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Home My WebLink AboutBlde-20-003119 0,, Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-003119 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:11/27/2019 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) 123 STANDISH WAY Owner or Tenant RANDO FRANK J Telephone No. Owner's Address 40 UPLAND RD, DEDHAM, MA 02026-6327 Is this permit in conjunction with a building permit? Yes 0 No ❑ (E ok) Purpose of Building Utility Authorization N ,,�.,�,_. Existing Service Amps Volts Overhead 0 Undgrd 0 ' ers New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. 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 ❑ In- ElNo.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 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JERONIMO A MARQUES Licensee: Jeronimo A Marques . Signature LIC.NO.: 14553 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:26 LAKE AVE,WOBURN MA 01801 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 0. lrommonarsattfi �/�/ ///akdac lid Official Use Only • e apart-mad C� s �24— 3 (9' m ` .� Permit No. 4.113 • z- BOARD OF FIRE PREVENTION REGULATIONS 1 7].Occupmod Fee nkcked � ea„blank APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR!ZOO • (PLEASE PRINT IN INK OR TYPE ALL INFORAfAATIOl9 Date: !/ 7- 9 City or Town of: YARMOUTH . By this application the pridersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1 23 5/. 1, W . Owner.or Tenant te:,,i 12,) 5 p 007/4s Owner's Address / Telephone No. / fj.i Is this permit in conjunction with a building permit? Yes E No Check A ro Purpose of Building 524,' /7>//7/t't f l ( PP Priate Box) f Utility Authorization No. Z 3 C 6 yf Existing Service ps / Volts Overhead 0 Uudgrd❑ No.of Meters New Service 1.00 Amps (1() /2 Y-°Volts Overhead ndgrd❑ No.of Meters ) Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: rt.flp 31,,e1/jc , Completion of thefollawing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cet1.-Susp' addle Fans No.of Total ) Transformers ICVA m No.of Luminaire Outlets No.of Hot Tubs __-,. Generators KVA No.of Luminaires Swimnaia Pool Above In- No.of Emergency l,ighum _ No.of Receptacleg �IId' � =rnd- � Battery Units g Outlets No.of Oil Burners FIRE ALARMS lNo.of Zones No.of Switches No.of Gas Burners o.of Detection and No.of Ranges Initiatum Devices No.of Air Cond. Total • Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 'Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loth❑ Municipal No.of Dryers Connection �� t Y Heating Appliances KW Security Systems:* No.of Devices or E.trivalent o.of j ater No.o Heaters ' ° of Data Wiring: Si• .s Ballasts No.of Devices or E•uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or .uivalent • D'O `D Attach additional detail ifdesire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work I S`D Work to Start // ��-� (When required by municipal policy.) INSURANCE C YE Inspections to be requested in accordance with MEC Rule I0,and upon completion. GE: 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 a val undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing oent. The CHECK ONE: INSURANCE ❑ BOND 0 OTHER 0 (Specify:) I ceritfy,under the aims and penalties o.lf. rOA4� per ut7' that the information on this application is true and complete. FIRM NAME: ✓_e / /tic a/✓(> Licensee: 2Q N)�'l p &j Ill,-/- NO.:22��1;� Signature c- (Ifapplicable,enter"exempt in the icense number line.) LIC.NO.:f'ys�f,� Address: G G V� oby, 1 O/�D/ Bus.Tel No.:6,1P-3 �,�2. j `Per M.G.L. c. 147,s.57-61,security work requires Department of Public SafetyAlt Tei.No.: OWNER'S INSURANCE "S"License: Lic.No.'Q CE WAIVER: I am aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this requirement I am the(check one ❑ ranee coverage n'ormajly Owner/Agent owner ❑owner's ma i Signature