The URL can be used to link to this page

Home My WebLink AboutBlde-22-004438 �, oF. Rp4,41 Commonwealth of Official Use Only fi_ Massachusetts Permit No. BLDE-22-004438 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:2/9/2022 City or Town of: YARMOUTH 1 1 A c� o the I pector of Wires: By this application the undersigned gives notice o iis or er intention to peter orm t iT ctrica wolf batit'10d-ielow. Location(Street&Number) 30 MOSS RD Owner or Tenant Telephone No. Owner's Address PA .-- -'-` -'— -. " ='- Is this permit in conjunction with a building permit? Yes 0 No 0 (Che . : II II Late . .x) ^g Purpose of Building Utility Authorization N I *.E U 1 Existing Service Amps Volts Overhead 0 Undgrd 0 o.o 'e e " yi17(117/ New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade 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- ❑ 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. Totalo No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: LONGFELLOW DESIGN BUILD Licensee: Jeromme Marques Signature LIC.NO.: 22751 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:26 Lake Avenue,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 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: $50.00 04/ mi. Official Use Only R E M '_ E ® +fmonweañho f Vaosac uwstb �� -_ - Permit No. ,ZZ^-l"��e [ ! r ' �� 1JePartment o ire�ervics� li= ' Occupancy and Fee Checked ',_54* O' RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) FE►�__°. BByUILDIN : M T_ ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 213/2o2 Z City or Town of: b✓E 5 C /4 f O c./7 To the Inspector of Wires: By this application the undersigned gives notio of iso_r/her intention to perform the electrical work described below. Location(Street&Number) 3 v /'-1 (Z .$ /QV Owner or Tenant /144/Z Cy Sf Ai n ,$o. - Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 8'" (Check Appropriateat Box) Purpose of Building S 7--fry/IL' �jJM i/q Utility Authorization No. 1- O 63 cl Existing Service 1O0 An(ps ) c)/Z)'O Volts Overhead ❑ Undgrd No.of Meters I New Service ?00 Amps i?0 it ct 0 Volts Overhead El Undgrd No.of Meters t Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: _.5- Ro/G ir Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil:SusP Fanso. f T�addle) T Trranosformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of D ers Heating Appliances KW Security Systems:* rY No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H Y g No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3500 0 ' (When required by municipal policy.) Work to Start: 9 202 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE V RAGE: 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. U' CHECK ONE: INSURANCE ❑ BOND ❑ OTHER El (Specify:) I certify,under the pains and penalties of perjury,that the information on his application is true and complete. QFIRM NAME: 6-0 4, f /�OU/ 9E.�/ by,/� LIC.NO.: ,t.L)S/-4" Licensee:3, /1O,ivLt 2 ,A�lLQ C- 1 Ssignature i' Q LIC.NO.: I y s5-J46 (If applicable,enter "exempt"in theA{nns number line.) Bus.Tel.No.: (D/�SO/ Cr)�Z Address: !i L /TV l�f� 3 V� � � Alt.Tel.No.: *Per M.G.L. c. 147,s. 57-61,security work 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 Signature Telephone No. PERMIT FEE: $ 5 O C4 3Coak