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HomeMy WebLinkAboutE-20-2306 fACommonwealth of Official Use Only Permit No. BLDE-20-002306 Massachusetts 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•10/24/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 34 MARSH SIDE DR Owner or Tenant PERKINS RICHARD A TRS Telephone No. Owner's Address FISCHER PATRICIA L TRS,34 MARSH SIDE DR,YARMOUTH PORT, MA 02675 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: Install generator. 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 1 KVA 20 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 ❑ 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 Siens 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Marcelo R Soares Licensee: Marcelo R Soares Signature LIC.NO.: 13036 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 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 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 gig (1 . RECEIVED . 1112:f 2 Z / yyj I _. ___ ( ommorrrvsa[ts o�r�/77//a ar ffl �OOficciiiaal/Use Onl_(} 8 11 i D i N G i' iii 'T a arfinrnt o metro arvccrs " 1 J `�P [ s Permit No. \. ,'---J W-T BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. i/07] (leave blank) -- w APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 \yyl �, (PLEASE PRINT IN WK OR TYPE ALL INFORMATIOA9 Date: i o/Z� Cityor Town ` �-� ( of: YARMOUTH To the Inspector c-) Wires: 1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. v, v Location(Street&Number) ', cf-rol.V5(j E D(L Y MO"(Jf I} j f-•r Owner or Tenant *I Cl.} .(L) p�16-1105 N f c7 Telephone No. _ ��� Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No . ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Und d l;T ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: aO �w Cet a°oA-S 5 I� vrtk Completion of thefollowin- table may be waived by the Inspector of Wires. No. of Recessed Luminaires Na of Cet1-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA r • No.of Luminaires Swimming Pool Above ❑ In- No.of lr:mergency Lighting - ernd.. acrid_ � Battery Units No.of Receptacle Outlets No.of 0R1 Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Na of Air Cond. Total Tons No,of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Muni ' al Local❑Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring: Ballasts SignsNa of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent O 11iL+R: Attach additional detail tf desired or as required by the Inspector of Wires. Estimated Value of Electrical Work Work to Start: (When required by municipal policy.) 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 WI BOND ❑ OTHER 0 (Specify.) I certrfy, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: (Vi f-Cf L,) IC.- S,9 S &-(,h GNI.I t P LIC.NO.: I"j77j,‘ ►- Licensee: IA/l act Signature @ilk(If applicable,enter"erempt"in the license number line.) LIC.NO.: Z�� Address: Bus.Tel.No.: —6�,-z,4 J Per M.G.L. c. 147,s.57-61,securitywork Alt.TeL No.: // 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)❑owner ❑owner's agent Owner/Agent 'l� Signature Telephone No. I PERMIT FEE: $ ,S l)