Loading...
HomeMy WebLinkAboutBLDE-23-000787 ,, Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-000787 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:8/16/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 101 WIMBLEDON DR Owner or Tenant LOWERY MICHAEL C Telephone No. Owner's Address LOWERY KATHERYN K, 39 LONGMEADOW DR, DELMAR, NY 12054-2325 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&transfer switch. 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 14 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 Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine 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 Siens 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: 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 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 C Cl .RE `CEIVED 1 15 _ 1[AU-6 Cmmo ea of I?J, fu�stb Official Use Only BUILDING U � i. T Permit No. C-3-ell g 7 Occupancy and Fee Checked .. BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: (it'!(u) j-ZZY City or Town of: -YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1()t (,VI t hire bon D Owner or Tenant 0 tki-e L kAli,(t1 Telephone No. P7 1 - i I-'j 91 • Owner's Address I 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❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: 14 y-v. 6; -„- r _ Wt1A-k 2 o tc-S� o s - it Snj- Sent iz IA- ' Completion of thefollowitut table may be waived by the Inspec r of Wires. Noof W No.of Recessed Luminnh es No.of Cell.-Sup.(Paddle)Fans Transformers TotalKVA 42) a No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires • Swimming Pool Above ❑ In- ❑ Pio.of Emergency Lighting Brnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Switches No.of Gas Burners -Na of Detection and Initiating Devices Tot la No.of Ranges No.o Air Cond. Tonal No.of Alerting Devices Na of Waste Disposers Totals: Pump Number Toms .KW -No.of Self-Contained Totals: ' — Deteetlon/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑ Muniinectionc�ippaall 0 Other Con No.of Dryers Heating Appliances KW Security Systems:* Na of Water Na of Devices or Equivalent Heaters , No.of No.of Data Wiring: Sins Ballasts No.of Device"or Equivalent Na Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wrong. 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: 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 [ ' BOND 0 OTHER 0 (Speciijr:) I certify,under the pains and pe of petjuty,that the information on this application is true and complete. FIRM NAME: M ttw TZ- • i'-1/41 e(. -A CI AJ LIC.NO.: 0299?C 1" Licensee: Signature LIC.NO.: -7--ZCAf1f A (If applicable,enter"exempt"in the license number line.) Bins.TeL No.: --lit' ti17( 4:, .. Address: *Per M.G.L.c. 147,s.57-61 Alt.TeL No.: security work requires Depar went 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 0 owner's agent. Owner/Agent Signatu1e Telephone No. I PERMIT FEE:$ SO I