address ."1 Telephone No. LU o IIs this permit in conjunction with a bu ing permit? Yes y No Cr co m Purpose of Building Soh radyn Din/ y . do Appropriate Sax) +) n 9 ooM Utility Authorization No. Existing Service_ Amps / dolts Overhead ❑. Und gid❑ No.of Meters New Service _ Amps / Volts Overhead❑ Und {rd 0 NO.of Meters Number of Feeders and Ampacity •-- Lfocation lid d.Natuunre of P opojed Electrical Work: 1 g ,_ _ 4.f, 1 • 0 Tat I' kk. Ran -e c yrakep Lb Am Cyt Acta/) l /AS Completion of the following table may be waived by the Inspector of Wirer. No.of Recessed Luminaires 6 No.of Celt-Step.(Paddle)Fans No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ h-d. ❑ BNaosattery ULmergency Lighting - ernd _ Errtnits No.of Receptacle Outlets tl. No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 471, No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number ITons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers SpacefArea Heating KW LocalMunicipal ❑Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of Devices or Equivalent No.of Heaters 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: Estimated Value of ler 'cal WorkAttach additional detail tfderired or as required by the Inspector of Wirer. Work to Starte (� (When Tequired by municipal policy.) W INSURANCE GE: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 cov e a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ BOND 0 OTHER 0 (Specify:) !cern)", under the a ails and pei ofp 'u th• the information on this application is true and complete. FIRM NAME: 1,&/ 7.7 . G n./1 LIC.NO.: Licensee: Mritligri- Signature fi g .�_� LIC.NO.: i (IfddrticablA n_tert�"eremer s�he 'caber tine) 'i Bus.Tel.No. to ' , `I Address. TO-TM/01-5tan CPATPI't/t It Oil6 )00 3 j 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By mysignature below,I hereby waive this requirement I am the(check one)0 owner ❑owners agent. Owner/Agent Signature• Telephone No. I PERMIT FEE:$ l t