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Home My WebLink AboutBLDE-23-000673 Commonwealth of Official673 Use Only 01-* Massachusetts Permit No. BLDE-23-000 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:8/9/2022 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. ��]� �j Location(Street&Number) 51 TANGLEWOOD DR ` t1ee 24l -8I 0 1 Owner or Tenant Jose Nunes Telephone No. Owner's Address 51 TANGLEWOOD DR,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: Miscellaneous work per attached. Completion ofthe 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- 0 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. TTTotal n 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 ❑ 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 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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:$45.00 r 61 " (Wio S/ w/ irtats4 `r ) RECEIVED r .s, AUG 0 8 202? o� T'^'� Qa 07 �s�t+ � Official Use Only 1 i,.`-.I':LDING DEPART M T, / !_-ri _ s of o ,}u,e J.rvicse ifi Permit No. ZJrC(O7,5 j ,/` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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:.___DILL 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. LocationI (Street&Number) Owner or Tenant , �C Se �1 r d e A ►t7 1�C )fl 0 S Telephone No. ci kf C-} ` c1 Owner's Address 1"3 I 1 01'10(o€( '(X 1' r't V e 2 Is this permit in conjunction with a buildint 11)�St fYY'U ftii �`141 0` 3 g permit? Yes 0 No 10 (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 Number of Feeders and Ampadty 0 Undgrd ❑ No.of Meters Location and Nature of Proposed Electrical Work: Lodi \r �L�� (�C IFr ir',r any nod sir Completion o the ollowin table m be waived b the Inspector o Wires. li.1 No.of Recessed Luminaires No.of Ceil.-Sus . + O� "/ p (Paddle)Fans °.° ota =t No.of Luminaire Outlets Transformers KVA CA No.of Hot Tubs Generators KVA f�� -4 No.of Luminaires Swimming Pool Ve ❑ n- o.oEmergency g mg CL�f�rieC�1C rod. nd. BatteryUnits No.of Receptacle Outlets b ll.l: C k 1 No.of OU Burners FIRE ALARMS No.of Zones No.of Switches CjP � 1 3 ti No.of Gas Burners o.o etec on an 1 o.of N Ranges Initiatin Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers eatPump ..__Number ons o.o e - oats ne Totals: ......._......................_................... No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local 0 Connection 0 °tiler o. tY Heating Appliances KW ecu ty ystems• o a Water No.of Dryers °'° No.of Devices or E uivalent Heaters �' o.o Signs Ballasts Data Wiring: No.Hydromassage Bathtubs Na of Devices or E uivalent g No.of Motors Total HP c ecommun ca ons r g OTHER: No,of Devices or E uivalent Attach additional detail ifdesired,or as required by the inspector of Wires. Estimated Value of Electrical Work: j J 9� 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 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: Licensee: LIC.NO.: Signature ----— (ifapplicable,enter"exempt"in the license number line.) LIC.NO.: Address: Bus.Tel.No.: �` *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe Alt.Tel.No.: �— OWNER'S INSURANCE WAIVER: i am aware that the Licensee does not have the liability insurance coverage normally required by law. signature blow,i hereby waive this requirement. I am the(check one owner owner's a eat. Owner/Agent %/ Signature .i', f Telephone No. ,7-7i/ 50k ay I SSI(; }- PERMIT FEE:$